Dr Shanaya Rathod is a Consultant Psychiatrist, Clinical Services Director and Director of Research at Southern Health NHS Foundation Trust, UK. Dr Rathod has been a Fellow of the National Institute for Health and Care Excellence. She has published a number of papers in peer reviewed journals, book chapters, and books including, Back to Life, Back to Normality: Cognitive Therapy, Recovery and Psychosis (2009).David Kingdon is Professor of Mental Health Care Delivery at the University of Southampton, UK, and Honorary Consultant Adult Psychiatrist for Southern Health NHS Foundation 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.Dr Narsimha R Pinninti is Professor of Psychiatry at the Rowan University School of Osteopathic Medicine and Chief Medical Officer for Twin Oaks Community Services in New Jersey, USA. A certified cognitive therapist and psychiatrist for the Assertive Community Treatment Team, Dr Pinninti has published over 40 articles in peer reviewed journals and authored two manuals on how to teach Cognitive Behavioural Therapy interventions for case managers and clients.Douglas Turkington is Professor of Psychosocial Psychiatry at Newcastle University, UK. Professor Turkington is an expert on the efficacy and effectiveness of cognitive behavioural therapy (CBT) in the treatment of schizophrenia. A fellow of the Royal College of Psychiatrists and founding fellow of the Faculty of Cognitive Therapy in Philadelphia, he has written more than 100 articles on the subject of CBT in schizophrenia.Dr Peter Phiri, PhD is a Cognitive Behaviour Therapy Specialist and Research & Development Manager (Interim) at Southern Health NHS Foundation Trust and Honorary Lecturer at the University of Southampton, UK. He is an accredited member of the British Association of Behavioural and Cognitive Psychotherapy.

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• About the Authors vii Foreword ixPreface xiAcknowledgements xiii1 Introduction 12 Cultural Adaptation of Cognitive Behavioural Therapy: Principles and Challenges 143 Philosophical Orientation and Ethical and Service Considerations 464 The Therapeutic Relationship and Technical Adjustments 865 General Theoretical Modifications in Orienting Clients to Therapy 1216 Individualized Case Formulation 1357 Individualized Treatment Planning 1658 Psychosis: Cultural Aspects of Presentation and Adaptations to Treatment 1929 Depression: Cultural Aspects of Presentation and Adaptations to Treatment 22710 Bipolar Affective Disorder: Cultural Aspects of Presentation and Adaptations to Treatment 24811 Recovery, Relapse Prevention, and Finishing Therapy 27312 Policy and Training Implications 293Appendix1 Social Factors: My Immigration Journey 3062 Aida – Longitudinal Formulation 3083 Setting Goals to Improve Quality of Life 3104 Voices Diary 3125 What Do Voices Say? 3146 Working on Coping Strategies: Pleasant Events Schedule 3157 Preventing a Relapse or Breakdown 3178 Circle of Support 3209 Relapse Prevention Plans 322Index 326

Dr Shanaya Rathod is a Consultant Psychiatrist, Clinical Services Director and Director of Research at Southern Health NHS Foundation Trust, UK. Dr Rathod has been a Fellow of the National Institute for Health and Care Excellence. She has published a number of papers in peer reviewed journals, book chapters, and books including, Back to Life, Back to Normality: Cognitive Therapy, Recovery and Psychosis (2009).David Kingdon is Professor of Mental Health Care Delivery at the University of Southampton, UK, and Honorary Consultant Adult Psychiatrist for Southern Health NHS Foundation 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.Dr Narsimha R Pinninti is Professor of Psychiatry at the Rowan University School of Osteopathic Medicine and Chief Medical Officer for Twin Oaks Community Services in New Jersey, USA. A certified cognitive therapist and psychiatrist for the Assertive Community Treatment Team, Dr Pinninti has published over 40 articles in peer reviewed journals and authored two manuals on how to teach Cognitive Behavioural Therapy interventions for case managers and clients.Douglas Turkington is Professor of Psychosocial Psychiatry at Newcastle University, UK. Professor Turkington is an expert on the efficacy and effectiveness of cognitive behavioural therapy (CBT) in the treatment of schizophrenia. A fellow of the Royal College of Psychiatrists and founding fellow of the Faculty of Cognitive Therapy in Philadelphia, he has written more than 100 articles on the subject of CBT in schizophrenia.Dr Peter Phiri, PhD is a Cognitive Behaviour Therapy Specialist and Research & Development Manager (Interim) at Southern Health NHS Foundation Trust and Honorary Lecturer at the University of Southampton, UK. He is an accredited member of the British Association of Behavioural and Cognitive Psychotherapy.

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• About the Authors vii Foreword ixPreface xiAcknowledgements xiii1 Introduction 12 Cultural Adaptation of Cognitive Behavioural Therapy: Principles and Challenges 143 Philosophical Orientation and Ethical and Service Considerations 464 The Therapeutic Relationship and Technical Adjustments 865 General Theoretical Modifications in Orienting Clients to Therapy 1216 Individualized Case Formulation 1357 Individualized Treatment Planning 1658 Psychosis: Cultural Aspects of Presentation and Adaptations to Treatment 1929 Depression: Cultural Aspects of Presentation and Adaptations to Treatment 22710 Bipolar Affective Disorder: Cultural Aspects of Presentation and Adaptations to Treatment 24811 Recovery, Relapse Prevention, and Finishing Therapy 27312 Policy and Training Implications 293Appendix1 Social Factors: My Immigration Journey 3062 Aida – Longitudinal Formulation 3083 Setting Goals to Improve Quality of Life 3104 Voices Diary 3125 What Do Voices Say? 3146 Working on Coping Strategies: Pleasant Events Schedule 3157 Preventing a Relapse or Breakdown 3178 Circle of Support 3209 Relapse Prevention Plans 322Index 326

Dr Shanaya Rathod is a Consultant Psychiatrist, Clinical Services Director and Director of Research at Southern Health NHS Foundation Trust, UK. Dr Rathod has been a Fellow of the National Institute for Health and Care Excellence. She has published a number of papers in peer reviewed journals, book chapters, and books including, Back to Life, Back to Normality: Cognitive Therapy, Recovery and Psychosis (2009).David Kingdon is Professor of Mental Health Care Delivery at the University of Southampton, UK, and Honorary Consultant Adult Psychiatrist for Southern Health NHS Foundation 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.Dr Narsimha R Pinninti is Professor of Psychiatry at the Rowan University School of Osteopathic Medicine and Chief Medical Officer for Twin Oaks Community Services in New Jersey, USA. A certified cognitive therapist and psychiatrist for the Assertive Community Treatment Team, Dr Pinninti has published over 40 articles in peer reviewed journals and authored two manuals on how to teach Cognitive Behavioural Therapy interventions for case managers and clients.Douglas Turkington is Professor of Psychosocial Psychiatry at Newcastle University, UK. Professor Turkington is an expert on the efficacy and effectiveness of cognitive behavioural therapy (CBT) in the treatment of schizophrenia. A fellow of the Royal College of Psychiatrists and founding fellow of the Faculty of Cognitive Therapy in Philadelphia, he has written more than 100 articles on the subject of CBT in schizophrenia.Dr Peter Phiri, PhD is a Cognitive Behaviour Therapy Specialist and Research & Development Manager (Interim) at Southern Health NHS Foundation Trust and Honorary Lecturer at the University of Southampton, UK. He is an accredited member of the British Association of Behavioural and Cognitive Psychotherapy.

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• About the Authors vii Foreword ixPreface xiAcknowledgements xiii1 Introduction 12 Cultural Adaptation of Cognitive Behavioural Therapy: Principles and Challenges 143 Philosophical Orientation and Ethical and Service Considerations 464 The Therapeutic Relationship and Technical Adjustments 865 General Theoretical Modifications in Orienting Clients to Therapy 1216 Individualized Case Formulation 1357 Individualized Treatment Planning 1658 Psychosis: Cultural Aspects of Presentation and Adaptations to Treatment 1929 Depression: Cultural Aspects of Presentation and Adaptations to Treatment 22710 Bipolar Affective Disorder: Cultural Aspects of Presentation and Adaptations to Treatment 24811 Recovery, Relapse Prevention, and Finishing Therapy 27312 Policy and Training Implications 293Appendix1 Social Factors: My Immigration Journey 3062 Aida – Longitudinal Formulation 3083 Setting Goals to Improve Quality of Life 3104 Voices Diary 3125 What Do Voices Say? 3146 Working on Coping Strategies: Pleasant Events Schedule 3157 Preventing a Relapse or Breakdown 3178 Circle of Support 3209 Relapse Prevention Plans 322Index 326