Psychological therapy for schizophrenia Flashcards

1
Q

How many sessions does cognitive behaviour therapy take place over for schizophrenia?

A

5-20

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2
Q

How does cognitive behaviour therapy work in treating schizophrenia

A

Helps client understand how irrational cognitions impact their feelings and behaviour

Doesn’t stop symptoms but can help cope with them
= - stress/+ ability to function

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3
Q

Example of how CBT helps schizophrenic patient to better cope with symptoms

A

Patient scared of voices as believes they are demons

Therapist assures them it is malfunctioning speech centre in brain and can’t hurt them

= Much less scary/debilitating

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4
Q

How can delusions be challenged through CBT

A

Reality testing:
-Patient/therapist examine likelihood that beliefs are true

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5
Q

What are the aims of family therapy

A

Improve quality of communication within fam/reduce stress

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6
Q

What strategies are used in family therapy for schizophrenia

A

Pharoh et al (2010):

Reducing negative emotion

Improving family’s ability to help

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7
Q

How does family therapy help reduce negative emotion

A

Aims to reduce expressed emotion
-This reduces stress and therefore chances of relapse

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8
Q

How does family therapy help improve the family’s ability to help

A

Fam form “therapeutic alliance”= all agree on aims of therapy

Therapist tries to improve fam’s beliefs about S

Ensures fam achieves balance between caring for patient/maintaining their own lives

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9
Q

Who proposed a model for working with families dealing with schizophrenia

A

Frank Burbach (2018)

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10
Q

Phase 1 of Baubach’s model

A

Sharing basic information

Providing emotional/practical support

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11
Q

Phase 2 of Baubach’s model

A

Identifying resources (e.g what fam can/can’t offer)

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12
Q

Phase 3 of Baubach’s model

A

Encourages mutual understanding

Fam can all express their feelings

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13
Q

Phase 4 of Baubach’s model

A

Identifying unhelpful patterns of interaction

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14
Q

Phase 5 of Baubach’s model

A

Skills training (e.g learning stress management techniques)

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15
Q

Phase 6 of Baubach’s model

A

Relapse prevention planning

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16
Q

Phase 7 of Baubach’s model

A

Maintenance for the future

17
Q

Strength of CBT for schizophrenia

A

Evidence for effectiveness:
-Jauhar et al met analysis= improved positive/negative symptoms
-Pontillo et al found reduced auditory hallucinations
-NICE recommends it

So both research/clinical experience supports the benefits of CBT for schizophrenia

18
Q

What is NICE

A

National Institute for Health and Care Excellence

19
Q

Weakness of CBT for schizophrenia

A

Techniques/symptoms vary widely from one case to another (Neil Thomas points out)

=Hard to say how effective CBT will be for a particular person with schizophrenia

20
Q

Strength of family therapy for schizophrenia

A

Evidence for effectiveness:
-McFarlene reviewed studies, found consistently effective/reduced relapse rates
-NICE recommends

So likely to benefit

21
Q

How much were relapse rates reduced with family therapy (McFarlene)

A

50-60%

22
Q

Strength 2 of fam therapy

A

Benefits for whole fam
-Lobban/Barrowclogh said important as fam provide most care
-Helps - negative impact of schizophrenia on fam/strengthens ability of fam to support patient

So not just patient who benefits