Cognitive behavioral therapy for psychosis in clinical practice.

Abstract

Across two continents, Cognitive-Behavioral Therapy for Psychosis (CBT-P) has been endorsed as an adjunctive treatment for individuals who experience persistent positive symptoms of schizophrenia. The moderate effect sizes reported in early studies and reviews were followed by better controlled studies indicating more limited effect sizes. This article provides a review of the literature that addresses the effectiveness of CBT-P, including particular areas of emphasis and practice elements associated with this approach. In addition, because the majority of research on CBT-P has been performed in the United Kingdom, implications for implementation and sustainability of this practice in the United States are presented.

Psychological Therapies for Auditory Hallucinations (Voices): Current Status and Key Directions for Future Research

“…Psychological therapies are widely recommended in clinical practice guidelines as part of the treatment for people who experience psychotic phenomena, particularly for those with medication-refractory psychotic experiences. 3,4 While previous reviews have considered psychological therapies for psychosis broadly, including recent reviews of practice, 5 outcomes, 6,7 new developments, 8 and implementation issues, 9 no recent reviews have focused on therapies for hallucinations. Yet, hallucinations, particularly in the form of hearing voices, are a frequent source of distress and interference with functioning, resulting in them being a major target of psychological therapies for psychosis.…”

Psychiatric symptoms in glioma patients: from diagnosis to management

“…To reduce anxiety and disorientation, nursing provided by a familiar face, regular reassurance, de-escalation, and reorientation can provide relief. Other options include CBT for psychosis,98 or a combination with coping enhancement such as hallucination-focused integrative therapy, which has been shown to improve the quality of life 99. Mindfulness-based interventions100 and acceptance and commitment therapy101 for treating the emotional problems that may follow a psychotic episode have also been investigated, and show promising results.…”

Randomized controlled trial of cognitive-motivational therapy program (PIPE) for the initial phase of schizophrenia: Maintenance of efficacy at 5-year follow up✰

“…Cognitive Behavioral Therapy (CBT) has been shown by numerous studies to be an effective treatment for schizophrenia (Pfammatter, Junghan, & Brenner, 2006;Rothwell & Duffy, 1999;Turner, van der Gaag, Karyotaki, & Cuijpers, 2014). However, this treatment provides patients with only modest benefits in terms of reduction in symptoms, and the effects of the treatment are only moderate in size (Sivec & Montesano, 2012;Westermann & Cavelti, 2015). Interventions carried out during the critical initial phases of the disorder have met with promising results (Lutgens et al, 2015).…”

“…Among the gaps in the existing research is a lack of experiments demonstrating the lasting benefits of such techniques throughout the therapeutic process and of research into how they can be incorporated into a comprehensive treatment program (Rusch & Corrigan, 2002). There are also no long-term studies demonstrating the sustainability of the results Bertelsen et al, 2008;Sivec & Montesano, 2012). In light of these gaps in the research, an integrated program based on motivational interviews was developed (Palma, 2015)in order to be applied to the treatment of initial episodes.…”