Summary Notes covering psychological treatments for Sz

PSYCHOLOGICAL TREATMENTS:


CBT:Aims to help Sz identify + alter their irrational thinking =
Will not get rid of symptoms but help patients cope with them
better
STAGES OF SZ CBT

1. Assessment
a. Therapist encourages patient to explain concerns, describe
delusions + what they hope to achieve
2. Engagement
a. Patient begins to trust therapist = allowing maximum effectiveness
i. For CBT to work both parties must be honest + patient
3. ABC = Therapist aims to help patient understand what’s happening in real
life
a. = Antecedent = Triggers
b. = Behaviours = Reactions in situations
c. = Consquences = Impact of the reactions on relationships
4. Normalisation
a. Therapist helps patient realise its normal to have negative thoughts
in certain situations
i. Patient begins to feel less ashamed
5. Critical Collaborative Analysis
a. Logical discussion between T + P = Untill patient themselves
recognise the faulty thinking
i. Begin to develop ways to recognise faulty thoughts +
methods to challenge them
6. Developing alternative explanations
a. Allowing patients to now develop their own alternatives to their
maladaptive behaviours



FAMILY THERAPY:Aims to improve communication style within family
+ so reducing levels of EE = Reduce likelihood of relapse

FEATURES OF FAMILY THERAPY:

 Weekly meetings with family aiming to resolve conflict + identify
stressors
 PRELIMINARY ANALYSIS
o Therapist identifies strengths + weaknesses of family
members via observations + interviews with them
 INFORMATION TRANSFER
o Patient + family informed of actual facts about Sz
 Symptoms + effects of stress + guilt
 COMMUNICATION SKILLS TRAINING