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Cognitive Behavior Therapy for Psychosis

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Textbook of Community Psychiatry
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Abstract

Cognitive behavior therapy is the psychological approach adapted for psychosis that has been best researched. It provides benefits which supplement medication but it remains limited in availability. Assessment, engagement, case conceptualization, and specific work with hallucinations, delusions, and negative symptoms have been adapted for clinical practice and are described here. Recent approaches are focusing on paranoia, mindfulness, trauma, and voices. The goal is self-determined recovery which will take into account mental health issues and social concerns, e.g., accommodation, employment, and relationships.

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References

  • Barrowclough C, Haddock G, Wykes T, Beardmore R, Conrod P, Craig T, et al. (2010) Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: randomised controlled trial. BMJ. 341: c6325.

    Article  Google Scholar 

  • Beck AT, Grant PM, Huh GA, Perivoliotis D, Chang NA. (2013) Dysfunctional attitudes and expectancies in deficit syndrome schizophrenia. Schizophr Bull. 39(1): 43-51.

    Article  Google Scholar 

  • Chadwick P, Strauss C, Jones AM, Kingdon D, Ellett L, Dannahy L, et al. (2016) Group mindfulness-based intervention for distressing voices: A pragmatic randomised controlled trial. Schizophr Res. 175(1-3): 168-73.

    Article  Google Scholar 

  • Freeman D, Dunn G, Startup H, Pugh K, Cordwell J, Mander H, et al. (2015) Effects of cognitive behaviour therapy for worry on persecutory delusions in patients with psychosis (WIT): a parallel, single-blind, randomised controlled trial with a mediation analysis. Lancet Psychiatry. 2(4): 305-13.

    Article  Google Scholar 

  • Grant PM, Huh GA, Perivoliotis D, Stolar NM, Beck AT. (2012) Randomized trial to evaluate the efficacy of cognitive therapy for low-functioning patients with schizophrenia. Arch Gen Psychiatry. 69(2): 121-7.

    Article  Google Scholar 

  • Haddock G, McCarron J, Tarrier N, Faragher EB. (1999) Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychol Med. 29(4): 879-89.

    Article  Google Scholar 

  • Hayes SC, Strosahl KD, Wilson KG. (1999) Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press, New York City, NY.

    Google Scholar 

  • Hazell C, Hayward M, Strauss C, Kingdon D. (2018) An introduction to self-help for distressing voices. Robinson, London.

    Google Scholar 

  • Jaspers K. (1997) General psychopathology. JHU Press; Nov 27. P.95.

    Google Scholar 

  • Kane JM, Robinson DG, Schooler NR, Mueser KT, Penn DL, Rosenheck RA, et al. (2016) Comprehensive Versus Usual Community Care for First-Episode Psychosis: 2-Year Outcomes From the NIMH RAISE Early Treatment Program. Am J Psychiatry. 173(4): 362-72.

    Article  Google Scholar 

  • Keepers GA, Fochtmann LJ, Anzia JM, Benjamin S, Lyness JM, Mojtabai R, et al. (2020) The American Psychiatric Association Practice Guideline for the Treatment of Patients With Schizophrenia. American Journal of Psychiatry. 177(9): 868-72.

    Article  Google Scholar 

  • Kingdon DG, Ashcroft K, Bhandari B, Gleeson S, Warikoo N, Symons M, et al. (2010) Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma. J Nerv Ment Dis. 198(6): 399-403.

    Article  Google Scholar 

  • Kingdon D, Turkington D. (2004) Cognitive therapy of schizophrenia. Guilford

    Google Scholar 

  • Kreyenbuhl J, Buchanan RW, Dickerson FB, Dixon LB. (2010) The schizophrenia patient outcomes research team (PORT): updated treatment recommendations 2009. Schizophrenia Bulletin. 36(1): 94-103.

    Article  Google Scholar 

  • Leff J, Williams G, Huckvale MA, Arbuthnot M, Leff AP. (2013) Computer-assisted therapy for medication-resistant auditory hallucinations: proof-of-concept study. Br J Psychiatry. 202: 428-33.

    Article  Google Scholar 

  • McCabe R, John P, Dooley J, Healey P, Cushing A, Kingdon D, et al. (2016) Training to enhance psychiatrist communication with patients with psychosis (TEMPO): cluster randomised controlled trial. Br J Psychiatry. 209(6): 517-24.

    Article  Google Scholar 

  • McKenna P, Leucht S, Jauhar S, Laws K, Bighelli I. (2019) The controversy about cognitive behavioural therapy for schizophrenia. World Psychiatry. 18(2): 235-6.

    Article  Google Scholar 

  • Morrison AP, French P, Stewart SL, Birchwood M, Fowler D, Gumley AI, et al. (2012) Early detection and intervention evaluation for people at risk of psychosis: multisite randomised controlled trial. BMJ. 344: e2233.

    Article  Google Scholar 

  • Morrison AP, Pyle M, Chapman N, French P, Parker SK, Wells A. (2014a) Metacognitive therapy in people with a schizophrenia spectrum diagnosis and medication resistant symptoms: a feasibility study. Journal of Behavior Therapy and Experimental Psychiatry. 45(2): 280-4.

    Article  Google Scholar 

  • Morrison AP, Turkington D, Pyle M, Spencer H, Brabban A, Dunn G, et al. (2014b) Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: a single-blind randomised controlled trial. Lancet. 383: 1395-1403

    Article  Google Scholar 

  • Naeem F, Kingdon D, Turkington D. (2005) Cognitive behavior therapy for schizophrenia in patients with mild to moderate substance misuse problems. Cogn Behav Ther. 34(4): 207-15.

    Article  Google Scholar 

  • NICE. (2014) Psychosis and schizophrenia in adults: prevention and management. NICE

    Google Scholar 

  • Priebe S, Kelley L, Omer S, Golden E, Walsh S, Khanom H, et al. (2015) The Effectiveness of a Patient-Centred Assessment with a Solution-Focused Approach (DIALOG+) for Patients with Psychosis: A Pragmatic Cluster-Randomised Controlled Trial in Community Care. Psychother Psychosom. 84(5): 304-13.

    Article  Google Scholar 

  • Sensky T, Turkington D, Kingdon D, Scott JL, Scott J, Siddle R, et al. (2000) A randomized controlled trial of cognitive-behavioral therapy for persistent symptoms in schizophrenia resistant to medication. Arch Gen Psychiatry. 57(2): 165-72.

    Article  Google Scholar 

  • Shawyer F, Farhall J, Thomas N, Hayes SC, Gallop R, Copolov D, et al. (2017) Acceptance and commitment therapy for psychosis: randomised controlled trial. Br J Psychiatry. 210(2): 140-8.

    Article  Google Scholar 

  • Steel C, Korrelboom K, Fazil Baksh M, Kingdon D, Simon J, Wykes T, et al. (2020) Positive memory training for the treatment of depression in schizophrenia: A randomised controlled trial. Behav Res Ther. 135: 103734.

    Article  Google Scholar 

  • Tai SJ. (2009) Using Perceptual Control Theory and the Method of Levels to work with people who experience psychosis. The Cognitive Behaviour Therapist. 2(3): 227-42.

    Article  Google Scholar 

  • Turkington D, Munetz M, Pelton J, Montesano V, Sivec H, Nausheen B, et al. (2014) High-yield cognitive behavioral techniques for psychosis delivered by case managers to their clients with persistent psychotic symptoms: an exploratory trial. J Nerv Ment Dis. 202(1): 30-4.

    Article  Google Scholar 

  • Turkington D, Kingdon D, Rathod S, Hammond K, Pelton J, Mehta R. (2006) Outcomes of an effectiveness trial of cognitive-behavioural intervention by mental health nurses in schizophrenia. The British Journal of Psychiatry. 189(1): 36-40.

    Article  Google Scholar 

  • van den Berg DP, de Bont PA, van der Vleugel BM, de Roos C, de Jongh A, Van Minnen A, et al. (2015) Prolonged exposure vs eye movement desensitization and reprocessing vs waiting list for posttraumatic stress disorder in patients with a psychotic disorder: a randomized clinical trial. JAMA Psychiatry. 72(3):259-67.

    Article  Google Scholar 

  • Wells A. (2011) Metacognitive therapy for anxiety and depression. Guilford Press, New York City, NY.

    Google Scholar 

  • Wright N, Turkington D, Kelly O, Davies D, Jacobs A, Hopton J. (2014) Treating Psychosis: A Clinician's Guide to Integrating Acceptance and Commitment Therapy, Compassion-Focused Therapy, and Mindfulness Approaches within the Cognitive Behavioral Therapy Tradition. 2014. New Harbinger Publications, Oakland, CA.

    Google Scholar 

  • Wright JH, Turkington D, Kingdon DG, Basco MR. (2009) Cognitive-behavior Therapy for Severe Mental Illness: An Illustrated Guide. American Psychiatric Publishers, Inc, Washington, DC.

    Google Scholar 

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Correspondence to David Kingdon .

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Kingdon, D., Turkington, D. (2022). Cognitive Behavior Therapy for Psychosis. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_44

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