CBT

• Effectiveness - Jauhar reviewed the results of 34 studies of CBT for schizophrenia and found that CBT has a significant but fairly small effect on positive and negative symptoms. NICE found that CBT was effective in reducing rehospitalisation rates up to 18 months following the end of treatment. / Most studies on the effectiveness of CBT have been conducted with patients treated at the same time with antipsychotic medication. Confounding variable so no cause and effect.
• Practicality - It is estimated that only 1 in 10 patients who would benefit from CBT can get access to this therapy. A survey by Haddock found that in the NW, of 187 randomly selected SZ patients, only 6.9% had been offered CBT and of those offered a significant number failed or refused to attend the therapy sessions due to symptoms like avolition – low motivation to attend - and paranoid delusions – don’t trust therapist with information about their life. / May exaggerate psychological harm + lead to patient blaming.