CBT Flashcards

1
Q

What does CBTp stand for?

A

Cognitive behavioural therapy for psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is CBTp used to treat?

A

The residual symptoms that persist despite the use of antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the basic belief of CBTp?

A

That people have distorted beliefs which influence their feelings and behaviour in maladaptive ways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does CBTp treat delusions?

A

Helps patients recognise and correct their faulty interpretations of events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How many CBTp sessions does NICE reccomend?

A

At least 16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 6 steps of CBTp?

A

Assessment, engagement, ABC model, normalisation, critical collaborative analysis and developing alternative explanations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is assessment?

A

When the patient expresses their thoughts and discusses realistic goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is engagement?

A

When the therapist empaphises with the patient and stresses the importance of working together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the ABC model?

A

When the patient gives an explanation of the activating event, their irrational beliefs and the consequences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is normalisation?

A

When the patient’s psychotic experiences are placed on a continuum with normal experiences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is critical collaborative analysis?

A

When the therapist gently questions the patient’s illogical delusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is developing alternative explanations?

A

When healthier explanations are formed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 4 AO3 points of CBTp?

A

1) Advantages of CBTp over standard care
2) Lack of availability of CBTp
3) The benefits of CBTp may have been overstated
4) Limitations of non-drug therapies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What did a NICE review find about the effectiveness of CBTp?

A

That when paired with antipsychotics, CBTp was effective in reducing rehospitalisation rates up to 18 months after the end of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What has CBTp been found to reduce?

A

The severity of symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What has CBTp been found to improve?

A

Social functioning

17
Q

What is the main issue with most studies that look at the effectiveness of CBTp?

A

They investigate the simultaneous use of antipsychotics and CBTp so it’s is difficult to assess the effectiveness of CBTp independently

18
Q

In the UK, what proportion of schizophrenic patients have access to CBTp?

A

1 in 10

19
Q

Which review recommends CBTp as a schizophrenia treatment?

A

The NICE review

20
Q

In what parts of the UK is CBTp highly inaccessible?

A

The North-West

21
Q

In the North-West of England, what percentage of patients have access to CBTp?

A

6.9%

22
Q

What have more recent meta-analyses found about CBTp?

A

It may be less effective than initially thought

23
Q

What happened to the small therapeutic effect of CBTp when trials were double blind?

A

It disappeared

24
Q

Why may CBTp be unsuitable for schizophrenic patients?

A

It requires the engagement of the patient

25
Q

What does CBTp require high levels of?

A

Engagement

26
Q

Why are antipsychotics more attractive than CBTp?

A

Because they are easy to prescribe, easy to take and not time-consuming