Schizophrenia: CBT & Family Therapy - Treatments Flashcards
What is the aim of CBT in treating schizophrenia?
To identify and challenge irrational/delusional thoughts to more rational ones
What type of negative thoughts may be identified in those with schizophrenia?
Paranoid delusions
In challenging the negative thoughts the client is encourage to develop?
More plausible/less threatening explanations
What is empirical disputing?
Where the client needs to provide evidence for their delusions/hallucinations
Empirical disputing helps a person
Understand that their delusions and hallucinations are not real
Providing plausible explanations for symptoms can help a person with schizophrenia by reducing …
Stress and anxiety
Disputing can help patients to realise that their beliefs are
Not based in reality so are less threatening
How can positive self talk help a person with schizophrenia?
They can use positive self statements to challenge auditory hallucinations
What can a person with schizophrenia be taught to deal with auditory hallucinations
Self-distraction strategies
What did Jauhar find on his research on CBT and schizophrenia?
It can have a small but significant effect on both positive and negative symptoms
Why might CBT be less appropriate than drug treatment?
Requires motivation and commitment
Why might a combination treatment for CBT and drugs be more effective?
Drugs can help patient to motivate them to attend sessions and CBT to challenge thoughts and delusions
Why might CBT be more appropriate than drug treatment?
Avoids chemical dependence
What id family therapy based on?
The idea that family dysfunction can play a role in schizophrenia
What can family therapy reduce in families?
Expressed emotion and stress levels
What does family therapy aim to alter in families?
Relationship and communication patterns
What can family therapy decrease in family members?
Feelings of guilt and anger
What can family therapy help family members to achieve?
A balance between caring for the person and maintaining their own lives
How long does family therapy last?
9 months to 1 year
In family therapy, families are encourage to be …
Open and talk about the patients symptoms, behaviour and progress
What can family therapy improve?
Family beliefs about and behaviours towards schizophrenia
What did Leff find on family therapy?
Those who received family therapy only 8% relapsed compared to 50% who received routine care
Why can basing family therapy on openness be a issue?
Could reopen family tension
Some family members may not want to talk about their problems
Why might family therapy not be the best treatment?
Doesn’t get to the root cause and doesn’t eliminate symptoms
Which therapy may be an alternative to CBT and family therapy
Art therapy
