CBTp

Question 1

What is CBTp?

Answer 1

Cognitive behaviour therapy for psychosis
Based on the idea that it’s distorted beliefs which influence feelings and behaviour
Based on the ABCDE model.
Challenges people’s beliefs and change them
Behavioural assignment (homework)

Question 2

What is the ABCDE model?

Answer 2

Activating event
Beliefs about A 
Consequences of B
Dispute by therapist
Effect of dispute on B and C

Question 3

How does CBTp work?

Answer 3

AENCD

Assessment: Therapist discusses individual’s current symptoms and origins AND SET GOALS.

Engagement: The therapist empathises with the person’s distress.

Normalisation: Placing the person’s own psychotic experiences with normal experiences.

Critical collaborative analysis: Gentle empathetic and non-judgmental questioning helps the person understand their false beliefs.

Developing alterative explanations: Enables healthier explanations for beliefs and experiences.

Question 4

What is a limitation of CBTp?

Answer 4

Not everyone benefits from it

• It is not widely available and not routinely offered to patients
• Less than 1/10 patients who may benefit from CBTp receive it
• Some refuse or fail to attend therapy (lack insight)