CBT - psychological therapies Flashcards
what does CBT stand for
cognitive behaviour therapy
who created a specific form of CBT for schizophrenia
Tarrier et al
what was the specific form of CBT for schizophrenia known as
coping strategy enhancement
what does CSE stand for
coping strategy enhancement
what does CSE focus on
building of schizophrenic patients existing coping strategies
what did Tarrier et al realise about patients before therapy
they could identify thee own triggers for schizophrenic episodes and had devised their own coping strategy’s
what is the aim of CSE
to develop and apply coping strategies for the psychotic symptoms and accompanying stress they produce
what do specific CSE strategies include
reality testing and challenging delusions
behavioural tasks such as distraction technique
psychoeducation - educating the client about their disorder
tell me about reality testing and challenging delusions
this involves looking for evidence that disproves thoughts and experiences to show that they are not real
tell me about behavioural tasks such as distraction technique
this includes drowning out voices with TV and music
increasing social contact or relaxation techniques
tell me about psychoeducation - educating the client about their disorder
this includes helping the client to understand that their hallucinations are a result of malfunctioning metacognition and the voice may be an inner dialogue rather than an external stimulus
how is the therapy done
develop a rapport with the client
identify triggers
target specific symptoms and find strategies to deal with them
help the patient to identify irrational thoughts and reality test them
why is it good to develop a rapport with the clients
due to the paranoia of people are out to get them to be able to help them it is good to be on good terms so they trust you
why is it important to identify triggers
the client and therapist work together to establish patterns for chronic episodes
why is it important to target specific symptoms and find strategies to deal with them
includes distraction techniques such as listening to music to cope with the voices or doing an activity which is engagingw
why is helping the patient o identify irrational thoughts and reality test them a good idea
by discussing how likely it is that the beliefs are true, the therapist and the client can find alternative and less threatening possibilities
how does CBT help
it helps patients to make sense of their delusions and hallucinations and how it impacts their behaviour and where the symptoms come fom
what ca the greater understanding of their delusions and hallucinations do
helps reduce fear and anxiety in the patient
what is the aim of CBT
not to eliminate symptoms but to help individuals cope with their experiences, reduce distress and improve their ability to function
what are the evaluation points of CBT as a therapy for schizophrenia
evidence for effectiveness -Jauhar et al
can be combined with drug therapy
relies on the client being an active participant
reality testing might not work
explain the explanation of evidence for effectiveness by Jauhar et al as an explanation for CBT as a therapy for schizophrenia
they reviewed the results of 34 studies of CBT for schizophrenia
They conducted that CBT has significantly but fairly small effect on both positive and negative symptoms
explain the explanation of CBT being combined with drug therapy as an explanation for CBT as a therapy for schizophrenia
Tarrier et al compared 315 patients who were randomly allocated to different groups.
a combination of mediation and counselling or medication only
patients in the combination group showed fewer symptoms than only using the medication only group. this supports the usefulness of CBT in treating schizophrenia as part of a combined therapy
explain the explanation of reality testing not working as an explanation for CBT as a therapy for schizophrenia
delusions are a key characteristic of symptoms and they can be very resistant to logic. if a client has paranoid delusions then challenging these delusions make make the client mistrust the therapist.
they might think the therapist is conspiring with the people that are trying to hurt them and they therefore run the risk of the client not trusting them
explain the evaluation point how CBT relies on being an active part of the therapy as an explanation for CBT as a therapy for schizophrenia
people experiencing negative symptoms of schizophrenia such as avolition may lack the motivation, may lack the motivation needed to do this. in some cases treatment with drugs is needed to relieve symptoms enough to allow the individual to engage with CBT
