CBT for Psychosis - Selfhelp in Busy Clinics Possible, Suggests Latest Research Study

from a recent presentation:

Can cognitive behavioral therapy (CBT) be used in a busy practice setting for psychosis? Farooq Naeem, MD, and colleagues set out to prove that it was feasible in a brief self-help form. He discussed the results in his APA 2016 presentation, “New Directions in CBT for Psychosis (CBTp): CBTp in Busy Clinics Using a Guided Self-Help Approach.”

In settings with limited resources, it can often be challenging to implement psychosocial resources for patients in remission from psychosis who continue to have residual positive and negative symptoms despite medication.

Guided self-help includes the above materials; however, it also involves brief sessions with someone to facilitate self-help. The facilitator can be a layperson, case manager, nurse, or therapist (in the last case, the contact would be at a minimum, often less than 25% of normal therapy sessions). The guidance could be face-to-face contact, by telephone, by email, or by any other communication method, flexible to the circumstances of the individual in need.

Results indicated significant reductions compared with TAU (treatment as usual) in positive and negative symptoms, hallucinations, and delusions, and an improvement in overall function and level of disability, based on measurements on the Positive and Negative Symptom Scale, the Psychotic Symptom Rating Scale, and the World Health Organization Disability Assessment Schedule 2.0.

However, Dr Naeem noted that the study is limited by its small scale and is predominantly focused on the feasibility of the intervention rather than on efficacy.

The participants were highly motivated, were already engaged in treatment, and had only moderate levels of psychopathology and disability. Furthermore, they were generally well educated (64% had a college degree), and the majority (76%) were employed.

Read the full story here:

http://www.psychiatrictimes.com/apa-2016-Schizophrenia/cbt-psychosis

LEARN MORE:

Cognitive Behavioral Therapy for Schizophrenia – Video Series

http://schizophrenia.com/?p=632

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I wrote a paper on this sophomore year :slight_smile:

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I found CBT helpful but inadequate to the demands of my illness.