cognitive behavioural therapy

• CBT has been shown to be effective in reducing positive symptoms of schizophrenia such as hallucinations and delusions. Research, including studies by Tarrier et al. and reviews by NICE, support its use, especially when combined with antipsychotic medication. CBT also empowers patients by helping them gain insight into their condition and challenge irrational thoughts, which can improve coping strategies and self-esteem.
• However, CBT does not cure schizophrenia or address its biological roots. It is often less effective for treating severe negative symptoms such as avolition or speech poverty. Additionally, it requires a high level of motivation and engagement, which some patients may lack due to the nature of their illness. CBT is also time-consuming and expensive, requiring trained therapists, and is not always readily available, limiting its practical use in healthcare settings.
• An advantage of CBT over medication is that it does not produce physical side effects, making it a more appealing option for some patients. Furthermore, it can be part of a holistic treatment plan, complementing drug therapy and improving adherence to medication. This combined approach may help reduce the likelihood of relapse and improve long-term outcomes.