An Introduction to Cognitive Therapy for Post-Traumatic Stress Reactions in Psychosis

steelThere is an established evidence base and treatment recommendations for CBT for PTSD and psychosis. However, people with psychosis often have significant histories of trauma, including being traumatised by their symptoms or their consequences. Post-traumatic stress in psychosis is associated with worse outcomes, and can complicate understanding and intervening effectively to support people’s recovery. This workshop will help you rise to that challenge by drawing on recent evidence to provide a framework for formulating and intervening with this client group. An overview of trauma-focused CBT for psychosis techniques will be provided, illustrated with case material and experiential practice.
Workshop attendees will:
• update knowledge on the evidence base for the impact of trauma on psychosis
• be introduced to recent conceptualisations of post-traumatic stress in psychosis
• learn how to use these conceptualisations to formulate cases and inform treatment planning
• practice a range of techniques for working with post-traumatic stress reactions in psychosis

The workshop is aimed at those who have at least a basic knowledge of the cognitive models and cognitive behaviour therapy for PTSD and psychosis, and who wish to develop their skills in using cognitive behavioural formulations and techniques for working with people affected by post-traumatic stress reactions in psychosis.

The content will include didactic teaching, case discussion, role play and small group exercises.

Registration will start at 10.45am, start 11.15am and finish at 4.45pm

If you are eligible for a HEE funded place on this workshop, please do not register online, but apply using this HEE funded workshop application form which should be emailed to



Hardy A, Emsley R, Freeman D, Bebbington P, Garety PA, Kuipers E, Dunn G & Fowler D.  (In press).  Psychological mechanisms mediating effects between trauma and psychotic symptoms: The role of affect regulation, intrusive trauma memory, beliefs, and depression.  Schizophrenia Bulletin.

Hardy A, Smith B, Gottlieb J, Mueser K, & Steel C. (2013). CBT for Post‐Traumatic Stress Disorder and Psychosis. CBT for Schizophrenia: Evidence-Based Interventions and Future Directions, 35-55.

Hardy A, Fowler D, Freeman D, Smith B, Steel C, Evans J, … & Dunn G. (2005). Trauma and hallucinatory experience in psychosis. The Journal of nervous and mental disease, 193(8), 501-507.

Steel, C. (Ed.). (2012). CBT for schizophrenia: evidence-based interventions and future directions. John Wiley & Sons.

Marks, E. M., Steel, C., & Peters, E. R. (2012). Intrusions in trauma and psychosis: information processing and phenomenology. Psychological medicine, 42(11), 2313-2323.

Steel, C., Fowler, D., & Holmes, E. A. (2005). Trauma-related intrusions and psychosis: an information processing account. Behavioural and Cognitive Psychotherapy, 33(02), 139-152.


Amy Hardy

Amy Hardy is a Research Clinical Psychologist for the Psychosis Research Partnership at the Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King’s College London.  She is the Psychology Lead for Post-traumatic Stress in the Psychosis Clinical Academic Group, South London and Maudsley NHS Foundation Trust, and runs the Lambeth Post-traumatic Stress in Psychosis Clinic.  Her research investigates the role of psychological processes in post-traumatic stress in psychosis and she is interested in the development, testing and implementation of trauma-informed practice and trauma-focused CBT for psychosis.

Craig Steel

Craig Steel is a Senior Lecturer in Clinical Psychology and Deputy Director of the Charlie Waller Institute for Evidence Based Psychological Treatments, University of Reading, UK. He has been an active clinician and researcher for twenty years, specialising in CBT for psychosis. He has been involved in a number of clinical trials in the area, and is widely published. He is the editor of ‘CBT for Schizophrenia: Evidence-Based Interventions and Future Directions’ published in 2013.

Additional Information

Cancellation & changes policy

If you cancel more than 14 days prior to your booked event, we will refund your fee minus a charge of 15% to cover our administration costs. We regret that cancellations 14 days or less before the booked event cannot be refunded or changed/transferred.

If you wish to change/transfer your booking after confirmation we will do our best to accommodate you if you notify us 14 days prior to your booked event, and if there is space to do so. However there will be an administration charge of £15 per change/transfer.


Workshops often contain clinical material. This is always anonymised as far as possible but delegates are none the less reminded to respect confidentiality.

All that is discussed in your therapy sessions will be treated as confidential, with the following exceptions.
We are required to seek supervision by our professional body (The British Psychological Society or equivalent) as a means of ensuring good practice. We will usually inform your referrer of your progress, but the details that we disclose will be discussed with you. We do have a statutory obligation to break confidentiality under rare circumstances, namely, if we believe that a client is of danger to themselves or to others (under the Mental Health Act, 2001) or if we believe that a child is at actual risk of physical or sexual abuse (The Children Act, Section 47, 1989).

If we felt that it would be helpful to request additional medical, social or legal information, we could only do this with your consent. Similarly, should another medical, social or legal professional request information from us, we would not release this without your consent.


OCTC makes every effort to ensure that this programme is delivered as advertised. However, should a presenter have to cancel, we will endeavour to find another suitable presenter. We will inform attendees as soon as is reasonably practical and, if requested, will offer a refund. In the rare event that we are unable to substitute a presenter, we may cancel a workshop and refund payments already made by attendees. OCTC will not refund travel and accommodation costs that attendees may incur.
All the workshops in this programme are carried out by highly experienced therapists and trainers. The individual presenter is responsible for the content of the workshop and any views expressed do not necessarily represent those of OCTC.
Although highly informative, none of the open workshops or workshop series confer a formal qualification or assurance of competence in CBT (or a specialist area of CBT) since we are unable to assess attendee competency within the training event. However, credit and award-bearing courses that lead to formal qualifications are offered by OCTC in conjunction with the University of Oxford. More about these courses is available on our website

Levels of competence

Before booking a place on a workshop, please ensure that it is pitched at the appropriate level of competence for you. The guide to levels is as follows:


Basic workshops are for people from a variety of backgrounds, who have at least one year’s clinical experience. Cognitive behavioural knowledge is not necessary for attendance at these workshops, though in practice, a number of attendees will have some skills in the area, and are refreshing/updating their knowledge.


Intermediate workshops are directed towards people who already have knowledge of CBT, and experience in using cognitive formulations and treatment methods – for instance, they are able to identify and test automatic thoughts, and design behavioural experiments. Most participants will be using CBT as part of their clinical practice, and may still be acquiring new CBT skills.


Advanced courses are directed towards those professionals who use CBT routinely as part of their clinical practice. They have probably undertaken a significant number of training courses and/or workshops, and use a broad range of cognitive behavioural strategies to work with a range of presentations at varying levels of complexity.

Making reservations

Bookings can only be considered confirmed after we have received your online registration or application form and payment (or invoicing details, including an official purchase order document). Please note that registration to workshops closes 7 days prior to the event date.

If you are booking a workshop place for someone else, you must complete your own details in the billing field, but ENTER THE WORKSHOP PARTICIPANTS NAME/ADDRESS in the shipping field. If you wish to order items using a paper order form instead of online, you can view or download an order form in Adobe Acrobat (PDF) format. Once downloaded, print it out, fill it in, and send off with your payment [cheque made payable to OXFORD HEALTH NHS FOUNDATION TRUST] to the address on the form.


The cost of the workshops includes hot drinks on arrival, mid-morning and mid-afternoon, but not usually lunch unless stated. However, for workshops that do include lunch, if you have any special dietary requirements please let us know at the time of application.

Special needs

We welcome applications from diverse backgrounds. If you have any particular needs, please contact us
prior to booking.