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Written specifically with sufferers and carers in mind, to help them understand and apply the basic concepts of cognitive therapy for psychosis.Illustrates what it is like to have common psychosis and how people's lives can be restored using therapy.Increases understanding of how the psychosis started, and the factors that worsen symptoms or increase the likelihood of relapse.Helps the sufferer learn how to control symptoms and delay or prevent relapse.Includes features and exercises to help sufferers explore their own beliefs and feelings to reflect on the way they cope.Helps carers know what to say and what to do.Provides a resource for mental health professionals working with patients, to introduce the approach, support ongoing therapy and make the most efficient use of appointment time.
This chapter aims to offer the reader guidance in how to
begin the process of understanding what is wrong with them. It suggests how
the road to recovery might be found and how to begin to walk along that
path. Simple CBT techniques are described to help you start to take control
of your life again.
Little is known about the medium-term durability of cognitive–behavioural therapy (CBT) in a community sample of people with schizophrenia.
To investigate whether brief CBT produces clinically important outcomes in relation to recovery, symptom burden and readmission to hospital in people with schizophrenia at 1-year follow-up.
Participants (336 of 422 randomised at baseline) were followed up at a mean of 388 days (s.d. =53) by raters masked to treatment allocation (CBT or usual care).
At 1-year follow-up, participants who received CBT had significantly more insight (P=0.021) and significantly fewer negative symptoms (P=0.002). Brief therapy protected against depression with improving insight and against relapse; significantly reduced time spent in hospital for those who did relapse and delayed time to admission. It did not improve psychotic symptoms or occupational recovery, nor have a lasting effect on overall symptoms or depression at follow-up.
Mental health nurses should be trained in brief CBT for schizophrenia to supplement case management, family interventions and expert therapy for treatment resistance.
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