Cognitive Behaviour Therapy

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Cognitive behavioural therapy (CBT) is a psychotherapeutic approach that addresses dysfunctional emotions, behaviours, and cognitions through a goal-oriented, systematic process. The name refers to behaviour therapy, cognitive therapy, and to therapy based upon a combination of basic behavioural and cognitive research. CBT was primarily developed through an integration of behaviour therapy (first popularized by Edward Thorndike) with cognitive therapy (developed by Aaron Beckand and Albert Ellis). While rooted in rather different theories, these two traditions found common ground in focusing on the "here and now", and on alleviating symptoms. CBT is thought to be effective for the treatment of a variety of conditions; this includes psychotic disorders, in particular, schizophrenia. Within schizophrenia, the most common symptoms which may be amendable to CBT interventions are: * Hallucinations: Particularly auditory hallucinations (i.e. experiencing unusual or distorted sensory perceptions which do not seem to exist outside one’s perception) * Delusions: false beliefs that persist despite a lack of evidence and are not explained by cultural norms. * Problems with mood: Such as depression or anxiety

* Related problems: Such as low self-esteem, relationship problems and social withdrawal. The aims of CBT for psychosis are usually to help the client manage with psychotic symptoms better, to reduce the stress and disability caused by those symptoms and to reduce the risk of relapse. To do this building a collaborative relationship and a formulation which can give an alternative, non-stigmatising account of the symptoms is vital. In spite of the growing support for the role of CBT in treating psychosis, there are factors associated with the experience of psychosis that do not readily lend themselves to this framework. These include issues of reintegration, feeling out of control, and alteration to the sense of self. What is emerging is the concept of...
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