Briefly evaluate CBT modify Siwan’s symptoms (10)

• Para 1: cognitive behavioural therapy

  • P: Cognitive behavioural therapy (CBT) can be effective in helping individuals like Siwan manage symptoms such as hallucinations, delusions, and disorganised thinking.

  • E: CBT aims to help patients identify and challenge irrational beliefs and develop coping strategies. Kuipers et al. (1997) found that 50% of schizophrenic patients receiving CBT plus standard care improved, compared to only 31% in a standard care-only group.

  • E: This suggests that CBT can reduce the distress caused by positive symptoms, particularly when medication alone is ineffective.

  • L: for someone like Siwan, who experiences both hallucinations and delusions, CBT could help her question the validity of her beliefs and reduce their emotional impact.
• Para 2: cognitive behavioural therapy

  • P: However, the effectiveness of CBT is inconsistent and possibly short-term.

  • E: Jauhar et Al. (2014) found only a small therapeutic effect, though Morrison et al (2014) later reported significant improvements - suggesting that outcomes may depend on patient involvement or other confounding factors like treatment preference.

  • E: Additionally, Tarrier et Al (2004) found that relapse rates 18 months after CBT were no better than standard care, indicating the effects may not last.

  • L: Still, those who had CBT reported reduced distress from symptoms, showing that while CBT may not prevent relapse, it can improve quality of life by helping individuals cope with their condition more effectively.
• Conclusion

  In conclusion, CBT may not cure schizophrenia or offer long-term protection from relapse, but it can help patients like Siwan reduce the distress of their symptoms and function better day-to-day - especially when used alongside medication.