L9 - CBT

Question 1

What is CBT and what does it do?

Answer 1

Focuses on changing negative thought patterns by challenging them to change unwanted and negative behaviour into positive ones

Question 2

What are some things CBT involves?

Answer 2

Discuss how likely beliefs are to be true - rationalise
Helps increase effectiveness of coping
Homework assignments to improve functioning

Question 3

Name the 6 stages of CBTp

Answer 3

Assessment
Engagement
ABC model
Normalisation
Critical Collaboration Analysis
Develop alternative explanations

Question 4

What type of CBT is used for schizophrenics?

Answer 4

Cognitive Behavioural Therapy for Psychosis (CBTp)

Question 5

What happens during the engagement stage of CBTp?

Answer 5

Therapist empathises with the patient and their distress

Try and form explanations for the distress together

Question 6

What happens during the normalisation stage?

Answer 6

Therapist tells the patient that mentally healthy people sometime shave symptoms like delusions when stressed

Question 7

What happens during the develop alternative explanations stage?

Answer 7

Patient develops other explanations for unhealthy assumptions e.g. delusions

Question 8

Advantage of CBTp related to root cause?

Answer 8

Gets to root cause, doesn’t just get rid of symptoms

When they finish CBTp, symptoms less likely to occur again unlike antipsychotics

Question 9

Disadvantage of CBTp related to time and money?

Answer 9

More expensive for the NHS than drugs
More time consuming
Drugs work quickly, CBTp takes a few sessions before effects are seen

Question 10

Advantage of CBTp related to “chemical straitjackets”?

Answer 10

Patient can feel that they have more control
No physical harm from side effects unlike APs
More free will so can get informed consent

Question 11

Procedure of NICE research?

Answer 11

CBTp v standard care
2118 patients in the UK
16 therapy sessions

Question 12

Results from NICE research

Answer 12

Outcomes were similar

CBTp didn’t reduce relapse/suicide rates

Question 13

Results from NICE research about hospitalisation

Answer 13

Almost half of CBTp patients showed reduction in hospitalisation rates when followed up 18m later

Question 14

+ of research related to saving money?

Answer 14

Reduced hospitalisation in the future means fewer resources
Lowers costs in long term
Drugs cause revolving door effect

Question 15

• related to the patients themselves

Answer 15

CBT requires patients to be able to articulate themselves

Some symptoms may mean they’re unable to, e.g. speech poverty

Question 16

• of research related to CBTp availability?

Answer 16

Only 1 in 10 patients have access to CBTp
Even then many refuse to attend
NHS wastes money and resources by booking appointments not attended