cognitive behaviour therapy

• aims to identify and alter irrational thinking

  general belief, self image, beliefs about what others think, expectations on how others act, methods of coping
• usually requires 5-20 sessions individually or as a group and does not get rid of symptoms but helps them cope
• patients can make sense of hallucinations and delusions and how they impact thoughts and beliefs
• helps reduce anxiety by understanding how these thoughts are not reality
• therapist encourages patient to explain concerns

  describe delusions, reflecting on relationships, laying out what they want to achieve
• therapist and patient must trust and work together

  honesty, patience and acceptance
• what triggers the problem

  how do you react

  what impact does this have on relationships
• NORMALISATION - no need to feel ashamed
• let the patient develops alternatives to maladaptive behaviours
• strengths


  reduces relapses and readmissions to hospital

  turkington - should be mainstream as it is highly effective

  tarrier - reduced symptoms especially positive ones and lower relapse rate
• weakness


  requires self awareness and willingness to engage - held back by symptoms of schizophrenia

  takes month compared to antipsychotics

  addington - has little use in the early stages of an acute schizophrenic break

  kingdon + kirschen - not suitable for all patients especially those who are thought orientated and disorganised