15. Psychotherapeutic approaches to psychotic disorders.

Question 1

The place of psychotherapeutic methods in the treatment of schizophrenia

Answer 1

For the purpose of treating certain symptoms of the disease, improving quality of life, rehabilitation and skill-development psychotherapeutic techniques have also been found useful.

Question 2

Personal therapy (PT)

Answer 2

Personal therapy is employed twice in each month for three years in three consecutive phases that are built upon each other

1. First phase: psycho-education, teaching the recognition of symptoms, teaching the basic social skills, teaching the connection between stress situation and symptoms.
2. Second phase: adaptation to the disease, outlining the competence and responsibility of the patient, teaching further social skills, further psycho-education regarding a stable medicinal preserving treatment.
3. Third phase: further development of the elements of earlier phases: relaxation, stress treatment, teaching the treatment of

Question 3

Cognitive behavioral therapy

Answer 3

Cognitive behavioural therapy was originally developed for the treatment of depressive symptoms, and is based on the identification of negative automatic thoughts and cognitive distortions.

May be useful even in psychotic diseases for the purpose of decreasing positive symptoms, reducing distress caused be psychosis, and the improvement of the quality of life

Question 4

The major therapies for psychotic conditions

Answer 4

Personal therapy
Cognitive behavioral
Family therapy
Drug treatment

Question 5

LEAP method for psychotic patients

Answer 5

LEAP (Listening – Empathy - Agreement – Partnership)