CBTp

• Aims


  • To help patients identify faulty ways of thinking
  • To establish links between feelings and thoughts and their symptoms
  • To reduce stress and improve levels of functioning
  • To mitigate/adapt, not avoid/prevent
• Regimen


  • Can be in groups, more effective one on one
  • NICE recommends at lease 16 sessions for schizophrenia
• Normalisation


  Places symptoms like delusions on a continuum of normal behaviour - everyone does this at times
• Critical Collaborative Analysis (CCA)


  Gentle/empathetic questions to help client question illogical deductions
• Alternative explanations


  Client is encouraged to develop their own alternative explanation of why they are experiencing their symptoms
• Therapeutic relationship


  Therapist builds a strong relationship with client to build trust and get over paranoia
• Motivation


  Therapist and client develop goals and values in order to combat avolition
• Psychoeducation


  Schizophrenia presents with no insight - patients do not know they have it, so therapist must teach the client about their condition