Schizophrenia is a psychotic disorder that is characterized by major disturbances in terms of thoughts, emotions, and behavior. The employed assessment methods consist of interviews, observation, psychological tests, and documentation. The subjects were schizophrenics with low self-esteem problems. The treatment strategy through Cognitive Behavioral Therapy (CBT) was aimed to change negative thoughts and maladaptive behavior to increase self-esteem. The result was a change in the form of thoughts or beliefs that everyone had weaknesses and strengths, including themselves, and an increase in self-esteem scores. Keywords: Schizophrenia, self-esteem, cognitive behavioral therapy

Subjek berusia 22 tahun dan belum menikah. Asesmen menggunakan wawancara, observasi, TAT, Grafis (DAP, BAUM), Skala Kecemasan dan WAIS. Hasil asesmen diketahui subjek memiliki kecemasan terhadap masa depan yang terlihat dari penghayatan subjek bahwa ia telah melakukan kesalahan yang tidak termaafkan Tuhan dan orang di sekitarnya. Konseling eksistensial humanistik menjadi pendekatan pilihan yang diperkirakan mampu membantu subjek agar mampu mengganti pemikiran-pemikiran pesimis mengenai dirinya dengan pemikiran yang lebih optimis serta membantu subjek dalam mengurangi kecemasan mengenai masa depan yang ia alami. Hasil dari intervensi didapatkan bahwa terjadi penurunan skor kecemasan. Subjek juga mulai produktif dan tidak mengalami keringat dingin saat mengingat masa depan.

This case report aims to demonstrate one therapy which improves self-esteem someone with schizophrenia by using Cognitive Behavioral Therapy. Schizophrenia is one of the main disorders that distract someone to function normally. From the results of the assessment by using interviews, observations, TAT, graphics (DAP, BAUM,), the SSCT and WAIS can be explained that the patient diagnosed schizophrenia is an individual with schizophrenia with low self-esteem problems. It is based on the emergence of traumatic experiences in childhood relating to the father figure as well as a traumatic experience with his environment, resulting in the individual having several cognitive distortions. Cognitive Behavioral Therapy (CBT) is an approach expected to help the client to replace negative thoughts about him with more rational thinking as well as Assisting clients in the effort to increase self-esteem in the future. CBT therapy involved four weekly 60 minutes sessions using Self Esteem Scale. The result of this study is Cognitive Behavioral Therapy (CBT) is effective in improving the self-esteem of patients with schizophrenia. After the end of four weekly sessions, the patient showed the positive side from several items of self-esteem that change into positive sides.