Dr Michael Garrett is professor emeritus of clinical psychiatry at SUNY Downstate Medical Center. He currently teaches and supervises clinicians doing psychotherapy for psychosis and is a consultant to several first-episode for psychosis teams. Dr Garrett has a long-standing 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 several publications on the integration of psychodynamic and cognitive behavioral treatments for psychosis.