psychological therapies for schizo

Created by: Gemma
Created on: 04-05-14 10:36

Psychological therapies examples

CBT techniques, outcome studies, family intervention, psychodynamic techniques

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Main assumption of CBT

People have distorted beliefs which influences their behaviour in maladaptive ways e.g. Event: see a man outside house Interpretation: he's following me Feeling: scared/paranoid Behaviour: avoid going out

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CBT techniques

Patients are encouraged to trace back origins of symptoms to get a better idea of how the symptoms may have developed, analyse their faulty beliefs, patient also set behavioural assignments with the aim of improving their general level of functionin

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Gould et al - effectiveness of CBT

all 7 studies looked at, reported significant decrease in positive symptoms of schizo after CBT

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Kuipers et al - effectiveness of CBT

significant reduction in positive symptoms following CBT combined with antipsychotic drugs. Found lower drop out rate + more satisfaction with combined treatment

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Kingdon + Kirschen

found CBT wasnt appropriate for older patients because they wouldnt fully engage with the therapy

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Family intervention strategies?

By reducing levels of EE + stress + increase capacity of relative to solve related problems, this can help to reduce relapse rate.

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Family intervention strategies makes use of a no. of strategies

Forming an alliance with relatives who care for the person with schizo, reducing the emosh climate within family + the burden of care for family members, reducing relative ability to anticipate +solve problems.

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Is Family intervention strategies used alone?

no, it's used in conjunction with routine drug treatment + outpatient clinical care

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Brown et al - family intervention

Scizophrenics in families that experienced high levels of criticism/hostility had more freq. relapse than people with the same problem but who lived in families that were less expressive in their emotions

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NICE- family intervention

meta analysis, 32 studies, 2500 pps , found significant effectiveness of family intervention in treatment of schizo compared with patients receiving standard care alone. Relapse rate in intervention -26% , standard care - 50%

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Card 2

Front

Main assumption of CBT

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Card 3

Front

CBT techniques

Back

Card 4

Front

Gould et al - effectiveness of CBT

Back

Card 5

Front

Kuipers et al - effectiveness of CBT

Back

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psychological therapies for schizo