Making Remarkable Progress – Just by Helping People Feel Safe!

It can really mess up people’s lives when they perceive that others are “after them” – and it hasn’t been easy for professionals to help them. Up until recently, research showed that psychological therapies could help but that only a minority of people showed substantial benefit.

That is why, over the past decade, Daniel Freeman and colleagues set out to develop a new cognitive treatment – translated from an empirically established theoretical model – that would produce large effect size reductions in persistent persecutory delusions. The primary outcome randomized controlled trial, published in the Lancet Psychiatry, reported success in reaching the aim of having 50% of patients experiencing recovery in their persistent persecutory delusion, and reported a treatment effect size several times higher than conventional CBT.

This approach reached its goals not by addressing delusions head on, but by addressing things that made people feel unsafe: things like sleep and worry problems, lack of self confidence, and patterns of avoidance that had become crippling.

In a webinar on 3/11/22, Daniel Freeman provided an overview of the principles underlying the development of the Feeling Safe programme; the theoretical model; a number of key empirical studies; the content and style of therapy, and the main randomised controlled trial outcome results. He argued that the Feeling Safe programme provides new optimism in the treatment of delusions. See below for a recording of that webinar..

About the presenter:

Daniel Freeman is a Professor of Clinical Psychology and NIHR Senior Investigator at the University of Oxford and a consultant clinical psychologist in Oxford Health NHS Foundation Trust. Professor Freeman’s research has focussed on using psychological theory to develop more powerful psychological treatments. He has also been pioneering the development of automated virtual reality treatments for mental health conditions. He is the recipient of the 2020 British Psychological Society Presidents’ Award for Distinguished Contributions to Psychological Knowledge. He presented the BBC Radio 4 series ‘A History of Delusions’.

About Ron Unger

I am a licensed clinical social worker and therapist who works with people diagnosed with schizophrenia and other psychotic disorders, using a respectful and skill building approach called cognitive therapy for psychosis. I also talk and teach seminars related to this approach. You can read more about me and about how I became interested in this field by going to my blog,, and clicking on the tab "about Ron Unger."
This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.