A03 for CBT

• * evidence from tarrier 2005?

  • reviewed 20 controlled trials of cbt using 739 patients
  • found presistent evidence of reduced symptoms especially positive ones
  • lower relapse rates & speedier recovery in short term
  • 50% of cbt experiences reduced psychotic episodes compared to 15% in control group
  • effective
  • has reduced symptoms
  • lower relapse rates so better for patients in short term
• X tarrier et al not effective in long term?

  • research highlights cbt effective in short term
  • still unknown whether its effective in long term
  • more research needs to be done
  • ? effective
  • may not be effective in long term leading to people relapsing
• * fewer side effects?

  • drug therapy many side effects varying from minor issues - dry mouth/confusion
  • severe long term conditions - tardive dyskinesia
  • cbt focuses on changing thought processes - no invasive effects
  • appropriate
  • fewer side effects
  • suitable for treating sz in all patients
  • does not cause additional harm
  • can be used more regularly for patients over long period of time
• X not appropriate for severe sz symptoms?

  • may not be able to identify irrational thoughts with therapist - speech poverty so will not be able to communicate properly in order to discuss issues
  • feel unmotivated - avolition
  • delusions of persecution may surface & develop distrust between them & therapist
  • ? appropriate
  • not suitable for everyone with disorder
  • especially those with severe sz & may be better treatments
• * evidence from sensky et al?

  • showed that patients who resisted drug therapy had reduction in +/- symptoms when treated by 19 sessions of cbt
  • continued to improve 9 months after treatment ended
  • effective
  • reduced relapse rates shows therapy tackles root cause of issues
  • helps to remove irrational thoughts & treat disorder unlike drug therapy which masks symptoms