Worry Intervention Trial (WIT) in Psychosis

The University of Oxford Department of Psychiatry in Collaboration with The Oxford Cognitive Therapy Centre.

The past ten years has seen a transformation in the psychological understanding of delusions in psychosis. This knowledge is now being put into clinical practice. Join the research team for the launch of the results of a highly innovative new clinical trial for persecutory delusions: the Worry Intervention Trial (WIT). Tested in a trial with 150 patients with persistent persecutory delusions, a six session, highly manualised treatment for worry led to important improvements in patient well-being, and reductions in worry, paranoia, and overall levels of psychiatric symptoms. WIT research team members will present detailed descriptions of the trial, review the nature of worry in psychosis, and describe the therapy in practice. One half of the day will be given to detailed description of the intervention and the treatment manuals will be made available to attendees.

This launch event will be held at St Hugh’s College, Oxford. Accommodation will be available in the college (cost not included in the day rate for the event).

Worry Intervention Trial results have now been published:   http://www.thelancet.com/pdfs/journals/lanpsy/PIIS2215-0366(15)00039-5.pdf

And summary piece here:  http://www.theguardian.com/science/2015/mar/04/feeling-paranoid-your-worries-are-justified-but-can-be-helped


Daniel Freeman

Daniel Freeman is a Professor of Clinical Psychology, a Medical Research Council (MRC) Senior Clinical Fellow, and a British Psychological Society Fellow, in the Department of Psychiatry at the University of Oxford. He is also a consultant clinical psychologist in Oxford Health NHS Foundation Trust and a Fellow of University College Oxford. He has published extensively on the psychological understanding and treatment of persecutory delusions, and is the lead author of several books including Overcoming Paranoid and Suspicious Thoughts (2006), Paranoia: the 21st Century Fear (2008), Know Your Mind (2009), You Can Be Happy (2012), How to Keep Calm and Carry On (2013) and The Stressed Sex (2013).

David Kingdon

David Kingdon is Professor of Mental Health Care Delivery at the University of Southampton, UK, and honorary consultant adult psychiatrist for Southern Health NHS Trust. He has previously worked as Medical Director for Nottingham Health Care Trust and Senior Medical Officer (Severe Mental Illness) in the UK Department of Health. He now does policy and implementation work for NHS England and is editor of their mental health websites.  He chaired the Expert Working Group leading to the Council of Europe’s Recommendation 2004(10) on Psychiatry and Human Rights (1996-2003). His research interests are in cognitive therapy of severe mental health conditions and mental health service development on which he has published over 150 papers, chapters and five books. He is currently working on a number of studies funded by MRC (EME programme – WIT & REFRAMED), NIHR (DIALOG+, VOLUME, M4V & COMET), HTA (FOCUS), DoH, US Veterans Administration, Chinese Government & NIMH (RAISE) into cognitive therapy in the US, China, & UK and into the development of mental health care pathways and commissioning tools.

Graham Dunn

With a first degree in Natural Sciences, a PhD in Biochemistry and postdoctoral experience as a microbiologist, Graham abandoned laboratory work and retrained as an applied statistician and worked at the Institute of Psychiatry for the next 17 years.  Graham was appointed as Professor of Biomedical Statistics at the University of Manchester at the end of 1996. His current research is primarily focussed on the design and analysis of randomised trials of complex interventions (efficacy and mechanisms evaluation), specialising on the evaluation of cognitive behavioural and other psychological approaches to the treatment of psychosis, depression and other mental health problems.  He has been a member of the Psychosis Research Partnership since its inception in the early 1990s. Since then, he has been a collaborator on many trials of cognitive behaviour therapy for psychosis.   He is the author of several applied statistics textbooks and was a founding editor of the international review journal Statistical Methods in Medical Research.

Helen Mander

Dr Helen Mander trained as a Clinical Psychologist at the Institute of Psychiatry, Kings College, London. She has a particular interest in CBT across a range of difficulties – having worked clinically and published mainly in CBT for common mental health difficulties and CBT for psychosis. Helen has provided teaching, training and supervision including lecturing on postgraduate CBT and doctoral programmes. She currently works as a Research Clinical Psychologist for Southern Health NHS Foundation Trust in partnership with the University of Southampton and was a therapist on the Worry Intervention Trial.

Helen Startup

Dr Helen Startup is a Consultant Clinical Psychologist with a research background in understanding mechanisms of worry across disorders. Within the Oxford Cognitive Approaches to Psychosis (O-CAP) group she contributed to the design, co-ordination and supervision of the WIT study and the BEST study.  She also works as a clinical psychologist for Lambeth Integrated Psychological Team (SLAM) and was involved in setting up their involvement in an international RCT evaluating a group schema therapy intervention for those with Borderline Personality Disorder.  She is a Clinical Research Fellow and Consultant Clinical Psychologist for Sussex Partnership NHS Foundation Trust where she is joint theme lead for research into personality disorders.  She also works as a senior clinical psychologist working for the South London and Maudsley (SLAM) Eating Disorders service, and has been involved in research exploring mechanisms responsible for the maintenance of eating disorders (EDs) and the evaluation of suitable interventions for complex ED presentations. She is an accredited CBT therapist and advanced level schema therapist.

Katherine Pugh

Dr Katherine Pugh trained as a Clinical Psychologist at Royal Holloway, University of London. She has a particular interest in working with people with psychosis, using predominantly CBT approaches. Katherine has provided teaching, training and supervision on working with people with psychosis and was a therapist on the Worry Intervention Trial. She currently works as a Clinical Psychologist for Sussex Partnership NHS Foundation Trust in the R&D Department and the Early Intervention in Psychosis Service.

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 www.octc.uk

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.