Cognitive behaviour therapy in patients with schizophrenia who are not prescribed antipsychotic medication: A case series

Christodoulides, Thomas; Dudley, Robert; Brown, Sarah; Turkington, Douglas; Beck, Aaron T.

doi:10.1348/147608308x278295

Cited by 22 publications

(9 citation statements)

References 31 publications

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“…However, CBT for psychosis has yet to be formally evaluated in the absence of antipsychotic medication, although there have been a few case studies (Morrison, 1994) that have demonstrated acceptability and provided some support. More recently, two case series have demonstrated some benefits, with four cases of patients experiencing auditory hallucinations showing some gains in terms of symptoms, distress and disability (Morrison, 2001a) and three cases with a diagnosis of schizophrenia showing improvements in positive and negative symptoms (Christodoulides, Dudley, Brown, Turkington, & Beck, 2008).…”

Section: A Critical Analysis Of the Fep Studies: 2 Theoretical Undermentioning

confidence: 99%

Cognitive behaviour therapy for first episode psychosis: Good for nothing or fit for purpose?

Morrison

2009

Psychosis

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The main objective of this paper is to review the literature regarding studies of cognitive behaviour therapy (CBT) for people with first episode psychosis or early psychosis. A comprehensive search of the PsycINFO and MEDLINE databases identified twelve studies, including several randomised controlled trials and quasiexperimental studies. There were few significant differences between groups at end of treatment or at follow-up, and no differences in rates of relapse or readmission. The findings suggest, however, that CBT does have important benefits in terms of rate of recovery, improvements in certain symptoms (e.g. auditory hallucinations and hopelessness) and quality of life. Thus, there is modest support for the application of CBT for people experiencing early psychosis; however, the studies to date have difficulties with study design, theoretical underpinnings and how well the treatment targets fit with the CBT model. Future research addressing these issues is required to determine whether CBT for early psychosis may prove to be more effective than current data would suggest.

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Section: A Critical Analysis Of the Fep Studies: 2 Theoretical Undermentioning

confidence: 99%

Cognitive behaviour therapy for first episode psychosis: Good for nothing or fit for purpose?

Morrison

2009

Psychosis

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“…In their meta-analytical evaluation of controlled research and qualitative reviews, Roth and Fonagy [ 19 ] discussed numerous studies with favourable outcomes. CBTp has also been supported with favourable results of case series [ 20 ] and randomised control trials [ 21 ]. An RCT conducted by Tarrier et al [ 22 ] demonstrated that both positive symptoms of psychosis and accompanying emotional distress reduced considerably over the course of CBTp.…”

Section: Introductionmentioning

confidence: 99%

Cognitive Restructuring and Graded Behavioural Exposure for Delusional Appraisals of Auditory Hallucinations and Comorbid Anxiety in Paranoid Schizophrenia

Mankiewicz

Turner

2014

Case Reports in Psychiatry

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The prevalence of diagnostic comorbidity between psychosis and anxiety disorders has been found to be considerable. Cognitive models of psychosis suggest that anxiety does not arise directly from positive symptoms of schizophrenia but rather from an individual interpretation of such experiences. In the United Kingdom, cognitive-behavioural therapy for psychosis (CBTp) has been recommended within clinical guidelines as a psychological treatment of choice for those diagnosed with schizophrenia. However, despite empirical evidence supporting CBTp, the treatment provision remains infrequent and not routinely available. This case describes a successful implementation of CBTp. Sixteen sessions were delivered to a 40-year-old male with diagnoses of paranoid schizophrenia and comorbid anxiety, focusing primarily on cognitive restructuring of paranoid appraisals of auditory hallucinations and behavioural experiments employed progressively via graded exposure to anxiety-inducing stimuli. Standardised measurements, behavioural frequency sampling, and subjective data indicated a considerable reduction in both paranoia and anxiety. Also, the client's psychosocial functioning improved substantially. This report indicates that the treatment may help those with experiences of psychosis and comorbid anxiety reach a significant improvement in their quality of life and offers an encouraging and innovative perspective on direct engagement with the content of paranoia and voices at the onset of therapy.

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“…Cognitive behavioral therapy (CBT) focuses on the relationships between thoughts, beliefs, feelings, and behaviors. Recent meta‐analyses examining the efficacy of CBT in schizophrenia have reported significant improvements in positive and negative symptoms, mood, and functioning (Christodoulides, Dudley, Brown, Turkington, & Beck, ; Grant, Huh, Perivoliotis, Stolar, & Beck, ; Wykes, Steel, Everitt, & Tarrier, ). CBT is now a strongly recommended adjunct to medication treatment of schizophrenia in several national treatment guidelines (e.g., National Collaborating Centre for Mental Health, ).…”

Section: Treatmentmentioning

confidence: 99%

The Treatment of Adolescents With Schizotypal Personality Disorder and Related Conditions: A Practice-Oriented Review of the Literature

Ryan¹,

Macdonald²,

Walker³

2013

Clin Psychol Sci Pract

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Adolescents with schizotypal personality disorder (SPD) exhibit a wide range of symptomatology, including cognitive and perceptual abnormalities, suspiciousness, eccentric behavior, cognitive deficits, and social skills deficits. This symptomatology is often accompanied by reduced social and role functioning, comorbid psychopathology, and poor long-term outcomes. Although there is little treatment research for SPD among adolescents, research on the treatment of other schizophrenia spectrum disorders and syndromes (e.g., clinical high risk for psychosis) can be used to inform clinical practice. A review of the literature suggests that a combination of cognitive behavioral therapy, cognitive training, omega-3 fatty acid supplementation, and treatment for any comorbid substance use disorders is currently the best supported treatment plan. Other promising treatments are also discussed.

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Cognitive behaviour therapy in patients with schizophrenia who are not prescribed antipsychotic medication: A case series

Abstract: CBT is a feasible treatment for people with schizophrenia who are not prescribed antipsychotic medication. It may be a valuable alternative to medication in treating symptoms of schizophrenia.

Cited by 22 publications

References 31 publications

Cognitive behaviour therapy for first episode psychosis: Good for nothing or fit for purpose?

Cognitive behaviour therapy for first episode psychosis: Good for nothing or fit for purpose?

Cognitive Restructuring and Graded Behavioural Exposure for Delusional Appraisals of Auditory Hallucinations and Comorbid Anxiety in Paranoid Schizophrenia

The Treatment of Adolescents With Schizotypal Personality Disorder and Related Conditions: A Practice-Oriented Review of the Literature

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