The efc Institute offers recovery orientated training, consultation or counselling and supervision in experience focused counselling for voice hearers, family members, as well as staff, organisations and institutions.

New training start: October 24 Consulting & Supervision

Open trainings

The trialogical freely accessible trainings impart theory and practice of Experience Focused Counseling with voice hearers (aka Making Sense of Voices or Working with Voices or Maastricht Approach). The efc methods are suitable for recovery focused work with people who hear voices and/or have similar experiences (like visions, unshared realities, etc.) independently of a particular diagnosis or whether a diagnosis exists at all. The events are aimed trialogically consciously at voice-hearing persons, relatives and professionals.


Supervision & Consulting

We regularly conduct training and supervision for institutions and psychiatric facilities. Our work is characterized by the fact that we also work with experts of experience in the team. Find out more about our work on our website. We would be pleased if you contact us.

Offers for institutions References

New publication: The Practical Handbook of Hearing Voices

The Practical Handbook of Hearing Voices. Therapeutic and Creative Approaches (Parker, Schnackenberg, Hopfenbeck (Hrsg.) (2021))

Experience Focussed Counselling (efc)

Efc is a psychosocial counselling approach developed by Professor Dr Marius Romme and Dr Sandra Escher at the University of Maastricht, Netherlands, which was first published in English in 2000. The psychiatrist Romme and his colleague Escher developed their counselling approach on the basis of many years of therapeutic and counselling practice, as well as scientific studies with voice hearers. 


Selection of mental health organisations that have worked with the efc Institute or offered training by the efc Institute.

Dr. Joachim Schnackenberg

Insights into the nature of efc work

Get to know us in a short training session. We would also be happy to come to your facility for a lecture or an informational event. You will get an insight into our work and can then decide to organize an internal training in your institution. You are also welcome to get to know us at one of our training courses in Hanover.
Dr. Joachim Schnackenberg


Selection of publications by trainers of the efc Institute or by Prof Dr Marius Romme and Dr Dr Escher and other partners.