This study provides preliminary evidence that CT is an acceptable and effective treatment for people with psychosis who choose not to take antipsychotic medication. An adequately powered randomized controlled trial is warranted.
Trauma within psychosis is often undiagnosed or untreated. There is a wide body of literature on the efficacy of cognitive behaviour therapy (CBT) for post-traumatic stress disorder (PTSD), but there has been no report of combining CBT for psychosis and CBT for PTSD in modular form. The authors discuss a combined treatment for two patients with psychosis and a history of trauma. The clinical features, process of therapy, and outcome are all described in relation to cognitive therapy models developed for use in PTSD. The implications for therapy, service development, and training are discussed.
Exercise is generally accepted as means of improving mental health yet few studies have examined its use in specific disorders. This study examines delivery and efficacy of cognitive behaviour therapy (CBT) for panic and agoraphobia combined with a gym-based exercise programme in a Healthy Living Centre. Preliminary evidence for this novel service has shown Group CBT followed by exercise targeting safety behaviours to be clinically successful and acceptable to clients. Details of the pilot service and some of the clinical issues are discussed
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