Combining therapies Flashcards
What is an interactionist treatment approach?
Combining anti-psychotics with psychological therapy
Why would combining therapies be appropriate?
Drugs enable CBT and family therapy to work, having therapy increases compliance with medications and the economic costs are outweighed by the benefits
How does drug therapy make it possible for psych therapy to be effective with positive symptoms?
Insight into delusions, increase trust and voices are less intrusive
How does drug therapy make it possible for psych therapy to be effective with negative symptoms?
Motivation to attend and can engage/talk more coherently
How does drug therapy make it possible for psych therapy to be effective with cognitive symptoms?
Clearer thoughts/speech, stay on topic and follow logic of session
Why are some people non-compliant with antipsychotics?
Paranoia, lack of trust, slow acting and severe side effects
What percentage of people are non-compliant with antipsychotics?
40%
How does psychological therapy increase medication compliance?
Patient and family reminded to take medication, and can understand benefits of medication
What is research evidence for combining therapies of medication and CBT?
Medication alone - 0.5, CBT alone - 0.46 and both over medication alone - 0.15
What is conclusions from studies about combining therapies?
Combining therapies gives a small additional eenfts
What are economic benefits of more effective treatments for schizophrenia?
Savings for taxpayer and boosts economy
How does more effective schizophrenia treatment save taxpayer money?
Reduction in costs of care and benefits as fewer pateints require hospitalisation and care in the long-term
How does more effective treatment for schizophrenia boost the economy?
Patients are more likely to work, spend money and pay tax