Loneliness in psychosis: A practical review and critique for clinicians

Accumulating evidence shows that loneliness in psychosis is a major concern for patients, is associated with poorer mental and physical health, and is a significant barrier to recovery. Although psychologists play a major role in treating the cognitive, emotional, and social difficulties of people with psychosis, loneliness is rarely addressed. This article presents a structured review and critique of the evidence base on loneliness in youth and adults with psychosis, framed around the knowledge, attitudes, and skills comprising clinical competencies as a foundation for clinical practice. Public Health Significance Reducing loneliness is a major concern for people with psychotic disorders which often flies under the radar of treating psychologists. This article synthesizes the current evidence base on loneliness in psychosis to inform clinical practice. A variety of tools to assess loneliness are available, and promising treatments for loneliness in psychosis are emerging but need further evaluation. Unhelpful attitudes to loneliness and psychosis-from clients and clinicians-also require appropriate action.