Austen Riggs Center 2021 Fall Conference - Psychotherapy for Psychosis: Expert Clinicians Describe Their Approach

October 15, 2021 at 1:00 PM to October 16, 2021 at 3:30 PM

The Erikson Institute for Education and Research of the Austen Riggs Center presents its 2021 annual fall conference for clinicians, scholars, and mental health advocates, which will be virtual this year.  

Conference Directors: Michael Garrett, MD, and Jeremy Ridenour, PsyD

Topics to be addressed: Speakers will variously compare, contrast, and integrate cognitive-behavioral, psychodynamic, mentalizing, and metacognitive approaches to the psychotherapy of psychosis.

10 continuing education credits offered

The conference is generously underwritten by Michael Garrett and Nancy McWilliams

Speakers presenting at the Virtual 2021 Fall Conference

View the schedule for the 2021 Virtual Fall Conference.

Contact information for the 2020 Virtual Fall Conference - Suicide: Culture & Community.

Register for the Virtual 2021 Fall Conference

NOTE: This is s a VIRTUAL event and requires advance registration.     

Cost: $35 (with or without CE/CME) 


The last two decades have seen a renaissance of interest in psychotherapy for psychosis, during which time a variety of conceptual frameworks have been elaborated into clinical techniques, including cognitive-behavioral, psychodynamic, metacognitive, and mentalizing approaches. The aim of this virtual conference is not to teach one particular approach, but rather to provide an informative and inspirational overview of the field, as seen through the eyes of expert practitioners of the above approaches. Speakers will address important topics such as:  

  • the origin of psychosis 
  • developing a psychological formulation 
  • the therapeutic alliance and relationship 
  • technique and intervention 
  • how to listen to and speak with someone who views reality differently  

We expect speakers to present points of clinical wisdom derived from their practice of psychotherapy for psychosis, framed in a personal way that reflects their commitment to this form of treatment. On Saturday afternoon, we will discuss a clinical case and speakers will offer ideas about conceptualization and psychotherapy technique. There will be an opportunity to have discussions with other conference participants and speakers to think together about the clinical case. We hope to see you at the conference, joined in a shared determination to learn more about how to understand and help persons suffering from psychosis.  


            Martin Debbané, PhD, is presenting at the 2021 Austen Riggs Fall Conference.    Michael Garrett, MD, is co-directing the 2021 Austen Riggs Fall Conference.    Nakia Hamlett, PhD, is presenting at the 2021 Austen Riggs Fall Conference.    Kate Hardy, Clin.Psych.D, is presenting at the 2021 Austen Riggs Fall Conference.   

                             Danielle Knafo, PhD, is presenting at the 2021 Austen Riggs Fall Conference.    Paul Lysaker, PhD, is presenting at the 2021 Austen Riggs Fall Conference.    Jeremy Ridenour, PsyD, is co-directing the 2021 Austen Riggs Fall Conference.


Martin Debbané, PhD, is Associate Professor at the Faculty of Psychology and Educational Sciences, University of Geneva (Switzerland), and Professor of Psychopathology at the Research Department of Clinical, Educational, and Health Psychology, University College London (UK). His research focuses on the development of psychopathology in youths and young adults, integrating clinical, experimental and developmental psychology methods together with neuroscientific research. Licensed in psychoanalytic psychotherapy, he is trainer, supervisor, and practitioner of mentalization-based therapy, with a specialization in early psychosis, personality disorders and ADHD.   

Michael Garrett, MD, was formerly the Vice Chairman of Psychiatry at SUNY Downstate Medical Center, where he is currently Professor Emeritus of Clinical Psychiatry. He is also on the faculty of the Psychoanalytic Association of New York (PANY) affiliated with NYU Medical Center in New York City. He received his medical degree from the Albert Einstein College of Medicine and completed his residency training in Psychiatry at Bronx Municipal Hospital Center.  Most of Dr. Garrett’s professional career has been spent in the public psychiatry sector, first at North Central Bronx Hospital, where he became Associate Director of Psychiatry, and then Medical Director in 1995.  In 1997 he became Deputy Director of Psychiatry at Bellevue Hospital, where he was responsible for clinical services. In 2003 he moved to SUNY Downstate as Vice Chairman for Clinical Services. His current professional activity includes patient care, supervision of psychotherapy, teaching, consulting with first-episode psychosis treatment teams and families with family members suffering from psychosis, and clinical writing. He has for many years had an interest in the difficulties clinicians encounter when trying to develop a relationship with psychotic individuals who have a fundamentally different view of reality than the clinician. He has a particular interest in combined psychodynamic and cognitive behavioral treatments of psychosis. His academic and research interests also include the voice hearing experience and the relationship between psychosis and ordinary mental processes.     

Nakia Hamlett, PhD, over the span of two decades, has developed expertise in the treatment of complex psychiatric problems, child development, complex trauma, race-based traumatic stress, personality, and psychological assessment. Dr. Hamlett received her doctorate in clinical psychology from The University at Albany, State University of New York. She completed pre-and postdoctoral fellowships in the Department of Psychiatry at Yale School of Medicine on a clinical team treating young adults experiencing serious psychiatric impairment in the context of complex trauma. Dr. Hamlett conducted clinical work and research in this setting for an additional six years as an Instructor and Assistant Professor. Dr. Hamlett also holds a Master’s Degree in Special Education, specializing in Emotional and Behavioral Disorders, from the University at Maryland, College Park. Currently, Dr. Hamlett teaches psychology at Connecticut College and is the co-principal investigator on a large grant from The Carnegie Mellon foundation designed to create cross-national community partnerships focused on designing community-based, racial reconciliation and reparation solutions for Black and Indigenous people. In addition to her academic pursuits, is the founder and owner of Complex Psychology LLC, a mental health and wellness company that helps other mental health professionals create additional streams of income in their practices and assists organizations with DEI initiatives and the creation of sustainable, employee wellness programs. As the founder and visionary of Complex Psychology LLC, Dr. Hamlett is also the creator of several digital products, including “The Liberation Tool Kit”, a self-paced, course designed to help college students and corporate employees embark on journeys of self-discovery, build communities of cultural safety, and employ strategies for radical self-care.     

Kate Hardy, Clin.Psych.D, is a Clinical Professor at Stanford University and California Licensed Psychologist who has specialized in working with individuals with psychosis for over 15 years in research, service development and clinical settings. Dr. Hardy received her doctorate in clinical psychology from the University of Liverpool, United Kingdom and completed her post-doctoral fellowship at UCSF. She is the Co-Director of the Stanford Department of Psychiatry and Behavioral Sciences INSPIRE Early Psychosis clinic and co-leads the national Psychosis-Risk and Early Psychosis Program Network (PEPPNET). She provides psychosocial interventions for individuals with psychosis, and their families, and is a nationally renowned trainer in CBT for psychosis and early psychosis models of care.      

Danielle Knafo, PhD, is a clinical psychologist and psychoanalyst. She is a professor at LIU’s clinical psychology doctoral program, where she has chaired a concentration on Serious Mental Illness for 22 years. She is also faculty and supervisor at NYU’s Postdoctoral Program in Psychotherapy and Psychoanalysis. Dr. Knafo has written and lectured extensively on a variety of subjects, including trauma and psychosis. She is currently co-writing a book with Michael Selzer, MD, on the psychoanalytic treatment of psychosis.  

Paul Lysaker, PhD, is a clinical psychologist at the Richard L Roudebush VA Medical Center and a professor of Clinical Psychology in the Department of Psychiatry at the Indiana University School of Medicine. He has been actively involved in the direct provision of mental health services to adults with serious mental illness for over 35 years. His research interests include insight, subjectivity, psychotherapy and recovery from  serious mental illness and he is an author of 500 peer reviewed articles and several monographs.  

Jeremy Ridenour, PsyD, is the associate director of admissions, the director of psychological testing, and a staff psychologist at the Austen Riggs Center. He is also the chair of the Erikson Scholar Search Committee. Dr. Ridenour received his BS in psychology from the University of Texas and his doctorate in clinical psychology from the George Washington University. Before coming to Austen Riggs, he completed his predoctoral internship at Pathways Community Health in Missouri. Dr. Ridenour completed his postdoctoral Fellowship at the Austen Riggs Center in June 2017. His research interests include the psychotherapeutic treatment of individuals with schizophrenia-spectrum disorders with a particular focus in understanding how targeting mentalization (i.e. how people think about self and other) can be an important focus for recovery. He has written and presented on schizophrenia, paranoia, personality disorders, and psychological testing.   


Friday October 15, 2021 – 1:00-6:00 p.m. (Eastern)

Theme: Integrating Cognitive-Behavioral and Psychodynamic Approaches to Psychosis 

  • 1:00-1:10 p.m. – Introductions – Michael Garrett, MD, and Jeremy Ridenour, PsyD 

  • 1:10-2:10 p.m. – CBT for Psychosis – Kate Hardy, PhD 

  • 2:10-3:10 p.m. – Unraveling Psychosis: Psychodynamic Treatment of Psychosis – Danielle Knafo, PhD  

  • 3:10-3:25 p.m. – Break 

  • 3:25-3:30 p.m. – Introductions – Jeremy Ridenour, PsyD 

  • 3:30-4:30 p.m. – Terror, Dread, and Relationships: Conceptualizing Psychotherapy to Treat Refractory Psychosis in an Emerging Adult – Nakia Hamlett, PhD 

  • 4:30-5:30 p.m. – Psychotherapy for Psychosis: Integrating Cognitive-Behavioral and Psychodynamic Technique – Michael Garrett, MD  

  • 5:30-6:00 p.m. – Friday Panel Discussion: Drs. Hardy, Knafo, Hamlett, and Garrett 

Saturday October 16, 2021 – 9:00 a.m.-3:30 p.m. (Eastern)

Theme: Integrating Mentalization and Metacognitive Approaches to Psychosis 

  • 9:00-9:05 a.m. – Introductions – Michael Garrett, MD, and Jeremy Ridenour, PsyD 

  • 9:05-10:05 a.m. – MBT for Psychosis: From Theory to Practice – Martin Debbané, PhD 

  • 10:05-11:05 a.m. – Metacognition and Serious Mental Illness: Implications for Treatment and Recovery – Paul Lysaker, PhD 

  • 11:05-11:20 a.m. – Break 

  • 11:20-11:50 a.m. – Integrative Overview – Jeremy Ridenour, PsyD 

  • 11:50 a.m. -12:20 p.m. – Saturday Morning Discussion: Drs. Debbané, Lysaker, and Ridenour 

  • 12:20-12:50 p.m. – Lunch Break 

  • 12:50-1:20 p.m. – Introduction to Case Discussion and Presentation of Case – Michael Garrett, MD, and Jeremy Ridenour, PsyD 

  • 1:20-1:50 p.m. – Discussants Provide Commentary 

  • 1:50-2:20 p.m. – Breakout Discussion of Case 

  • 2:20-2:35 p.m. – Break 

  • 2:35-3:00 p.m. – Large Group Discussion of Case and Reflections on the Conference 

  • 3:00-3:35 p.m. – Closing Remarks – Michael Garrett, MD; Jeremy Ridenour, PsyD; and Jane G. Tillman, PhD 


  1. Explain why emphasizing CBTp techniques early in treatment and psychodynamic perspective later in treatment may be useful for some patients. 
  2. List at least one CBTp technique. 
  3. Describe the concept of a persecutory psychological object and relate this idea to paranoid psychosis.   
  4. Appraise the rationale for employing mentalization-based therapy along the clinical continuum for psychosis 
  5. Outline the clinical model of mentalization-based therapy for psychosis 
  6. Summarize the role of culturally informed formulation within CBTp 
  7. Describe the transference and countertransference aspects of clinical case material involving psychotic processes.  
  8. Explain the case material through the lens of developmental psychopathology and complex trauma and the subsequent deviations that comprise chronic psychotic illness in emerging adulthood.  
  9. Compare similarities and differences of working dynamically with psychotic and nonpsychotic individuals. 
  10. Explain how enhanced metacognitive capacity can help persons with psychosis direct their own recovery.  
  11. Recognize the eight elements which define Metacognitive Insight and Reflection Therapy  


For questions or additional information, please contact Erikson Institute Education Coordinator and Events Assistant Kathleen Young at: kathleen.young@austenriggs.net / 413.931.5230.      


CONTINUING  EDUCATION  - 10 continuing education credits offered       

Approved for: Physicians, Psychologists, Social Workers      

Pending for: LMHC, Nursing       

The Austen Riggs Center designates this live interactive webinar for a maximum of 10.0 AMA PRA Category1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.        

The Austen Riggs Center is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians.       

The Austen Riggs Center also designates this live interactive webinar for 10.0 continuing education credit(s) (CE) for psychology.       

The Austen Riggs Center is approved by the American Psychological Association to sponsor continuing education for psychologists. The Austen Riggs Center maintains responsibility for the program and its content. For additional information about this program, please call the Erikson Institute Education Coordinator, at 413.931.5230.       

The Austen Riggs Center, #1344, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this course. ACE provider Approval Period: 02/02/2020-2/2/2023. Social workers completing this live interactive webinar will receive 10.0 continuing education credit(s).        

For a listing of jurisdictions that accept ACE, please visit www.aswb.org/ace/ace-jurisdiction-map/.       

This live interactive webinar program meets the requirements of the Massachusetts Board of Registration in Nursing at 244 CMR 5.00 for (10) contact hour(s).         

Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115. 

This live interactive webinar meets the requirements of the MaMHCA, authorization # TBD for 10.0 category 1 continuing education credit(s).       

The Austen Riggs Center follows all state and federal laws and regulations, including the Americans with Disabilities Act of 1990 (ADA). In accordance with the ADA, the Austen Riggs Center is committed to accessibility. If you need accommodations for your course, please contact info@austenriggs.net

For information about our accreditation, please visit: www.austenriggs.org/accreditation-educational-activities.    

Attendees who wish to receive CE credit should note: after the conclusion of the event, you will receive an email with a link to complete the evaluation and claim your credits.   


Cancellation and Refund Policy 

For events requiring paid registration, the Austen Riggs Center will provide a full refund for the cost of event registration when notified at least seven (7) days prior to the event. 

If the Austen Riggs Center cancels an event, registrants will receive a full refund for the cost of the event registration. 

Notification of event cancelations will be posted on the event website and an email will be sent to all registrants. 

Questions regarding the cancellation and refund policy may be directed to the Erikson Institute Education Coordinator and Events Assistant Kathleen Young: kathleen.young@austenriggs.net or 413.931.5230. 

Register for the Virtual 2020 Fall Conference - Suicide: Culture and Community