Uncharted waters: Treating trauma symptoms in the context of early psychosis

Johanna B. Folk, Laura Tully, Dawn M. Blacker, Brandi D. Liles, Khalima A. Bolden, Valerie Tryon, Renata Botello, Tara A. Niendam

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Psychosis is conceptualized in a neurodevelopmental vulnerability-stress framework, and childhood trauma is one environmental factor that can lead to psychotic symptoms and the development of psychotic disorders. Higher rates of trauma are associated with higher psychosis risk and greater symptom frequency and severity, resulting in increased hospitalization rates and demand on outpatient primary care and mental health services. Despite an estimated 70% of individuals in the early stages of psychosis reporting a history of experiencing traumatic events, trauma effects (post-traumatic anxiety or depressive symptoms) are often overlooked in psychosis treatment and current interventions typically do not target commonly comorbid post-traumatic stress symptoms. We presented a protocol for Trauma-Integrated Cognitive Behavioral Therapy for Psychosis (TI-CBTp), an approach to treating post-traumatic stress symptoms in the context of early psychosis care. We provided a brief summary of TI-CBTp as implemented in the context of Coordinated Specialty Care and presented preliminary data supporting the use of TI-CBTp in early psychosis care. The preliminary results suggest that individuals with comorbid psychosis and posttraumatic stress symptoms can be appropriately and safely treated using TI-CBTp within Coordinated Specialty Care.

Original languageEnglish (US)
Article number1456
JournalJournal of Clinical Medicine
Issue number9
StatePublished - Sep 2019


  • Cognitive behavioral therapy
  • Coordinated specialty care
  • Early psychosis
  • Empirically supported treatment
  • Trauma

ASJC Scopus subject areas

  • Medicine(all)


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