Intervention for psychotic experience involved in offending behavior

Cognitive behaviour therapy for psychosis (CBTp) as an adjunct to standard psychiatric care can make substantial difference in symptom distress, insight, and adherence to treatment. However, studies on the effect of cognitive behaviour therapy on offending behaviours influenced by psychotic experience are in its very early stage. This paper summarizes the conceptualization, treatment programme development, and individual therapy to address psychotic experience involved in offending behaviours in mentally disordered offenders (MDOs). It is argued that, 1) intensive intervention is recommended for those MDOs with general risk factors in addition to psychosis-related-risk factors, 2) MDOs may benefit from CBTp and general offending behaviour programmes, 3) it is important to focus on aggression-neutralization cognitions.