Treatment

BRIEF SUMMARY

• Basic premise: "Similar to Cognitive-Behavioral Therapy (CBT) for other types of problems, CBT for schizophrenia involves establishing a collaborative therapeutic relationship, developing a shared understanding of the problem, setting goals, and teaching the person techniques or strategies to reduce or manage their symptoms."

• Essence of therapy: "The goal is not to 'cure' schizophrenia, but rather to improve the person’s ability to function independently, manage their schizophrenia, and to reduce the distress they experience in their daily life. Specific CBT approaches used in treating schizophrenia include cognitive restructuring, behavioral experiments / reality testing, self-monitoring and coping skills training. Unique considerations in treating schizophrenia include emphases on being non-confrontational and on normalizing psychotic experiences insomuch as they are on a continuum with non-psychotic experiences. CBT for schizophrenia can focus specifically on psychotic symptoms (i.e. hallucinations or delusional beliefs) but has also been shown to be helpful for addressing depression and / or anxiety associated with psychotic symptoms and their impact on the person’s life."

  https://div12.org/treatment/cognitive-behavioral-therapy-cbt-for-schizophrenia/
  

TREATMENT RESOURCES

TREATMENT MANUALS

The Indianapolis Vocational Intervention Program: a cognitive behavioral approach to addressing rehabilitation issues in schizophrenia. (Davis et al., 2005)

Social anxiety in schizophrenia: A cognitive behavioural group therapy programme (Kingsep, 2001)

Group CBT for psychosis: A guidebook for clinician (Lecomte et al., 2016)

Voices Group Protocol (Wykes et al., 1998)

CRITICAL STUDIES

Group cognitive-behavioural therapy for schizophrenia: randomised controlled trial (Barrowclough et al., 2006)

Enhanced cognitive-behavioral therapy for vocational rehabilitation in schizophrenia: Effects on hope and work (Bryson & Bell, 2005)

Group therapy for schizophrenia: A meta-analysis (Burlingame et al., 2020)

Predictors of the therapeutic alliance in group therapy for individuals with treatment‐resistant auditory hallucinations (Johnson et al., 2008)

Cognitive behavioural group treatment for social anxiety in schizophrenia (Kingsep, Nathan, & Castle, 2003)

Kognitive Verhaltenstherapie bei schizophrenen Patienten (Klingber & Buchkremer, 2001)

Group cognitive behavior therapy or social skills training for individuals with a recent onset of psychosis?: Results of a randomized controlled trial (Lecomte et al., 2008)

Group CBT for early psychosis—are there still benefits one year later? (Lecomte, Leclerc, & Wykes, 2012)

Enhanced cognitive-behavioral therapy for vocational rehabilitation in schizophrenia: effects on hope and work (Lysaker et al., 2005)

A randomized controlled trial of group cognitive-behavioral therapy vs. enhanced supportive therapy for auditory hallucinations (Penn et al., 2009)

A randomized controlled trial of group coping-oriented therapy vs supportive therapy in schizophrenia: results of a 2-year follow-up (Schaub et al., 2016)

What are the effects of group cognitive behaviour therapy for voices? A randomised control trial (Wykes et al., 2005)