Treatments for Sz Flashcards
when were typical drugs invented
1950s examples are chloropromazine. these have lots of side effects.
when were atypical drugs invented
1990s, examples are clozapine
how do antipsychotic drugs work
help reduce levels of dopamine by blocking receptors in the areas associated with Sz.
how are atypical drugs different from typical drugs
they do no bind so tightly to the receptors as well as they block serotonin receptors which has helped reduce side effects of typical drugs.
what is an issue with drug treatment for those who have had Sz for many years
can fail to bring relief as significant brain changes due to the condition cannot be fixed by drugs
strengths of drug treatment for Sz
- 17/19 of the drugs had better affects that the placebo showing good empirical data
- has helped people get out of institutions and lead a normal life
weaknesses of drug treatment for Sz
- overgeneralisation of animal studies, animals can be given higher doses of medication to make sure receptors are blocked making it lack replicability.
- has publication bias, clinicians can be wrongly handing out drugs based on publications.
- research shows that people that take drugs are still unable to function everyday, even if they did reduce relapse rates.
what is CBT
a therapy that uses both the cognitive approach and learning theories to help change behaviours
what are the main features of CBT for Sz
- patients can be taught how to make sense of their hallucinations and delusions and how they impact on their feelings and behaviours
- therapists can help clients understand why they have delusions and hallucinations as a way to help reduce anxiety
- evidence of the clients delusions can be collected fr them to be challenged, helping the client differentiate between ‘confirmed reality’ and ‘perceived reality’
- therapists can help show how patients have a greater sense of self above being Sz reducing the stigmatisation.
what are strengths of CBT for Sz
- Nice found that CBT was effective in reducing rehospitalisation rates for patients.
- also it helps patients with independent living and being able to cope with their delusions and hallucinations.
- lastly is can help patients who are drug resistant or be a second line of defence for those who are also taking drugs treatments.
what are weaknesses of CBT for Sz
- McKenna found that CBT only came out on top 2/9 times when put against other types of therapies.
- further, a lot of dedication is needed for CBT to work and cooperation is needed which may not be possible for all patients.