cbt treatment of. sz

Question 1

CBT sz process

Answer 1

1-1 sessions with patient and therapist, weekly 8-20 sessions
Help patient cope and control behavior rather than eliminate symptoms
Process:

-Identify- irrational or upsetting thoughts, logging them as homework
-Challenge – look for evidence for or against delusions and beliefs to see they do not match reality, helping to change them and reduce their stress
-Normalizing- talk about life before symptoms to make sz seem normal, easier to cope with
-Focusing and reattribution- rationalize voice of hallucination to own inner voice
-Belief modification- challenging thought, no evidence for them to act on delusion
-Change –coping strategy to deal with upsetting thought, may be asked to change behavior and record experiences

Question 2

abc model sz

Answer 2

ABC model

Activating event
Belief
Consequence
Changing the belief changes the consequence

Question 3

Drake and sederer 1986

Answer 3

Drake and sederer 1986

Found that intense, over long therapies often led to worsening of the sz and negatively affects them in the long term
Patient is not getting better, may actually make symptoms worse

Question 4

Chadwick and Lowe 1994

Answer 4

Chadwick and Lowe 1994

Found that 10/12 patients showed a decrease in their belief in their delusions.5/12 managed to reject their delusions at the end of their therapy measured via self-report
Is effective in reducing symptoms such as delusions
OTOH only works for some patients as not everyone benefited-may only be effective in some cases?

Question 5

Bradshaw 1998 cbt eval

Answer 5

Bradshaw 1998

Assessed CBT in a case study with a female sz patient called carol and found considering improvement in functioning and symptoms over a 3-year treatment period and 1 year follow up
Symptoms are reduced, overall functioning is improved

Question 6

Sensky 2000

Answer 6

Sensky 2000

had some patients undergoing CBT from Newcastle, county Durham and London compared to a control group doing ‘unspecific befriending’. Both interventions resulted in similar reduction in positive and negative symptoms
Do not know the improvement is actually because of the therapy or just a correlation