A multidisciplinary team case management approach reduces the burden of frequent asthma admissions.

Up to 10% of asthmatics have "difficult asthma"; however, they account for 80% of asthma-related expenditure and run the highest risk of acute severe exacerbations. An estimated 75% of admissions for asthma are avoidable. Guidelines advise that these patients be managed by an experienced specialist multidisciplinary team (MDT).

Case series: the application of "third wave" cognitive behavioural therapies in difficult to treat asthma.

Objective: This paper provides for the first time cases of individual psychological therapy undertaken in tertiary, difficult to treat asthma services using "third wave" cognitive behavioural therapy (CBT) approaches.

Methods: These cases were selected to represent common psychological presentations in difficult to treat asthma clinics, namely denial of severity and over-identification with asthma. Assessment, formulation, intervention and results are outlined.

Cognitive control processes in paranoia: the impact of threat induction on strategic cognition and self-focused attention.

Background: Current clinical models emphasize certain cognitive processes in the maintenance of distressing paranoia. While a number of these processes have been examined in detail, the role of strategic cognition and self-focused attention remain under-researched.

Aims: This study examined the deployment of cognitive strategies and self-focused attention in people with non-clinical paranoia.