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CBT

CBT. The form of CBT used with schizophrenics is personal therapy. Therapies involve identifying the particular problem the individual has (e.g. auditory hallucinations, delusional beliefs), what triggers the problem, and the strategies the person uses to deal with the problem.

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CBT

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  1. CBT The form of CBT used with schizophrenics is personal therapy Therapies involve identifying the particular problem the individual has (e.g. auditory hallucinations, delusional beliefs), what triggers the problem, and the strategies the person uses to deal with the problem.

  2. 1. The therapist first aims to develop a trusting and respectful relationship with the patient 2. Let the patient explain his/her confusing, distressing experiences i.e abusive voices 3. Uncover any patterns or triggers in the client’s distressing experiences “How long do you think others have been talking about you?” “Are there any other possible explanations for what happened?” 4. Challenge gently the clients beliefs Involves at least 16 one to one sessions 5. Develop strategies to deal with the distressing experiences

  3. Evaluation • The metaanalysis carried out by NICE (2009) on 2118 patients did not show statistically significant differences between CBT and standard care for outcomes related to mortality (suicide), relapse or treatment adherence. • It is a palliative treatment (only treating part of the disorder) not a cure however it seems to produce long-term improvement in some patients but it is uncertain whether it is caused by cognitive remodelling or the relationship between the client and the therapist.

  4. It is more effective in treating the positive symptoms than the negative symptoms. • Lewis et al. 2002: if CBT is used during the first episode it shortens the length of that episode but 18 months later the patients suffer the same relapse rate as patients who did not have CBT. • It is usually given to individuals who are also on antipsychotic treatment and might also be involved in other therapies so it is difficult to determine whether the improvements are due to CBT rather than the other therapies used.

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