Psychological Treatment For Schizophrenia: CBT Flashcards
Beck’s Cognitive triad
CBT emerged as a result of beck’s cognitive tried (thoughts/feelings/behaviour one interrelated ) alongside allis’ ABC model (activating event causes a belief which causes behaviouraI consequences.)
CBT
It has both cognitive aspects, focusing on identifying and rationalising maladaptive thoughts and also a behaviours aspect, focusing on coping strategies for dealing with symptoms
Strength
Unlike drug therapy, CBT does not cause any unpleasant physical side effects- the client plays a vital role within therapy sessions, with CBT adopting a collaborative approach between client and therapist. This means they are actively involved in their recovery with the ultimate aim of self-management of schizophrenia.
Likewise →
The treatment is extended outside of therapy sessions by the use of homework tasks such as reality testing and trying out coping strategies this means that an individual has an element of control over their recovery.
However →
CBT may not be suitable for alI patients with schizophrenia, as it requires motivation and organisational skills (attending regular sessions) alongside a positive attitude towards involvement in the recovery process, as CBT strongly involves in the client themselves, such as homework tasks. Due to the symptoms associated with schizophrenia, not all may have the necessary motivation to engage in the CBT course
Likewise →
Courses can last up to 20 weeks, requiring commitment from the client , which can be difficult due to lack of immediate benefit. The coping strategies and rational thought processes take time to develop, therefore some clients may drop-out from the course early . In addition, long waiting lists to start CBT courses result in symptoms going untreated for long periods of time.
In conclusion →
CBT focuses upon clients being able to cope with their positive symptoms, and fails to address the importance of negative symptoms and how those also impact individual’s functioning
