treating sz

• interactionist treatment?

  • uses both psychological & biological treatments
  • involves combination of antipsychotics with psychological therapy - cbt
  • antipsychotics - reduce activity of dopamine
  • cbt - helps to identify negative thoughts & try to change them
• 3 * for treating sz?

  1. evidence from tarrier
  2. evidence from sudak
  3. evidence from hogarty
• * evidence from tarrier?

  • randomly allocated patients to:
  • medication & cbt group
  • medication & supportive counselling group
  • just medication - control
  • patients in 2 combination groups showed lower levels of symptoms than those in control
  • no difference in hospital readmissions
  • could be due to patients stopping meds due to side effects
  • effective
  • dual treatment for biological & psychological work more effectively in treating sz that 1 treatment alone
  • may reduce relapse rates over time
• evidence from sudak?

  • found that when patients had combined therapy of drugs & cbt were more likely to stick to treatment
  • cbt gives insight into advantages of taking drugs
  • effective
  • shows combined treatment leads to patient sticking to therapy more & being treated
  • would lead to longer positive effects of treatment
• * evidence from hogarty?

  • recorded 1st year relapse rates of 103 sz patients with various treatment programmes from high ee families
  • relapse rates for patients using drugs alone was 41% compared to 19% for family therapy & drugs combined
  • most effective - family therapy & social support therapy & drugs - 0% relapse rates
  • effective
  • shows combined treatment of biological & psychological treatments is more effective in treating sz long term
• X leads to patient distrusting therapist?

  • as patient undergoes drug therapy - side effects of dry mouth/tardive dyskinesia/confusion/paranoia
  • leads to patient feeling worse & worsen sz symptoms
  • may heighten delusions of persecution - do not trust therapist & not listen to advice/guidance
  • will not recover from sz
  • ? appropriate
  • downfall in 1 therapy may cause other one not to work so its not always appropriate to use them all together