Cognitive Treatments for Schizophrenia Flashcards
(15 cards)
What is CBT in the context of schizophrenia?
CBT (Cognitive Behavioural Therapy) is a talking therapy that helps individuals with schizophrenia identify and challenge distorted thinking patterns, particularly related to delusions and hallucinations.
What is the first step in the CBT process for schizophrenia?
Identifying Activating Events: The therapist and client work together to identify triggers (activating events) that lead to schizophrenic symptoms.
What is explored in the second step of CBT for schizophrenia?
Exploring Beliefs: They examine the client’s interpretations and beliefs about their symptoms.
What does the third step of CBT involve?
Recognising Consequences: They explore how beliefs affect the client’s emotions and behaviours.
What is the purpose of disputing irrational beliefs in CBT?
The therapist challenges the client’s beliefs through logical, empirical, and pragmatic disputing.
What is cognitive restructuring in CBT?
The goal is to replace irrational beliefs with more realistic, rational alternatives and equip the client with coping strategies.
What is a strength of CBT as a treatment for schizophrenia?
Effective in Reducing Symptoms: CBT has been shown to reduce positive symptoms, especially delusions, and lower relapse rates.
What is a limitation of CBT regarding negative symptoms?
Less Effective for Negative Symptoms: CBT focuses mainly on delusions and hallucinations; it has limited impact on negative symptoms like avolition or speech poverty.
What does CBT do regarding hallucinations?
Symptom Management, Not Elimination: CBT doesn’t eliminate hallucinations; it helps patients reframe them as less threatening.
What is a patient engagement issue with CBT?
CBT requires active participation, which may be difficult for those with avolition or speech poverty.
What is a common feature of treatments for schizophrenia?
All Have Supporting Evidence: Antipsychotics, Family Therapy, and CBT all have empirical support.
What is a drawback of antipsychotics compared to CBT and Family Therapy?
Side Effects vs No Side Effects: Antipsychotics often cause side effects, while CBT and Family Therapy do not.
How do accessibility and cost compare between treatments?
Antipsychotics are cheaper and easily prescribed, while CBT and Family Therapy are more expensive and require trained therapists.
What is an engagement difficulty associated with CBT and Family Therapy?
They require weekly sessions and active engagement, which may be hindered by symptoms like avolition or speech poverty.
How does Family Therapy differ from CBT?
Family Therapy involves family members, who can support communication and offer insights when the patient struggles.
