Psychological therapy for Schizophrenia CBTp Flashcards
Outline CBtp as a from of therapy for SZ
CBTp stands for Cognitive behavioural therapy for Psychosis
CBTp is used to treat people with SZ
It takes place between 5-20 sessions, either in groups or individual sessions
Aim of CBTp involves helping people identify irrational thoughts & try to change them
May involve argument or discussion of how likely the persons beliefs are true
The main principles of CBT in the treatment of Schizophrenia are:
- Collaboration
- Normalisation
- Acceptance
Outline collaboration as a principle of CBT
The collaborative element of CBT for Sz means that the patient shouldn’t feel too alone or isolated, and working with therapist will aid progress in making sense of their symptoms
Outline Normalisation as 2nd principle of CBT
Making sense of their symptoms can include an understanding that some are purely an extension of more neurotypical processes (i.e., hearing voices is an extension of thinking in words, or our ‘inner voice’)
This process can help take the power out of the detrimental effect that some Sz symptoms have on the patient and help minimise the effects of the stigma attached to Sz
Outline Acceptance as 3rd principle of CBT
Accepting their symptoms helps the person come to terms with what they are experiencing, and aims to reduce distress rather than change the occurrence of those symptoms
A03
CBT does not cure symptoms but improves quality of life
counterpoints
CBT may improve quality of life for people with SZ but not acc cure them, as SZ appear to be largely a biological condition we would expect that a psychological therapy like CBT just benefits ppl by improving their abilitiy to live with Sz
on other hand studies reported signif reduction in severity of both positive & negative symptoms-suggests CBT does more than enhance coping
A03
CBT is not suitable for all patients,
Research by Kingdon & Kirschen (2006) found that CBT is not suitable for all patients, especially those who are too thought disorientated or agitated, who refuse medication, or who are too paranoid to form trusting alliances with practitioners.
