CBT

Question 1

What is CBT?

Answer 1

Cognitive Behavioural Therapy

Question 2

Describe how CBT is done.

Answer 2

Patients encouraged to trace back origin of symptoms.
Evaluate the content of their delusions/hallucinations.
Set behavioural assignments to improve level of functioning.
Maladaptive responses to life is often result of schizophrenia.
Patient and Therapist come up with alternative explanations and coping strategies.

Question 3

What is the outcome of CBT?

Answer 3

Experience fewer delusions, hallucinations, and greater recovery than antipsychos alone.
Dury et al.
Kuipers et al.

Question 4

Describe what Dury found.

Answer 4

CBT had a 25-50% reduction on positive symptoms with antipsychos.

Question 5

Describe what Kuipers found.

Answer 5

Confirmed Dury’s research.

Lower patient drop outs and higher satisfaction with CBT and antipsychos.

Question 6

Assess the effectiveness of CBT.

Answer 6

CBT has a significant effect on improving schizophrenia symptoms.
Gould et al. Meta analysis showed a statistically significant decrease in positive symptoms.

Most patients treated with antipsychos at the same time.
Difficult to assess CBT alone.

Question 7

Assess the appropriateness of CBT.

Answer 7

Generates less distressing explanations for symptoms - doesn’t eliminate them.
Negative symptoms serve as a function to avoid making positive symptoms worse.
Offers some alleviating from maladaptive thinking processes.

Patients may not benefit.
Not many patients qualify for CBT.
Older patients less likely to qualify.