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10 - Schizophrenia and psychotic disorders

Published online by Cambridge University Press:  10 November 2010

By
Sandra Bucci  and
Nicholas Tarrier
Edited by
Stefan Hofmann  and
Mark Reinecke
Stefan Hofmann
Affiliation:
Boston University
Mark Reinecke
Affiliation:
Northwestern University, Illinois
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Summary

Schizophrenia and psychotic disorders involve significant changes in a person's beliefs, perceptions, behaviors, and emotions. The focus of cognitive-behavioral therapy for psychosis (CBTp) in recent years has targeted the positive symptoms of psychosis. Systematic reviews of studies of CBTp with schizophrenia demonstrate moderate effect sizes, which suggest that CBTp is a useful intervention for schizophrenia-related illnesses. This chapter describes the treatment for individual CBTp and it can be delivered in a variety of settings, including inpatient and outpatient settings and in the patient's home, no matter what the patient's stage of illness. The risk of suicide in patients suffering from schizophrenia is significant and will likely be a problem clinicians encounter at some stage when working with psychotic patients. It does require considerable skill, experience, and knowledge of CBT and psychosis, and does not lend itself easily to simple protocol format.

Keywords

cognitive-behavioral therapiesimpairmentpharmacotherapiestreatment protocolsocial anxiety disordersocial situations
Type
Chapter
Information
Cognitive-behavioral Therapy with Adults
A Guide to Empirically-informed Assessment and Intervention
 , pp. 135 - 148
Publisher: Cambridge University Press
Print publication year: 2010

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