Cognitive Therapies of Schizophrenia - CBT

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People with schizophrenia have maladaptive thinking and distorted perceptions and so Cognitive Behavioural Therapy (CBT) aims to change the way sufferers think about these symptoms. The term CBT is an umbrella term that incorporates several different adaptations of therapy. One adaptation is Coping Strategy Enhancement (CSE). This aims to teach individuals to develop and apply effective coping strategies which will reduce the frequency, intensity and duration of psychotic symptoms and alleviate the accompanying distress. There are two components to CSE. The first is Education and Rapport Training - the therapist and client work together to improve the effectiveness of the client's own coping strategies and develop new ones. For example, Tarrier introduced the use of distraction and concentrating on a specific task to attempt to focus the mind away from the hallucinations. The second component of CSE is Symptom Targeting - this is where a specific symptom will be selected for which a particular coping strategy can be devised. For example, if the client finds hallucinatory voices particularly distressing a coping strategy could be to turn up the volume on the TV or to


Theresa Mulenga


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