CBT Flashcards
What does CBTp stand for?
Cognitive behavioural therapy for psychosis
What is CBTp used to treat?
The residual symptoms that persist despite the use of antipsychotics
What is the basic belief of CBTp?
That people have distorted beliefs which influence their feelings and behaviour in maladaptive ways
How does CBTp treat delusions?
Helps patients recognise and correct their faulty interpretations of events
How many CBTp sessions does NICE reccomend?
At least 16
What are the 6 steps of CBTp?
Assessment, engagement, ABC model, normalisation, critical collaborative analysis and developing alternative explanations
What is assessment?
When the patient expresses their thoughts and discusses realistic goals
What is engagement?
When the therapist empaphises with the patient and stresses the importance of working together
What is the ABC model?
When the patient gives an explanation of the activating event, their irrational beliefs and the consequences
What is normalisation?
When the patient’s psychotic experiences are placed on a continuum with normal experiences.
What is critical collaborative analysis?
When the therapist gently questions the patient’s illogical delusions
What is developing alternative explanations?
When healthier explanations are formed
What are the 4 AO3 points of CBTp?
1) Advantages of CBTp over standard care
2) Lack of availability of CBTp
3) The benefits of CBTp may have been overstated
4) Limitations of non-drug therapies
What did a NICE review find about the effectiveness of CBTp?
That when paired with antipsychotics, CBTp was effective in reducing rehospitalisation rates up to 18 months after the end of treatment
What has CBTp been found to reduce?
The severity of symptoms
What has CBTp been found to improve?
Social functioning
What is the main issue with most studies that look at the effectiveness of CBTp?
They investigate the simultaneous use of antipsychotics and CBTp so it’s is difficult to assess the effectiveness of CBTp independently
In the UK, what proportion of schizophrenic patients have access to CBTp?
1 in 10
Which review recommends CBTp as a schizophrenia treatment?
The NICE review
In what parts of the UK is CBTp highly inaccessible?
The North-West
In the North-West of England, what percentage of patients have access to CBTp?
6.9%
What have more recent meta-analyses found about CBTp?
It may be less effective than initially thought
What happened to the small therapeutic effect of CBTp when trials were double blind?
It disappeared
Why may CBTp be unsuitable for schizophrenic patients?
It requires the engagement of the patient
What does CBTp require high levels of?
Engagement
Why are antipsychotics more attractive than CBTp?
Because they are easy to prescribe, easy to take and not time-consuming
