Cognitive Therapies: An Evalution
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Cognitive therapies suggest that certain patterns of thinking can cause symptoms by creating a distorted picture of the world around us and causing anxiety, depression or anger (Cognitive). Behavioral therapy is designed to weaken the association between troubling situations and habitual responses to them. A combination of these therapies has been found to be more effective than other types of psychotherapy for treating psychological problems, including panic attacks and depression (Cognitive-Behavioral, 2004). CBT was originally developed to treat depression, but is now used to treat a variety of other conditions and is considered the first line of treatment for anxiety and depression (Massachusetts, 2004). It has recently become recognized as a treatment for schizophrenia. In Britain and abroad, it has been found to significantly reduce distress, psychotic symptoms, and negative symptoms for people with schizophrenia. A panel of experts recently recommended CBT be used in the United States as the state-of-the-art treatment for schizophrenia. CBT with schizophrenia patients only works if the psychiatrist accepts the patient's view of reality and helps them use this misconception to manage life's problems (Cognitive-behavioral, 2004). The aim is to free the patient from stress and reduce their symptoms so that they can function in society. CBT focuses on current happenings and helps the patient solve problems and change their distorted thinking
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and making note of what triggers the hallucinations. Ideas about the voices are shared in therapy sessions and challenged. Both patients and relatives are encouraged to come up with solutions to deal with the voices. HIT subjects improved on almost every domain at 18-month follow-up in contrast to controls, and improved significantly on social functioning.
A 3-year CBT case study of a woman with schizophrenia showed major improvements in psychosocial functioning, attainment of treatment goals, and reduction of symptoms and hospitalizations at one year follow-up (Bradshaw, 1998). This case extended the previous limited use of CBT in short term treatment of delusions and hallucinations to the multiple problems faced by patients with chronic schizophrenia. Work in the later stages of treatment concentrated on the deleterious effects of illness on the woman's sense of self, heightened sense of vulnerability, limited self concept and poor self-esteem. Critical to the success of achieving her goals was examining the evidence, finding alternative explanations and graded tasks in these areas.
Cognitive behavioral therapy (CBT) has been proven to be effective as an adjunct therapy used in combination with antipsychotic medic
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Approximate Word count = 2101
Approximate Pages = 8 (250 words per page)
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