Appropriateness

• Patchy availability


  • Only 1 in 10 have access
  • Haddock et al. - geographical disparities; northwest England - 7%, not available in Scotland or Wales
• Conflict with antipsychotics


  • NIHR - CBTp doesn't work with Clozapine, due to its sedative effect, which is given when other antipsychotics don't work
  • 30% of the NHS adult mental health budget is spent on schizophrenia
  • Therefore, CBTp is not the best use of NHS money