Intro to Psychosocial

Question 1

What is psychosocial therapy?

Answer 1

Therapy designed to supports clients with:
*symptoms
*reintegration back into society
*improve functioning
*quality of life
Combining ‘psycho’ (psychological state, function and behaviour) with ‘social’ ability to relate to others to function in a society

Question 2

What are different types of psychosocial therapy?

Answer 2

• CBT
• Group Interventions (e.g. group CBT)
• Family Intervention
• Carer Support
• Employment Support
• Social Skills Training
• Cognitive Remediation
  (Wright, 2020; Addington, 2010)

Question 3

What evidence base does CBTp have?

Answer 3

Systematic Reviews and Meta-analyses of RCTs have found that:
* CBT for Psychosis is effective in reducing the severity of positive symptoms

Question 4

What evidence base does FI have?

Answer 4

Systematic Reviews and Meta-analyses of RCTs have found that (Sin, 2017; Ma, 2018)

“Family Intervention is effective in reducing relapse & hospital admission rates”

Question 5

What evidence base does Carer Support have?

Answer 5

Systematic Reviews and Meta-analyses of RCTs have found that (Sin, 2017)

“Carers Support is effective in reducing carer burden & High EE & increasing understanding about psychosis”

Question 6

What are CBTp exlusion criteria?

Answer 6

1. When the client is to unwell and requires inpatient admission
2. When the client has a substance misuse problem (which doesn’t allow them to benefit from or attend the sessions)
3. When they had a head injury- need for neurological evaluation first
4. When psychosis is not the main issues (e.g. they have PTSD, Depression which are more distressing)
5. If the client has no therepeutic goals

Question 7

Group CBT

Answer 7

Not a substitute for individual CBTp!
* Group process issues
* Useful for targeting interpersonal difficulties
* Normalisation
* De-stigmatisation
* Peer Support
* Group learning
* Cost-effective

Question 8

Individual CBTp

Answer 8

• Aim to reduce distress & disability with symptoms
• Improve coping & functioning
• Comprised of: Engagement, Assessment, Formulation, Intervention, & Relapse Prevention
• Formal CBTp models informed by evidence
• Developing idiosyncratic symptoms specific
  personalised formulations
• Third wave approaches can help with on-going symptoms