Using cognitive behavioral therapy techniques to improve outcomes and medication adherence for patients with schizophrenia or other psychoses - essential reading for psychiatrists and other mental health care providers. An exclusive focus on biological models of schizophrenia and on antipsychotic drugs for the treatment of schizophrenia or other psychoses is increasingly being recognized as a barrier to effective treatment. Written by an expert team of psychiatrists and psychologists with wide experience of combining drug and psychological treatments, this book provides a practically oriented and clear overview of how to use CBT techniques in mental health services that have traditionally emphasized medication management. At the same time as respecting the important role of drug treatment, it shows clinicians how to achieve better outcomes with schizophrenia and other psychosis patients using CBT techniques. The book describes key adaptations of standard CBT approaches to improve treatment outcome in schizophrenia, the core techniques that have been found to be most effective, how to integrate the CBT approach into more traditional medication management, and how to use CBT techniques with individuals who feel stigmatized by a diagnosis of mental illness or by taking antipsychotic medications. Includes key symptom and coping assessments and practical pull-out strategy cards for both patient and clinician use, including treatment planning checklist, guided exploratory questions, logical reasoning strategy, hearing voices strategy.

InhaltsangabeTable of Contents Preface 1 Review of Treatment Approaches for Psychosis The Biomedical Model: Psychoeducation Directed Toward Medication Adherence - Family Therapy - Personal Therapy: An Individualized Stepwise Treatment Approach - Cognitive Remediation 2 Moving Beyond a Biological Model 3 Evidence Supporting the Use of Cognitive Behavioral Therapy for Psychosis 4 General Aspects of Treatment Treatment Goals and Treatment Components - Planning of Treatment Sessions - How to Get Patients Into Treatment: The Engagement Phase - Building a Stable Therapeutic Alliance - Special Aspects of Patient Treatment for Chronic Positive Symptoms 5 Cognitive Behavioral Therapy Strategies for Chronic Voice Hearing Reduction of Fear and Increase of Control: Focusing Techniques - Change of Evaluative Processes for Voice Hearing - Improving Coping Strategies 6 Cognitive Behavioral Therapy Strategies for Chronic Delusions Creating the Right Conditions for Change: Normalizing and Using Analogies - Strategies for Cognitive Restructuring of Persistent Delusions - Contradiction and Confirmation of Personal Experiences - Reality Testing and Behavior Experiments - Long-Term Stabilization of Achieved Therapy Effects 7 Why Psychopharmacology May Not Be Enough Basics of Using CBT for Patients Treated With Antipsychotic Medication - A Brief Overview of Antipsychotic Medications Choosing an Approach: Changing Medication, or a CBT Adjunct? 8 Cognitive Behavioral Therapy for Psychosis and Medication Adherence Understanding Medication Nonadherence: Taking the Patient's Perspective - Can a CBT Approach Encourage Nonadherence? - Is CBT Appropriate for Patients Who Refuse Medication? - Using CBT to Assess and Improve Adherence - Indications for the CBT Adherence Intervention - Understanding Adherence Attitudes: The Health Belief Dialogue 9 Adapting CBT for Psychosis Strategies to Specific Patient Needs FirstEpisode Psychosis DualDiagnosis Patients CBT for Psychotic Symptoms Occurring in Disorders Other Than Schizophrenia - Using CBT Strategies in Group Therapy Settings - Special Treatment Considerations: How to Deal With Treatment Obstacles 10 Case Examples References Appendix

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