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Description

Working with psychosis requires more than simply focusing on symptoms or diagnosis. The experience can be confusing, frightening, and isolating for both the person going through it and the family members trying to support them. My approach to treatment is grounded in being client-centered, relational, authentic, and flexible, with the goal of creating a space where people feel safe enough to be honest about what they are experiencing without feeling judged or dismissed. At the center of my work is a belief that the client’s experience matters. Rather than immediately challenging or correcting what someone believes or perceives, I try to understand how they make sense of their experience. Psychosis can feel very real and meaningful to the person living through it, and approaching those experiences with curiosity and respect helps build trust. When clients feel heard instead of managed, they are often more willing to engage in treatment and explore what might help them feel more stable and grounded. Relationships also play a major role in recovery. Psychosis can create fear, confusion, and distance within families. I work to involve family members in a way that helps them better understand what their loved one is going through while also giving them space to express their own concerns and fears. By slowing down the conversation and helping everyone listen to each other, families can move away from reacting in crisis and toward supporting recovery together. Authenticity is another important part of how I work. I try not to hide behind a purely clinical role. People experiencing psychosis are often very sensitive to whether someone is being genuine with them. Showing up as a real person—curious, respectful, and present—helps build the kind of trust that makes difficult conversations possible. My approach is also somewhat non-traditional in that it values flexibility over rigid structure. I focus not only on reducing distressing symptoms but also on helping clients reconnect with their sense of identity, meaning, and personal strengths. Sometimes this means exploring the emotional or symbolic meaning behind experiences, while other times it means focusing on practical ways to feel safer and more grounded in daily life. Ultimately, I see treatment as a collaborative process. By prioritizing connection, respect, and openness, clients and families can move from feeling overwhelmed and alone toward feeling understood, supported, and hopeful about recovery.

Learning Objectives

Participants will be able to:

  • Explain the importance of an authentic client/clinician relationship when treating complex mental health diagnoses that include psychosis.

  • Summarize the importance of family and community involvement when treating clients with complex mental health diagnoses.

  • Describe the relationship between complex trauma and psychosis, and how to empower the client with education.

Educational Goal

This presentation will enhance clinician competence in applying relational, client-centered, and family-inclusive approaches to psychosis treatment by examining strategies that prioritize therapeutic alliance, validate subjective experience, support collaborative meaning-making, and integrate flexible, recovery-oriented interventions to improve engagement and clinical outcomes.

Target Audience

  • Addiction Professional
  • Counselor
  • Marriage & Family Therapist
  • Nurse
  • Physician
  • Psychologist
  • Social Worker

Presenters

William Coombs, DSW, LCSW
William Coombs is a Doctor of Social Work and Licensed Clinical Social Worker. After completing 15 years of honorable service in the United States Marine Corps, William chose to become a Social Worker and Therapist, which placed him in a variety of roles and working with many different populations. William has worked in crisis response and intervention, palliative care, alcohol and substance use treatment, and private practice. Throughout his career, William has learned that despite the population, authenticity, understanding, and transparency are the keys to truly understanding the needs of his clients. Few things bring him more joy than to connect with clients on a human level, and William is most at home when working to understand the specific needs of the people he serves. William believes that helping to provide a familiar environment for his clients is the best way for them to find the versions of themselves they seek in treatment.

Financially Sponsored By

  • Ellenhorn