CBT is used to help schizophrenic patients to challenge their inaccurate and irrational beliefs. They believe that these thoughts can be combated with CBT, to help the patient decide what is reality and what isn't. Therefore CBT focuses on the positive symptoms and not on negative symptoms.
One type of CBT is belief modification, this requires teaching a patient how to challenge the delusional beliefs and hallucinations. This is called cognitive challenge and reality testing.
1) The therapist asks the patient to indentify the delutions and/or voices they hear.
2) Then the therapist and patient plan how to test the validity of these beliefs and perceptions.
3) The patient is then required to preform the tests on their own.
4) The client learns how to challenge the beliefs and perceptions and how to find alternative explinations.
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