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Feasibility and Benefit of Cognitive Behavioural Therapy for Psychosis via Teleconsultation in Indonesia: A Case Study of a 40-Year-Old Schizoaffective Disorder Patient

Published online by Cambridge University Press:  29 July 2022

Bianca Sutjiono ,
Shafira Fawzia Ahmad  and
Edo S. Jaya Open the ORCID record for Edo S. Jaya [Opens in a new window]
Bianca Sutjiono*
Affiliation:
Indonesian Psychological Healthcare Center, Jakarta, Indonesia
Shafira Fawzia Ahmad
Affiliation:
Indonesian Psychological Healthcare Center, Jakarta, Indonesia
Edo S. Jaya
Affiliation:
Indonesian Psychological Healthcare Center, Jakarta, Indonesia Faculty of Psychology, Universitas Indonesia, Depok, Indonesia
*
*Corresponding author: Bianca Sutjiono, Indonesian Psychological Healthcare Center, Jakarta, Indonesia. Email: biancasutjiono@indopsycare.com
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Abstract

Whilst Cognitive Behavioural Therapy for Psychosis (CBTp) has been found to reduce psychotic symptoms, most evidence supporting its implementation originates from studies in Western and high-income countries. Furthermore, questions remain regarding the efficacy of CBTp conducted via teleconsultation. Herein we report an ongoing case in Indonesia involving an individual with schizoaffective disorder, who received 60 sessions of CBTp over seven months. Sessions were delivered via a combination of voice and video calls. The patient, a 40-year-old male, was diagnosed with schizoaffective disorder at the age of 26. He exhibited symptoms of paranoid and religious delusions, hallucinations (auditory, visual, and somatic) and disorganised speech during our intake interview. Negative symptoms were not apparent. In the 14 years prior to our initial consultation, the patient was prescribed antipsychotics and demonstrated good adherence. He had no history of psychotherapy independent of our clinic. Treatment involved CBTp techniques, including psychoeducation, a symptom diary, relaxation, and behavioural experiments. Study outcome was assessed with Psychotic Symptom Rating Scales. Both hallucination and delusion subscale scores improved 53% from 53 at intake to 25 during an assessment administered 6 months later. Results from this study demonstrate that the CBTp is both feasible, and beneficial, when conducted via teleconsultation in Indonesia.

Keywords

schizophreniacase reportPSYRATSIndonesia
Type
Shorter Communication
Information
Behaviour Change , Volume 40 , Issue 3 , September 2023 , pp. 155 - 168
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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