Cognitive Behavioural Therapy

  • Created by: 0045253
  • Created on: 11-06-22 14:49
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  • Cognitive Behavioural Therapy
    • CBT assumes that these faulty cognitions make a person vulnerable to SZ.
    • Aims to challenge negative/ irrational beliefs by reality testing (patient taking an active role in their treatment).
      • Via Homework - recording when they have hallucinations/ delusions + testing the effectiveness of the coping strategies
        • Therapist uses this evidence to prove that irrational beliefs are incorrect.
    • CSE
      • cognitive strategies to cope with their hallucinations and delusions e.g. the use of distraction, concentrating on a specific task and positive self-talk
      • Behavioural strategies – relaxation techniques, initiating/ withdrawing social contact, finding ways to drown the voices by shouting STOP! or turning up the TV.
      • Practised in sessions then practised at home and keep a record of how it has worked, aim to find two strategies for each symptom.
      • P - Has practical issues
        • E - It requires regular therapy sessions over a long period of time.
          • E - Negative symptoms of SZ such as avolition can result in patient being not willing to engage, not completing homework.
            • L - This means CBT may not be an appropriate treatment for everyone.
      • P - There are other treatments (biological)
        • E - Psychological therapies are usually used in conjunction with antipsychotic medication as drugs increase the likelihood of patients complying with their psychological treatment programme.
          • L - This means that psychological treatments aren't the only effective treatment of SZ.
      • P - There's evidence to support the effectiveness.
        • E - Pilling et al. (2002) conducted a meta-analysis of CBT that included a total of 392 participants.
          • E - •Concluded that CBT was effective in improving mental state of patients both during treatment and at a follow up.
            • L - This shows that CBT is an effective treatment as it improves the mental state of patients.
      • P - There're economic implications of psychological treatments for SZ.
        • E - Drug therapies tend to be cheaper than psychological therapies as they don't require regular therapy appointments.
          • E - However, psychological therapies have led to a reduction in relapse rates and hospital stays which can be very costly to the economy.
            • L - This means that psychological treatments for SZ have a positive impact on the economy as it provides a more longterm strategy for relapse avoidance.


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