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81 resources
Children and adolescents whose parent has a mental illness: a therapist's manual
A session-by-session protocol for children and adolescents aged 4 to 17 who have a parent with a mental illness, and for their parents: three assessment sessions in which each person is seen alone, three sessions with the parents, two with the child, a family meeting in which the parents themselves talk about the illness, a written plan for relapses and hospital admissions, the link with the school, a module for the adolescent and a brief format of three meetings. Safety first, without confusing mental illness with danger; age-appropriate psychoeducation that undoes the child's guilt; the parent's treatment as part of prevention, in liaison with their care team. Based on Family Talk, "Let's Talk about Children" and the Compas family intervention, with modest measured effects, stated as they are. Particular situations, worksheets to hand over and full references.
Specific learning disorders: a therapist's manual
A practice guide, without numbered sessions, for psychologists and psychiatrists who encounter dyslexia, dysorthographia and dyscalculia, from childhood to adulthood. Remediation falls to other professions; this manual describes what falls to you: identifying the difficulty, ruling out other explanations, assessing and reading an assessment report, giving the diagnosis, judging progress by reliable change, treating anxiety, depression, school refusal and suicide risk, coordinating with the school and following the person through transitions. What the classifications say, what the French word "dys" covers, what research establishes, what has not proved its worth, eight worksheets and full references.
Autism in children and adolescents: a therapist's manual
A modular programme for supporting autistic children and adolescents aged 2 to 17 and their families: a common core of eight sessions — locating the diagnosis, drawing the child's portrait, understanding autism after the diagnosis has been given, making the day predictable, adjusting for the senses, involving the school — and a module chosen according to age and the request. A parent-mediated intervention for the young child, parent training based on functional analysis for challenging behaviour, cognitive behavioural therapy adapted for anxiety, and work on self-understanding, relationships and transitions in adolescence. Quality of life rather than normalisation, what can be treated treated, the debates presented with their sources, nine worksheets and full references.
Treating selective mutism in children: a therapist's manual
A twenty-session protocol, eight of them at school, for selective mutism in children aged 3 to 10: graded exposure to speaking through stimulus fading, shaping and reinforcement, conducted with the parents and the teacher. The adults learn to talk to the child differently, with forced-choice questions, a waiting time and specific praise, and gradually to stop answering for them, without pressure or punishment. The differential diagnosis with the silent period of bilingual children, language disorders and autism, a measured response criterion, the cautious place of medication, preparing for each new school year, eight worksheets and full references.
Tinnitus: a therapist's manual
A ten-session protocol, session by session, for adults whose tinnitus causes them suffering, delivered in liaison with the ENT specialist. It begins with the ENT assessment and the signs that call for prompt medical advice, then draws on cognitive behavioural therapy for tinnitus, enriched with acceptance and mindfulness: understanding the sound, relaxing the body, making attention more flexible, re-examining thoughts, giving up unnecessary protection, getting sleep back, stopping the struggle. It does not promise silence: the established effects concern the impact of tinnitus, not its loudness, and the manual says so. It also covers associated hyperacusis, suicide risk, and the place of hearing aids, sound therapy and medication, without any doses, with worksheets to hand over and full references.
Perfectionism: a therapist's manual
A ten-session protocol, session by session, for adults whose personal worth depends almost entirely on their results, based on cognitive behavioural therapy for clinical perfectionism. First the triage, because perfectionism is not a diagnosis, because it often accompanies an eating disorder, OCD, depression or burnout that have their own treatment, and because suicide risk hides behind control. Treatment then addresses the circle that maintains perfectionism, the "good enough" experiments, the reduction of checking and putting off, evaluation biases, the sources of self-worth and self-criticism. The manual also sets out the debates on the dimensions of perfectionism, the measures and their status, what the trials really show and what they do not, with the worksheets to hand over and full references.
Intimate partner violence: supporting victims — a therapist's manual
A fourteen-session protocol, in two phases, for supporting an adult who is experiencing or has experienced violence from their partner: physical, sexual, psychological or economic violence, or coercive control. First, getting protected and regaining a footing, by assessing the danger at every session, writing a protection plan, breaking the isolation and deciding at one's own pace, including deciding to stay; then, once the danger has passed, working on guilt, shame, the memory and future relationships. Professional confidentiality, reporting and child protection are described in general terms, with a pointer to the law of each country, and the worksheets are designed not to put the person in danger if they are found.
After a traumatic event: early intervention — a therapist's manual
A stepped programme for the first month after a traumatic event in adults. For everyone, psychological first aid and three dated contacts over four weeks, with a measure each time, because most people get better on their own and those who are not improving need to be identified. For those who present acute stress disorder or significant symptoms that are not coming down, trauma-focused cognitive behavioural therapy in five sessions at most, started within the month, and a hand-over to the PTSD manual if symptoms remain significant beyond one month. The manual explains why routine psychological debriefing and preventive medication are advised against, and covers suicide risk, children and victim support services; worksheets to hand over and verified references.
Supporting a person with cancer: a therapist's manual
A ten-session programme for adults with cancer whose distress becomes excessive, lasts or prevents them from living, at any point in the illness, from diagnosis to the end of life. It begins by sorting out expected distress, adjustment disorder, major depression and anxiety disorder, and by looking for what belongs to the doctor. It brings together what has been evaluated in psycho-oncology — problem solving, activation paced to energy, work on worry and fear of recurrence, the principles of meaning-centred therapies and of the CALM approach for advanced disease — and it explicitly assesses suicide risk and the wish to die. Screening, measures, loved ones and children, pointers on end-of-life law to be related to the law of each country, worksheets to hand over and full references.
Depression in older adults: a therapist's manual
A twelve-session protocol for depression in older people, at home as well as in residential care. First, what is specific to this age: a depression that often comes without sadness, the distinction from a neurocognitive disorder, the debated hypothesis of vascular depression, bereavement, isolation and loss of independence, the illnesses and medicines that belong to the doctor, and a suicide risk that is particularly high in older men. Then the treatment: behavioural activation, problem solving adapted to executive difficulties, work on thoughts, on losses and on connection with others, and life review, in an adapted format — shorter sessions, written materials, home or telephone, a place for the carer. Worksheets to hand over and full references.
Stopping benzodiazepines and sleeping pills: a therapist's manual
A ten-session protocol, followed by three booster sessions, for providing psychological support when a benzodiazepine or a related sleeping pill taken over the long term is stopped, once stopping has been decided and is conducted by the prescribing doctor. The psychologist does not touch the dose: they prepare the decision, put ways of sleeping and of easing anxiety in place before the first step, teach the person to distinguish withdrawal symptoms, rebound and relapse, and prevent a return to the medication during the six months following the last dose. The manual also covers safety, with the emergencies of withdrawal, alcohol, opioids, pregnancy and the older person, as well as those close to the person, and provides worksheets to hand over and full references.
Complex post-traumatic stress disorder: a therapist's manual
A protocol of twenty sessions, thirty at most, for adults with complex post-traumatic stress disorder as defined by ICD-11: the symptoms of post-traumatic stress, together with lasting disturbances in emotion regulation, self-image and relationships, most often after repeated trauma. The manual sets out the central debate of the field, stabilising first or treating the trauma from the outset, with the trials, the meta-analyses and the positions of the ISTSS, and says what it does with it: no stabilisation of fixed length, three regulation sessions whose place is decided on criteria, then work on three to five memories chosen on a lifeline. Then come shame, self-image, trust, boundaries, closeness and taking life back, with nine worksheets and verified references.
Treating obsessive-compulsive disorder in children and adolescents: a therapist's manual
A fourteen-session protocol over twelve weeks, session by session, for obsessive-compulsive disorder in children and adolescents: cognitive behavioural therapy with exposure with response prevention, adapted to age and conducted with the parents. The OCD named as an opponent, the ladder of challenges, hidden rituals and reassurance questions, and two sessions reserved for the parents to reduce family accommodation and to hold firm during crises. The PANS and PANDAS hypotheses presented with caution, the place of medication, school, eight worksheets and full references.
Adjustment disorder: a therapist's manual
A brief protocol of six to eight sessions for adjustment disorder in adults, as ICD-11 has redefined it: a preoccupation with a stressor and a failure to adapt. The manual begins by deciding whether this really is the disorder in question, and says what moves you on to another diagnosis — major depressive episode, post-traumatic stress disorder, prolonged grief. It reduces the room the preoccupation takes up, solves one by one the problems the blow has produced, gets the days going again, makes room for what does not change and prepares the return to work. Suicide risk, often underestimated in this diagnosis, is assessed at every session; measures, worksheets to hand over and full references.
Burnout (occupational exhaustion): a therapist's manual
A ten-session protocol, session by session, for burnout in adults, based on work-focused cognitive behavioural therapy. First the triage, because burnout is not an illness in the classifications and it often conceals a depressive episode or a suicide risk. Then active recovery, the analysis of work, the rules that exhaust, the stepped return-to-work plan carried out with the GP and the occupational health doctor, and the decision to stay, change or leave. The debate between burnout and depression, measures that are free to use, what the trials really show, worksheets to hand over and full references.
Stopping smoking: a therapist's manual
A protocol of nine sessions, individual or in a group, followed by three booster sessions, to support a tobacco-dependent adult through stopping and beyond, with an adaptation for adolescents from the age of fifteen. It combines what research has established best: structured behavioural support, combined with a stop-smoking medication or an electronic cigarette decided with a prescriber. It is organised around a clear quit date, the management of withdrawal and urges, high-risk situations, the difference between a lapse and a relapse, weight and maintenance. It also covers mental health, interactions between tobacco and certain medications, pregnancy, other addictions and hospital stays, with published measures, worksheets to hand over and full references.
Chronic pain: a therapist's manual
A twelve-session protocol, individual or in a group, for adults who have been living with pain for more than three months — chronic low back pain, fibromyalgia, widespread musculoskeletal pain, chronic headache, persistent post-surgical pain —, delivered in liaison with the doctor or the pain clinic. It draws on cognitive behavioural therapy and on acceptance and commitment therapy: understanding pain, pacing activity, facing feared movements, working on catastrophising, making room for what cannot be controlled, sleeping, preparing for flare-ups. The established effects are small to moderate, and the manual says so. It also covers somatic red flags, suicide risk, the place of medication without any doses, supporting an opioid taper decided by the doctor, and measures, with worksheets to hand over and full references.
Morbid jealousy: a therapist's manual
A protocol of twelve individual sessions, with one meeting with the partner alone and one optional joint session, for adults whose jealousy, without being delusional, takes over their life and their relationship: suspicions that go round and round, checking of the phone and social media, interrogations, endless requests for reassurance. Jealousy is not a diagnosis: the manual distinguishes an ordinary jealousy, an excessive jealousy which is its indication, and situations that belong to other manuals — delusional jealousy, relationship-centred OCD, personality disorder, alcohol, neurological illness. It puts safety first, because jealousy is a major risk factor for intimate partner violence and coercive control. For lack of sufficient trials, it assembles components proven elsewhere — response prevention for checking, work on rumination, restructuring, emotion regulation, couple communication — and says so.
Nightmares: a therapist's manual
A seven-session protocol, individual or in a group, for adolescents from the age of twelve and adults who suffer from chronic nightmares, with no clear cause or after a trauma, with an adaptation for younger children. The reference treatment is imagery rehearsal: rewriting the nightmare while awake, then rehearsing the new version every day, without having to recount the trauma. The manual begins with sorting — sleep terrors, REM sleep behaviour disorder, apnoea, narcolepsy, epilepsy, medications and withdrawal —, looks for suicide risk, links the work with the treatment of post-traumatic stress and of insomnia, states the real state of the evidence on medications, and provides measures, worksheets to hand out and full references.
Parental separation and divorce: supporting the child and the parents — a therapist's manual
A session-by-session protocol for children and adolescents aged 6 to 17 whose parents are separating, and for their parents: three assessment sessions, eight sessions with each parent, six sessions with the child, and a joint session only if safety allows. First, screening for violence and coercive control in separate interviews, and protecting the child. Then what really protects the child: less conflict in front of them, no longer being placed in the middle, a warm relationship and rules that are kept in each home, and accurate ideas about what happened. The child who refuses to see a parent, the question of "parental alienation", the legal framework, the worksheets to hand over and full references.
Mild to moderate dementia: cognitive stimulation and rehabilitation — a therapist's manual
A twenty-nine-session programme for the person with mild to moderate dementia, based on the two best-evaluated psychological interventions at this stage. It begins by reviewing the different dementias — Alzheimer's disease, vascular and mixed forms, Lewy body dementias, frontotemporal dementias — and what each one changes in the sessions. First, fourteen sessions of group cognitive stimulation, twice a week, in which people are asked for opinions rather than correct answers; then ten individual sessions of rehabilitation directed at goals the person has chosen, and four maintenance sessions. Reminiscence, anxiety and depression, safety (acute confusion, abuse, suicide risk) and what should not be offered instead, such as cognitive training presented as a treatment, each have their own section, with worksheets to hand over and full references.
Eco-anxiety: a therapist's manual
A ten-session protocol, individual or in a group, for adolescents from the age of fifteen and for adults who seek help for distress linked to the climate and environmental crisis. Eco-anxiety is not a diagnosis: the manual distinguishes a proportionate worry, which is not something to treat, a distress that takes over life, which is its indication, and a diagnosable disorder, which calls for its own treatment. In the absence of sufficient controlled trials, it assembles components proven elsewhere — work on worry, acceptance and values, activation, collective action — and says so. It also covers triage, safety, measures and the therapist's stance, with worksheets to hand over and full references.
Gender dysphoria: psychological support — a therapist's manual
A protocol of twelve sessions for adults and sixteen for adolescents, four of them with the parents, for supporting distress related to gender identity. Exploratory and non-directive support, which seeks neither to change gender identity, a conversion practice banned in France, nor to steer the person towards transition, and which treats the distress, the associated difficulties and the weight of rejection. The state of knowledge is set out position by position — WPATH, Endocrine Society, the Cass Review and the University of York reviews, the HAS — saying where the evidence is of low certainty and recalling that medical decisions belong to doctors. Suicide risk, decision support, regret and detransition, worksheets to hand over and full references.
Conduct disorder in children and adolescents: a therapist's manual
A twenty-session programme over three to four months for preadolescents and adolescents aged 10 to 17 with conduct disorder, in three modules: eight sessions with the parents, eight with the young person and four joint sessions, one of them with the school. Safety first — violence, weapons, fire-setting, maltreatment suffered, suicide risk, involvement with the justice system — then, on the parents' side, warmth, supervision grounded in the relationship, negotiated rules and predictable consequences, and, on the young person's side, his own goals, anger, the thoughts that justify transgression, problem solving and the company he keeps. Limited prosocial emotions, multisystemic therapy and functional family therapy described through their principles and their results, what does harm, the place of medication, nine worksheets and full references.
Sleep disorders in children and adolescents: a therapist's manual
A session-by-session protocol for sleep disorders in children, from six months of age, and in adolescents. A shared assessment that begins by identifying what belongs to the doctor, then a track conducted with the parents of the young child — bedtime and bedtime routine, gradual withdrawal plan, night wakings, bedtime fears — and a track conducted with the adolescent and their parents — adapted cognitive behavioural therapy for insomnia, morning light, advancing the clock, negotiated screens. Two modules, for nightmares and for sleepwalking and sleep terrors; ADHD and autism, melatonin, the actual state of the evidence on screens, worksheets to hand out and full references.
Cannabis use disorder: a therapist's manual
A twelve-session protocol, session by session, for cannabis use disorder in adults, and an adolescent and family strand described meeting by meeting. First the risks that change what you do: psychotic symptoms, suicidal thoughts, cyclical vomiting, pregnancy, driving. Then the goal, stopping or cutting down, discussed honestly. Motivational interviewing, functional analysis, withdrawal and sleep, craving, refusal, the lapse, contingency management, today's products, medical cannabis, worksheets to hand over and full references.
Anger and intermittent explosive disorder: a therapist's manual
A twelve-session protocol, session by session, for problematic anger in adults and for intermittent explosive disorder. It begins with what can stop it: violence in the couple and in the family, which is looked for before any other work, in a separate interview, and which does not call for "anger management". Then come the model of the anger episode, the triggers and the early signs, applied relaxation and the time-out, thoughts of hostility and injustice, problem solving, assertiveness, resentment and repair, and finally imaginal exposure to provocations. Differential diagnosis, the limited place of medication, those close to the person, ten worksheets to hand over and full references.
Body dysmorphic disorder: a therapist's manual
A sixteen-session protocol, session by session, for body dysmorphic disorder in adults, with a section on adolescents. Safety first, because suicide risk is high, and a working agreement that never goes through a debate about appearance. Then the inventory of rituals, perceptual mirror retraining, exposure without camouflage and with response prevention, attention turned outwards, reassurance and those close to the person, thoughts, and what appearance is supposed to say about personal worth. Surgery and cosmetic procedures, muscle dysmorphia, the place of medication, ten worksheets to hand over and full references.
Trichotillomania and excoriation disorder: a therapist's manual
A ten-session protocol, session by session, for trichotillomania, excoriation disorder and the behaviours close to them, in adults and in adolescents. These are not anxious compulsions: they are body-focused behaviours, often automatic or soothing, which are treated differently from OCD. Records, awareness, analysis of triggers and functions, competing response, barriers in the environment, emotion regulation, acceptance of the urge and preparation for lapses. Differential diagnosis, medical complications to refer on, the place of medication, children and adolescents, shame and camouflage, worksheets to hand over and full references.
Hoarding disorder: a therapist's manual
A twenty-session protocol, eight of them in the person's home, for hoarding disorder in adults. Safety first — fire, falls, squalor, children, vulnerable people, animals — and coordination with social and health services. Then motivation, assessment in the home, sorting and decisions, non-acquiring, exposure to letting go, beliefs about possessions and organising. What sets this disorder apart from OCD, older people, forced clearances, those close to the person, harm reduction when treatment is not enough, worksheets to hand over and full references.
Tics and Tourette syndrome: a therapist's manual
A ten-session protocol, session by session, for persistent tics and Tourette syndrome in children, adolescents and adults, with parents involved for minors. First the decision to treat or to wait, because the course is often favourable in adolescence. Then the behavioural intervention recommended as first-line treatment — awareness training, the competing response, social support, work on the context of the tics, relaxation as an adjunct — and exposure with response prevention as an alternative. School life and teasing, the place of medication, tic-like movements of functional origin, not to be confused with tics, nine worksheets and full references.
Perinatal depression and anxiety: a therapist's manual
A twelve-session protocol, session by session, for depression and anxiety disorders arising in pregnancy and in the first year after birth, based on cognitive behavioural therapy and on interpersonal therapy. Emergencies first — postpartum psychosis, maternal suicide risk, thoughts of harming the baby that must be told apart with care — then sleep, activation, the demands of the good mother, intrusive thoughts, the couple, the role transition, the bond with the baby and a birth experienced as traumatic. The place of medication during pregnancy and breastfeeding, fathers and co-parents, perinatal bereavement, ten worksheets to hand over and full references.
Neurocognitive disorders: supporting the person and the carer — a therapist's manual
A two-part programme for neurocognitive disorders. For the family carer, eight sessions drawn from the coping strategy programme whose effect on anxiety and depression lasts six years: understanding behaviours, building a plan, communicating differently, working on guilt and on grieving the living, finding moments that count again, preparing for the future. For the person affected at the mild stage, five sessions: their goals, their compensations, their activities, their mood, their wishes. Differential diagnosis, the structured approach to behavioural symptoms, abuse, driving, decision-making capacity, end of life, worksheets to hand over and full references.
Couple therapy: a therapist's manual
An eighteen-session protocol, session by session, for couple distress, based on the behavioural couple therapies — traditional and integrative — and enriched by what emotionally focused therapy has contributed. First the detection of violence and coercive control, in individual interviews, because no joint work begins until that has been done. Then the shared formulation, the cycle of arguments, change and acceptance, communication, problem solving, wounds and infidelity, the decision to stay or to separate, respectful separation and co-parenting, and relapse prevention. Its place alongside the individual treatment of depression and of alcohol, couples of every orientation, cultural differences, worksheets to hand over and full references.
Sexual dysfunctions: a therapist's manual
A twelve-session protocol, session by session, for sexual dysfunctions in adults, individually or as a couple, whatever the orientation. First the medical assessment, because a sexual difficulty can be the first sign of an illness or the effect of a treatment, and the identification of violence, because no exercise is prescribed without free consent. Then a common core — psychoeducation, the model of performance anxiety and avoidance, sensate focus, attention, cognitive work, sexual communication — and modules for desire and arousal, erection, ejaculation, orgasm and genito-pelvic pain. The place of medication, worksheets to hand over and full references.
Suicidal behaviour in adults: a therapist's manual
A twelve-session protocol, session by session, for adults who have active suicidal thoughts or who have just made an attempt. Assessment here is a clinical formulation and not a prediction, because no scale predicts whether a given individual will act; the work targets the suicidal episode directly: the crisis narrative, the safety plan, reasons for living, hopelessness, problem solving, emotion regulation, connection, and a guided exercise revisiting the crisis that prepares for the next one. The acute crisis and hospital admission, professional confidentiality, caring contacts after an attempt, non-suicidal self-injury, those close to the person, documentation, postvention and the suicide of a patient are covered in full, with ten worksheets to hand over and full references.
Anorexia nervosa: a therapist's manual
A twenty-session protocol, session by session, for anorexia nervosa in adults, with a substantial section on adolescents and family-based treatment. First, shared medical follow-up and the right level of care, because somatic risk cannot be seen in session. Then ambivalence treated as the object of the work and not as a prerequisite, open weighing in session, regular eating resumed with the doctor and the dietitian, and in-depth work on the overevaluation of weight and shape, perfectionism, emotions and relationships. Legal framework, teamwork, comorbidities, the limited place of medication, worksheets to hand over and full references.
Health anxiety and somatic symptoms: a therapist's manual
A twelve-session protocol, session by session, for illness anxiety disorder and somatic symptom disorder in adults. First triage and formulation, then two explanations put to the test rather than a diagnosis argued over. The core of the work addresses what keeps the fear going: attention to the body, checking, online searching, reassurance, and the avoidance of medical care or its multiplication. A consultation rule written with the GP, the warning signs that warrant a medical opinion, the place of functional neurological disorder, of medication and of those close to the person, worksheets to hand over and full references.
Post-traumatic stress disorder in children and adolescents: a therapist's manual
A fourteen-session protocol, session by session, for post-traumatic stress disorder in children and adolescents, with child time and parent time in every session. Safeguarding first: if the child is still exposed to violence or abuse, reporting and making the child safe come before treatment. Then the components of trauma-focused cognitive behavioural therapy and of cognitive therapy for PTSD in children — understanding, regulating, telling what happened in a way that fits the child's age through play, drawing or writing, taking back what is avoided, sharing the story with the non-offending parent, learning to keep safe. Presentations by age, differential diagnosis, school, legal proceedings, the place of medication, worksheets to hand over and full references.
Autism in adults: a therapist's manual
A fourteen-session protocol, session by session, for supporting an autistic adult, diagnosed or undergoing assessment. First the assessment pathway and differential diagnosis, then post-diagnostic support: sensory profile, energy and recovery, camouflaging, anxiety and mood treated with adapted cognitive behavioural therapy, overload and crises, explicit communication, work, relationships, and prevention of autistic burnout. A position that respects neurodiversity without giving up on the evidence: the aim is to reduce suffering and costs, not to make the person neurotypical.
Gambling disorder: a therapist's manual
A twelve-session protocol, session by session, for gambling disorder in adults — sports betting, online casino games, machines, lotteries, and speculative trading when it works the same way. First suicide risk, markedly higher in this disorder than in the general population, and to be looked for every time money moves. Then what makes treatment effective: closing off access and protecting the money, analysing episodes, dismantling beliefs about chance and chasing losses, getting through the urge, facing the debts and coming out of secrecy, preparing for the lapse. Self-exclusion, over-indebtedness, those close to the person, comorbidities, screening scales, the worksheets to hand over and the full references.
Enuresis in children: a therapist's quick guide
A short guide, in five sessions, for conducting the treatment of nocturnal enuresis in children together with the family. The medical assessment first, and the warning signs that call for a return to the doctor. Then what falls to the psychologist: saying that it is nobody's fault, setting sanctions aside, setting up the alarm, holding on until fourteen dry nights and preparing for relapse. Desmopressin as a medical decision, special situations, four printable worksheets and the references.
Delusional disorder: a therapist's manual
A sixteen-key-session protocol, over six to nine months, for adults with delusional disorder: an unshakeable conviction — persecution, jealousy, erotomania, infestation or another somatic theme, grandiosity — in a person whose functioning is otherwise often preserved. First, engagement built on the patient's distress and request, neither confirming nor contesting, a transparent framework linked to the psychiatrist, and an assessment of the risk specific to the theme. Then understanding what maintains the conviction: worry, sleep, isolation, reasoning biases under strain, safety behaviours. Next, loosening through the search for other explanations and behavioural experiments, work on the complaints, checking and repeated consultations that damage life, relationships, a relapse-watch plan and a life project. What the psychologist needs to know about medication, family and friends, the themes one by one, seven worksheets, and the references of a field where research is still thin.
First-episode psychosis: a therapist's manual
A sixteen-key-session protocol, over twelve to eighteen months, for adolescents and young adults who have just been through a first episode of psychosis, within an early intervention service. First, meeting a person still in shock, putting words to what happened, and assessing risk, substance use, trauma and health. Then understanding through a stress-vulnerability model in plain language, identifying what came before the episode, and talking about treatment and its effects through shared decision-making. Next, getting back into a rhythm, working on cannabis, on the experiences that persist and on the mood that often collapses after the episode, with the shame and the fear of being labelled. Finally, studies and work, the family, a written relapse prevention plan, and what the episode does not say about the person. Early intervention and your place in the team, physical health, seven worksheets, and the references of a field in which research is solid on the service model and thinner on each ingredient.
Schizophrenia: cognitive therapy and recovery — a therapist's manual
A sixteen-key-session protocol, over nine to twelve months, for adults with established schizophrenia, seen as outpatients and in liaison with a psychiatrist. First, meeting the person rather than the file, setting recovery goals that belong to them, and assessing risks, health and functioning. Then tracing their history and what has helped, normalising experiences and building a shared formulation. Next, working with voices and the beliefs that make them powerful, with frightening ideas, and with lack of drive by addressing defeatist beliefs. Finally, the label and self-esteem, loneliness and relationships, work, activity and the body, a written relapse prevention plan, and a session with the family. What the psychologist needs to know about antipsychotics and clozapine, negative and cognitive symptoms, physical health, seven worksheets, and the references of a field in which research is abundant and nuanced.
Schizoaffective disorder: psychoeducation, relapse prevention and cognitive therapy — a therapist's manual
A sixteen-key-session protocol, over six to nine months, for adults with schizoaffective disorder, bipolar or depressive type, seen as outpatients and in liaison with a psychiatrist. First, meeting the person, assessing danger and situating the disorder, then drawing the life chart on two lines, mood and psychosis, and speaking honestly about a diagnosis that is open to debate. Next, identifying the early signs of elevation, depression and psychosis, and bringing them together in a single three-level prevention plan, before working on rhythms and sleep. Finally, treatment through shared decision-making, psychotic experiences that persist, low mood and the safety plan, substance use and the consequences of episodes, a session with those close to the person, and planning what comes next. What the psychologist needs to know about antipsychotics, lithium and its signs of toxicity, and suicide risk, seven worksheets, and the references of a field that borrows heavily from schizophrenia and bipolar disorder.
Cyclothymic disorder: steadying the waves without dimming the person — a therapist's manual
A sixteen-session protocol, over five to seven months, for adults with cyclothymic disorder, in liaison with a psychiatrist or a doctor. First, meeting and assessing, distinguishing cyclothymia from borderline personality disorder, attention deficit and recurrent depression, then understanding this often unrecognised disorder. Next, observing mood day by day, recognising highs and lows, regularising sleep and rhythms, and working on emotional reactivity and sensitivity to rejection. Finally, impulsive decisions, substance use and stimulants, work on well-being, a plan for the days when things run away or drop, and reflection on what the person wants to keep of their temperament. What the psychologist needs to know about the risk of progression to bipolar disorder, antidepressants and mood stabilisers, seven worksheets, and the references of a field in which research is still thin.
Dissociative identity disorder: safety, stabilisation and phase-oriented treatment — a therapist's manual
A sixteen-key-session protocol, over eight to twelve months, covering the safety and stabilisation phase for adults with dissociative identity disorder or its partial form, and preparing, if the person chooses, later work on traumatic memories. First, meeting the person, assessing carefully — psychosis, borderline personality disorder, epilepsy, complex post-traumatic stress, imitated or feigned presentations — and writing a safety plan. Next, understanding dissociation without suggestion, identifying lost time and its triggers, learning to come back to the present, widening the window of tolerance, fostering internal communication and cooperation, and easing nights and flashbacks. Finally, relationships and current safety, shame, the question of memories and their truth, the shared decision on what comes next, and a more continuous life. A debated diagnosis, practices that do harm, seven worksheets, and the references of a field in which the evidence is mostly naturalistic.
Paranoid personality: a therapist's manual
A protocol of sixteen key sessions, within treatment lasting about a year, for adults whose lives are organised around mistrust of others. First, an alliance built on transparency, because the patient reads anything implicit as a threat. Then the cycle of mistrust, what it costs and what it protects, ambiguous situations, behavioural experiments, vigilance, rumination and sleep. Next, anger, grievances and assertiveness, graded trust in close relationships, and the vulnerability that lies beneath. Recognising justified mistrust, risk assessment, alliance ruptures as working material, an honest account of the level of evidence, and references.
Schizoid personality: a therapist's manual
A protocol of sixteen key sessions, within treatment lasting about a year, for adults whose lives are organised around detachment from relationships and emotional reserve. First, an alliance that respects the distance the patient chooses, and goals that never aim at sociability for its own sake. Then the map of contacts, the difference between chosen solitude and unwanted isolation, recognising emotions and bodily signals, activation based on the patient's own values, and the social demands of work. Next, a practical network, relationships at the right distance, pressure from family and others, and the transitions of later life. Detecting silent depression, the differential diagnosis with autism and avoidance, an honest account of the level of evidence, and references.
Schizotypal personality: a therapist's manual
A protocol of sixteen key sessions, within treatment lasting about a year, for adults who present ideas of reference, unusual beliefs and perceptions, an idiosyncratic way of thinking and speaking, and social anxiety tinged with mistrust. First, an alliance that accepts eccentricity and a clear framework; then psychoeducation on the continuum of unusual experiences, the cycle that maintains them, and the vulnerability factors that can be acted on: stress, sleep, cannabis. Next, ideas of reference, unusual beliefs and unusual perceptions approached through their effects rather than their truth, social anxiety and mistrust, clarity of communication, and life plans. An early warning signs plan written with the patient, the place of the family and of medication, an honest account of the level of evidence, and references.
Antisocial personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults whose lives are organised by a lasting disregard for rules and for the rights of others, impulsivity and rule-breaking. First a firm, explicit framework, the limits of confidentiality stated by the second session, and a structured assessment of violence risk. Then motivation built from what the patient wants for their life, the real price of their behaviour, and analysis of the chain leading to an offence. Next, impulsivity, anger and violence, substance use, solving problems without rule-breaking, taking others into account, relationships, work and social circle. A relapse prevention plan, the distinction from psychopathy, the place of medication, a level of evidence set out honestly, and the references.
Borderline personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults with borderline personality: emotional instability, fear of abandonment, intense and shifting relationships, impulsivity, suicidal behaviour and self-harm, a sense of emptiness. First, disclosing the diagnosis and a prognosis far better than its reputation, a written safety plan, a contract and a hierarchy of targets. Then chain analysis of crises, observing emotions, and skills for getting through crises, regulating emotions and keeping relationships going. Next, fear of abandonment, the capacity to think about others and oneself under stress, emptiness and identity, trauma at the right time, and a life worth living. Validation, the therapeutic relationship, family and friends, medication in its proper place, and the references of a field where the research is solid.
Histrionic personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults whose lives are organised by attention-seeking, shifting and theatrical emotionality, seductiveness and suggestibility. First a warm alliance and a framework that holds in the face of seduction, then the attention cycle, what attention brings and what it costs, and the shift from impressionistic to precise thinking. Next, emotions named accurately, problem-solving, the capacity to exist without being looked at, seduction and its costs, suggestibility and vulnerability to exploitation, and the art of asking directly. Self-worth beyond the gaze of others, the gender and cultural biases of the diagnosis, a level of evidence set out honestly, and the references.
Narcissistic personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults whose self-worth depends on superiority and admiration, in a grandiose or vulnerable form. First an alliance that avoids both humiliation and collusive admiration, goals framed in the patient's own terms, and an assessment that looks for depression and suicide risk after an injury. Then the cycle of fragile worth, what superiority protects and costs, and shame, recognised and named. Next criticism and failure, anger and devaluation, excessive demands, the place of the other person, repair and reciprocity. A realistic sense of self-worth, the distinction from the popular figure of the "narcissistic pervert", an honest account of the level of evidence, and references.
Avoidant personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults who want relationships but flee them for fear of being judged, criticised or rejected, and who experience themselves as inferior or inadequate. First an alliance that anticipates avoidance of therapy itself, goals oriented towards a chosen life, and an assessment that looks for depression, alcohol use and isolation. Then the avoidance cycle, what it protects and costs, and safety behaviours. Next graded exposure, behavioural experiments that put the belief to the test, emotional avoidance, assertiveness, intimacy and real rejection. A belief of inadequacy revisited, self-criticism eased, the distinction from shyness and introversion, an honest account of the level of evidence, and references.
Dependent personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults who feel unable to cope alone, who rely on others to decide and act, who submit so as not to lose their relationships, and who dread separation. First an alliance that welcomes without taking over, goals that belong to the patient, and an assessment that looks for violence, coercive control and depression. Then the dependence cycle, what it protects and costs, and requests for help and reassurance. Next deciding alone, doing things alone, tolerating uncertainty and solitude, expressing disagreement, rebalancing relationships and getting through a separation. A belief of incapacity revisited, an identity of one's own, an ending of therapy prepared from the start, the distinction from healthy dependence and from situations of coercive control, an honest account of the level of evidence, and references.
Obsessive-compulsive personality: a therapist's manual
A sixteen-key-session protocol, within treatment lasting about a year, for adults whose lives are governed by perfectionism, order, control and rigid rules, at the expense of flexibility, relationships, rest and pleasure. First an alliance that respects rigour without entering a power struggle, goals built from the costs the patient recognises, and an assessment that looks for exhaustion, depression and suicide risk. Then the control cycle, what perfectionism protects and costs, and the rules. Next the experience of "good enough", deciding and finishing, delegating, emotions, flexibility in the couple and the family, free time. Beliefs revisited, values in place of rules, the distinction from OCD and from professional conscientiousness, an honest account of the level of evidence, and references.
Bipolar disorder: psychoeducation and relapse prevention — a therapist's manual
A twelve-session protocol, session by session, alongside the medication treatment of bipolar disorder in adults. It is conducted during a period of stability and it targets relapse, not the current episode. The history plotted as a curve, identification of the early warning signs of elevation and of depression, the written emergency plan, regular rhythms and sleep as a treatment variable, adherence addressed without moralising, the consequences of past episodes, the place of those close to the person, and the life project. What the psychologist needs to know about medication, worksheets to hand over and full references.
Bulimia and binge-eating disorder: a therapist's manual
A twelve-session protocol, session by session, for bulimia and binge-eating disorder in adults. First medical safety, then the only thing that really counts at the start: restoring regular eating, because it is restriction that produces the binges. Then the withdrawal of compensatory behaviours, the lifting of dietary rules, the reintroduction of avoided foods, and the underlying work on the overvaluation of shape and on body checking. The question of weight, emotional triggers, those close to the person, worksheets to hand over and full references.
Alcohol use disorder: a therapist's manual
A twelve-session protocol, session by session, for alcohol use disorder in adults. First the safety of withdrawal, because this is the only indication on this site where stopping carries a risk to life. Then the question of the goal — abstinence or reduction, and for whom. Motivational interviewing, functional analysis of situations, managing craving, refusing, emotions without alcohol, and a whole session devoted to the lapse before it happens. The medications available, those close to the person, work and the driving licence, mutual-aid groups, worksheets to hand over and full references.
Post-traumatic stress disorder in adults: a therapist's manual
A twelve-session protocol, session by session, for post-traumatic stress disorder in adults. First present safety, because you do not treat a trauma that is still going on. Then the work on the memory — imaginal exposure, hot spots, in vivo exposure — and on what often lies behind failures when it is left out: guilt, shame and anger. Dissociation and the window of tolerance, complex PTSD, traumatic grief, the place of medication, those close to the person, worksheets to hand over and full references.
Panic disorder and agoraphobia: a therapist's manual
A twelve-session protocol, session by session, for panic disorder with or without agoraphobia. First the formulation: what is feared is not the place but the body. Then interoceptive exposure — producing the sensations in session — before situational exposure. The removal of safety behaviours, the question of the medical work-up, the problem of benzodiazepines, controlled breathing and why it is not in the programme, the particular situations, worksheets to hand over and full references.
Treating specific phobias: a therapist's manual
An eight-session protocol, session by session, for specific phobia — animals, heights, flying, dentists, injections, driving, vomiting, enclosed spaces. First the sorting, because four different situations produce the same avoidance. Then exposure conducted along inhibitory learning lines: what matters is not that anxiety comes down, it is that the prediction is disconfirmed. The special case of blood and injections and its own technique, the removal of safety behaviours, the single-session format, the return of fear, phobias that carry medical consequences, worksheets to hand over and full references.
Suicidal behaviour and self-harm in adolescents: a therapist's manual
A fourteen-session protocol, session by session, for the adolescent who is hurting themselves or who has made an attempt. First the sorting: self-harm without suicidal intent and suicidal behaviour are not the same thing, and yet one predicts the other. Then safety — a written safety plan, means restriction organised with the parents —, the chain analysis that gives you the target, and work on emotion regulation, relationships and shame. Confidentiality with a minor, criteria for hospitalisation, the place of medication, contagion and social media, worksheets to hand over, and full references.
Treating anxiety-based school refusal: a therapist's manual
A protocol of fourteen sessions, session by session, for the child or adolescent who can no longer get to school. First the sorting: four situations carry the same symptom and do not call for the same response. Then assessment from three sources, a graded written return plan, a detailed morning protocol for the parents, and a whole session devoted to the school itself. The pace is tight at the start because time is the main variable. Bullying, physical complaints, compulsory schooling, the place of medication, worksheets to hand over, and full references.
Treating depression in children and adolescents: a therapist's manual
A protocol of sixteen sessions, session by session, for major depressive episodes before the age of eighteen. The clinical picture by age band — irritability rather than sadness in children —, assessment in three voices with the young person, the parents and the school, a whole session devoted to suicide risk and the safety plan, and a section on confidentiality with a minor. Then activation adapted to age, emotions, thoughts, the return to school, sleep and screens. Four sessions with the parents, the place of medication stated in full, worksheets to hand over and complete references.
Treating depression in adults: a therapist's manual
A protocol of sixteen sessions, session by session, built on cognitive behavioural therapy for depression and on behavioural activation. Assessment and diagnostic sorting first — including screening for bipolarity and assessment of suicide risk —, then formulation, activation, the obstacles to activation, rumination, work on thoughts, behavioural experiments, problem solving, sleep, relationships, rules and self-criticism. The place of medication stated plainly, detailed conduct of activation, safety planning, relapse prevention, worksheets to hand the patient, and full references.
Treating ADHD in adults: a therapist's manual
A protocol of fourteen sessions, session by session, built on the cognitive and behavioural therapies evaluated in adult ADHD. Diagnostic sorting and the retrospective diagnosis first, then feedback, explaining the disorder, the external system of capture and planning, time estimation, getting started, procrastination, emotional dysregulation, impulsivity, work, the people close to the patient, and the repair of a self-image damaged by twenty years of reproach. The place of medication stated clearly, detailed conduct of external organisation, worksheets to hand the patient, and full references.
Treating ADHD in children: a therapist's manual
A protocol of twelve sessions with the parents and six with the child, session by session, built on the behavioural and organisational interventions recommended in childhood ADHD. Multi-informant assessment and diagnostic sorting first, then feedback, explaining the disorder to the family and to the child, positive attention, instructions, the external frame, immediate consequences, homework, mornings and evenings, impulsivity and school. The place of medication stated clearly, detailed conduct of external organisation and of school collaboration, worksheets to hand the family, and full references.
Treating oppositional defiant disorder in children: a therapist's manual
A protocol of twelve sessions with the parents and six with the child, session by session, built on parent management training — the recommended first-line treatment. Diagnostic sorting and screening for violence first, then the coercive cycle explained to the parents, special time, differential attention, effective instructions, consequences, time-out, the points chart, high-risk moments and school. Detailed conduct of in-session practice and of time-out, callous-unemotional traits, the question of medication, worksheets to hand the parents, and full references.
Treating anxiety in adolescents: a therapist's manual
A protocol of fourteen sessions with the adolescent and four with the parents, session by session: risk screening, social anxiety and its cognitive model, checkable predictions, safety behaviours and their manipulation, video feedback, peer surveys, panic, perfectionism, school and exams. Detailed conduct of exposure designed as an experiment, the question of medication, worksheets to hand the adolescent, and full references.
Treating anxiety in children: a therapist's manual
A protocol of fourteen sessions with the child and six with the parents, session by session: the normal fears of each age, the diagnostic sorting, the thermometer, the fear ladder, graded exposure with a written prediction, separation and bedtime, reassurance, school. Detailed conduct of exposure, reducing family accommodation, selective mutism and school refusal, the question of medication, worksheets to hand the child, and full references.
Treating screen dependence in adolescents: a therapist's manual
A protocol of fourteen sessions with the adolescent and six with the parents, session by session. The safety screen first — bullying, intimate images, grooming, gambling — then the diagnostic sorting, sleep, the household environment, school, and rules negotiated rather than imposed. What the classifications say, what they do not say, common mistakes, worksheets to hand the adolescent, and full references.
Treating chronic insomnia in adults: a therapist's manual
An eight-session protocol, session by session, based on cognitive behavioural therapy for insomnia — recommended ahead of any medication. Diagnostic sorting and apnoea screening first, then the sleep diary, calculating the window, sleep restriction, stimulus control, night-time worry, beliefs, and coming off sleeping tablets. Detailed conduct of the two main behavioural components, precautions, worksheets to hand the patient, and full references.
Treating screen dependence in adults: a therapist's manual
A fourteen-session protocol, session by session: to begin with, the diagnostic sorting — in many patients another disorder is present, to be treated first or alongside — then ambivalence, the environment changed with the device in hand, replacing the time freed up, sleep, and tolerance of boredom. What the classifications say, what they do not say, common mistakes, worksheets to hand the patient, and full references.
Treating prolonged grief in adults: a therapist's manual
A sixteen-session protocol, session by session, based on Shear's complicated grief treatment and on the dual process model: when to treat and when to hold off, personal goals before exposure, repeated revisiting of the death narrative, dismantling avoidance, guilt, rumination, the imaginal conversation. Diagnostic criteria, assessment, common mistakes, worksheets to hand the patient, and full references.
Treating grief in children and adolescents: a therapist's manual
A protocol of fourteen sessions with the child and five with the parent, session by session: when to treat and when to hold off, the three forms of distress, the gradual narrative, guilt, dismantling avoidance, parent-child sharing. Diagnostic criteria, assessment, working with the school, worksheets to hand the child, and full references.
Treating generalised anxiety disorder in adults: a therapist's manual
A fourteen-session protocol, session by session, targeting worry itself: intolerance of uncertainty, beliefs about the usefulness of worry, the worry outcome diary, imaginal exposure, certainty-seeking behaviours. Diagnostic criteria, assessment, common mistakes, worksheets to hand the patient, and full references.
Treating obsessive-compulsive disorder in adults: a therapist's manual
A sixteen-session protocol, session by session, built on exposure with response prevention and on Salkovskis's cognitive model. Diagnostic criteria, assessment, goals, a step-by-step run-through of each session, common mistakes, working with the family, worksheets to hand the patient, and full references.
Treating social anxiety in adults: a therapist's manual
A fourteen-session protocol, session by session, built on the Clark and Wells model and on the NICE guideline. Diagnostic criteria, treatment goals, a step-by-step run-through of each session, the mistakes that make a session fail, worksheets to hand the patient, and full references.
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