Individuals taught to develop and apply effective coping strategies to reduce the frequency intensity and duration of psychotic symptoms and alleviate the accompanying distress - 2 components :
- education + rapport training - therapist + client work together to improve effectiveness of coping strategies and help develop new ones
- symptom targeting - specific symptoms targeted and coping strategies developed for each
strategy is practice during the session + the client is helped thru any probs applying it- then they are given homework tasks to ensure they practice strategies in the outside world + may keep a diary of how it has worked. The aim of CSE is to ensure the adoption of at least two appropiate strategies per distressing symptom.
Eg: cognitive coping strategies for managing hallucinations/delusions: distraction, concentrating on a specific task, positive self talk
E.g. of behavioural coping strategies: Initiation of social contract, withdrawal of social contract, relaxation techniques, breathing exercises, ways of drowning out hallucinatory voices
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