Psychological Therapies Flashcards
Family therapy aim
to reduce expressed emotion levels
Family therapy sessions
over 3-12 months with at least 10 sessions
What does family therapy involve
Ensures involvement of the Sz pt to prevent suspision resulting in delusions
What happens in family therapy
- psychoeducation
- improve coping skills (anticipate and solve)
- degree of seperation
- reasonable expectation of Sz pt
- talk openly with boundaries
Family therapy AO3 + economic benefit
lower hospital stays
Family therapy AO3 + Pharoah et al
Meta-analysis of 53 studies comparing family therapy to just drugs
- FT had lower relapse
- higher compliance with drugs after FT
Family therapy AO3 - Wu et al
Chinese studies in Pharoah’s meta analysis were not randomiseda and had a lack of blinding
CBTp stands for
Cognitive behavioural therapy for psychosis
CBTp treats which kind of symptoms
Positive
How many CBTp sessions are required
15-20
What does CBTp include
- rapport
- psycheducation
- challenging delusions
- recognising and accepting hallucinations aren’t really htereo and developing coping strategies
- homework
CBTp hallucination coping strategies
2 per symptom
- loud music
- distraction
- breathing techniques
Research support for challenging delusions in CBTp
CHADWICk = Sz pt believed they could influence the future and was shown 50 video clips
- began to understand that it wa sa delusion as their predictions were true
CBTp AO3 + JAHUR
meta-analysis of 50 studies and found small but significan effect of CBTp on positive symptoms however effects disappeared when blind procedure was used
CBTp + Tarrier et al
CBTp with drugs better than drugs alone however difference gone after 2 years
