schizophrenia -psychological treatments (CBT)

Question 1

what is CBT?

Answer 1

.cognitive behavioural therapy

Question 2

what is the basic assumption of CBT?

Answer 2

.is that people with SZ hAge distorted beliefs which influence their thoughts and feelings in unhelpful ways

Question 3

what does CBT involve?

Answer 3

.patient and therapist work together
.5-20 sessions
.groups or individuals

Question 4

what is a pro for doing CBT in a group?

Answer 4

.allows for the feeling of normalisation as patients are aware other people can relate to their experiences

Question 5

what is a pro for doing CBT individually?

Answer 5

.it’s septic to each patient, patient centered therapy

Question 6

what is the process of CBT?

Answer 6

.identify + challenge

Question 7

what is meant by identify in CBT?

Answer 7

.help patient identify the irrational belief and to change them

Question 8

what is meant by challenge in CBT?

Answer 8

.discussion of how likely the beliefs are to be true and identify possible alternatives

Question 9

what does challenging the patients delusions allow the patient to do?

Answer 9

.allows the patient to understand how their delusions and hallucinations make them feel eg: offering psychological explanations for hearing voices should reduce anxiety

Question 10

what is a strength to CBT as a way of treating SZ?

Answer 10

.NICE review of treatments for SZ -CBT was effective at rescuing rehospitilisation rates for up to 18 months following the end of treatment with CBT

Question 11

what is a negative to CBT as a way of treating SZ?

Answer 11

.NICE review of treatments -most studies investigated combination treatments with antipsychotics, limiting validity as it’s hard to isolate wether CBT is working independently
.conflicting evidence spatially