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Cognitive Behavioral Therapy for Psychosis – an introduction . Dr Kate Hardy, Clin.Psych.D Post Doctoral Fellow Prodromal Assessment, Research and Treatment Team (PART), UCSF Kate.Hardy@ucsf.edu. Session one – Introduction to the course and to CBT. Aims/objectives
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Cognitive Behavioral Therapy for Psychosis – an introduction Dr Kate Hardy, Clin.Psych.D Post Doctoral Fellow Prodromal Assessment, Research and Treatment Team (PART), UCSF Kate.Hardy@ucsf.edu
Session one – Introduction to the course and to CBT Aims/objectives • Provide an introduction to the course • Course structure • Brief overview of CBT • Consideration of CBT techniques within current practice
Group goals • What goals do we have as a group? • Rate selves in terms of knowledge of CBT • How will we know if we have reached goals and what will that look like?
What is CBT? • How what you do (behavior) and what you think (cognition) effects how you feel. • Thinking includes how you think about yourself, the world and other people • Here and now focus though draw upon past experiences to explain schema formation
Five areas of CBT Environment Thoughts Biology behavior Mood
What is CBT used for? • Anxiety, depression, OCD, phobias, PTSD and social phobia • Growing body of evidence for use in psychosis • NICE (National Institute for Clinical Excellence – UK) recommends that CBT should be the first line of treatment for depression and anxiety • Also a recommended treatment option for people diagnosed with Schizophrenia
Principles of CBT • Have basis in cognitive model to describe onset and maintenance of disorder being treated • Formulation driven • Structured • Shared problems and goals • Educational • Utilise guided discovery • Homework • Time limited (Beck, 1976)
Criticisms of CBT • Time limited • Here and now focus • Educational/didactic • Medicalised
Group exercise • In small groups discuss: • What concerns (if any) do you have in working with this population and using CBT? • What (if anything) are you looking forward to • Feedback to the group