In this innovative book, master clinician Michael Garrett shows how to weave together cognitive-behavioral therapy (CBT) and psychodynamic therapy to support the recovery of persons suffering from psychosis. This integrated framework builds on the strengths of both methods to achieve lasting gains, even for patients with severe, chronic mental illness. The therapist is guided to use CBT to help the patient recognize the literal falsity of delusions, while employing psychodynamic strategies to explore the figurative truth and personal meaning of psychotic symptoms. Extended case presentations and numerous clinical vignettes illustrate Garrett’s compassionate, empowering approach.

“This is the unique and definitive work on integrating psychodynamic therapy and CBT in the psychotherapy of psychosis–there is no other book like it. To really understand psychotic experience, one must understand the emotional component that is its motivating center. Addressing emotional as well as cognitive phenomena increases the power of the treatment. Explaining complicated ideas in a straightforward manner, this book can be used by a wide range of mental health practitioners. I teach medical students, psychiatry residents, psychoanalytic candidates, and postgraduate analysts, and I would use this book with all of them.”–Eric R. Marcus, MD, Professor of Clinical Psychiatry, Columbia University College of Physicians and Surgeons, and supervising and training analyst, Columbia University Center for Psychoanalytic Training and Research