When psychopharmacology is not enough: using cognitive behavioral therapy techniques for persons with persistent psychosis
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Cambridge, MA [u.a.]
Hogrefe
2011
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Physical Description: | XIV, 125 S. Ill., graph. Darst. 4 Beil. |
| ISBN: | 9780889373686 |
Staff View
MARC
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| 245 | 1 | 0 | |a When psychopharmacology is not enough |b using cognitive behavioral therapy techniques for persons with persistent psychosis |c Rebekka Lencer ... |
| 264 | 1 | |a Cambridge, MA [u.a.] |b Hogrefe |c 2011 | |
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Record in the Search Index
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| adam_text | Using cognitive behavioral therapy techniques to
improve outcomes and medication adherence for
patients with schizophrenia or other psychoses
-
essen-
IS Nut EnOUgn tial 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 inte¬
grate the CBT approach
inta
more traditional medication management, and how to use CBT
techniques wtth
individuais
who feel stigmatized by a diagnosis of mental illness or by taking
sñtipsyehotie
medications.
Includes key symptom and coping assessments and practical pull-out strategy cards for both
patient
and
clinician
иѕе,
including treatment planning checklist, guided exploratory questions,
logicai
reasoning strategy, hearing voices strategy.
Table of
Contents
Preface to the American Edition
(2010)......................................xi
Preface to the German Edition
(2006)......................................xiii
1
Review of Treatment Approaches for Psychosis
..............................1
1.1
The
Biomedical
Model: Psychoeducation Directed Toward Medication
Adherence
.........................................................1
1.2
Family Therapy
.....................................................3
1.3
Personal Therapy: An Individualized Stepwise Treatment Approach
...........5
1.4
Cognitive Remediation
...............................................7
2
Moving Beyond a Biological Model
......................................12
3
Evidence Supporting the Use of Cognitive Behavioral Therapy for Psychosis
........15
4
General Aspects of Treatment
..........................................18
4.1
Treatment Goals and Treatment Components
............................18
4.2
Planning of Treatment Sessions
.......................................20
4.3
How to Get Patients Into Treatment: The Engagement Phase
................22
4.4
Building a Stable Therapeutic Alliance
.................................25
4.5
Special Aspects of Patient Treatment for Chronic Positive Symptoms
.........31
5
Cognitive Behavioral Therapy Strategies for Chronic Voice Hearing
..............33
5.1
Reduction of Fear and Increase of Control: Focusing Techniques
............33
5.2
Change of Evaluative Processes for Voice Hearing
........................35
5.3
Improving Coping Strategies
.........................................37
6
Cognitive Behavioral Therapy Strategies for Chronic Delusions
.................43
6.1
Creating the Right Conditions for Change: Normalizing and Using Analogies
. .43
6.2
Strategies for Cognitive Restructuring of Persistent Delusions
...............47
6.3
Contradiction and Confirmation of Personal Experiences
...................53
6.4
Reality Testing and Behavior Experiments
..............................56
6.5
Long-Term
Stabilization of Achieved Therapy Effects
.....................58
7
Why Psychopharmacology May Not Be Enough
.............................59
7.1
Basics of Using CBT for Patients Treated With Antipsychotic Medication
.....59
7.2
A Brief Overview of Antipsychotic Medications
..........................60
7.2.1
What Are Antipsychotic Medications, and How Are They Classified?
.........61
7.2.2
What Are the Benefits of Antipsychotic Medications?
.....................62
7.2.3
What Are the Limitations of Antipsychotic Medication?
....................62
7.2.4
Are There Any Other Limitations in Real World Clinical Practice?
.........63
7.2.5
The Problem of Partial Efficacy: Glass Half Full or Half Empty, or Both?
.....63
7.3
Choosing an Approach: Changing Medication, or a CBT Adjunct?
...........65
When Psychopharmacology Is Not Enough
8
Cognitive Behavioral Therapy for Psychosis and Medication Adherence
...........66
8.1
Understanding Medication Nonadherence: Taking the Patient s Perspective
-----66
8.1.1
Impact of Adherence Problems on Clinical Outcomes
......................68
8.1.2
The Importance of Understanding Adherence Attitudes
....................69
8.2
Can a CBT Approach Encourage Nonadherence?
.........................70
8.3
Is CBT Appropriate for Patients Who Refuse Medication?
..................71
8.4
Using CBT to Assess and Improve Adherence
............................73
8.4.1
Frame Any Adherence Discussion in a Way That Preserves the Therapeutic
Alliance
..........................................................74
8.4.2
Make Sure That You Assess Both Adherence Attitude and Adherence Behavior
.. 74
8.4.3
Understand the Full Spectrum of Adherence Influences Before Commenting
on Adherence
.....................................................75
8.4.4
Normalize Nonadherence and Nondisclosure of Nonadherence
..............75
8.4.5
Frame Any Discussion of Adherence Problems in Terms of Desired Outcomes,
Not Obedience
....................................................75
8.4.6
Eliciting Medication Attitudes and Experience
...........................77
8.5
Indications for the CBT Adherence Intervention
..........................77
8.6
Understanding Adherence Attitudes: The Health Belief Dialogue
.............79
8.6.1
Addressing Lack of Insight
.........................................79
8.6.2.
Education and Collaboration With Family and Carers
......................81
8.6.3
Patient s Perspective on Medication Efficacy
............................81
8.6.4
Distress From Side Effects
...........................................82
9
Adapting CBT for Psychosis Strategies to Specific Patient Needs
.................83
9.1
First-Episode Psychosis
.............................................83
9.2.
Dual-Diagnosis Patients
.............................................88
9.3
CBT for Psychotic Symptoms Occurring in Disorders Other Than
Schizophrenia
.....................................................90
9.4
Using CBT Strategies in Group Therapy Settings
.........................91
9.5
Special Treatment Considerations: How to Deal With Treatment Obstacles
.....92
10
Case Examples
.....................................................94
10.1
Case Example
1 :
Early Psychosis Work
-
The Importance of Engagement
and Normalizing in Working with Difficult to Engage Early-Psychosis
Patients
..........................................................94
10.2
Case Example
2:
Chronic Patient Work
-
Giving the Hopeless Long-Term
Patient New Perspectives
............................................97
10.3
Case Example
3:
Adherence Work
-
Using the Health Belief Dialogue to
Understand Patients Medication Adherence Behaviors and Attitudes
........100
References
............................................................102
Appendix
.............................................................
Ill
Session Tools
Checklist for Treatment Planning
Guided Exploratory Questions
-
Medication Attitudes and Experiences
Strategy Card
-
Logical Reasoning
Strategy Card
-
Voice Hearing
|
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| id | DE-604.BV037221674 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T22:53:47Z |
| institution | BVB |
| isbn | 9780889373686 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-021135538 |
| oclc_num | 711817808 |
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| owner_facet | DE-355 DE-BY-UBR DE-20 |
| physical | XIV, 125 S. Ill., graph. Darst. 4 Beil. |
| publishDate | 2011 |
| publishDateSearch | 2011 |
| publishDateSort | 2011 |
| publisher | Hogrefe |
| record_format | marc |
| spelling | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis Rebekka Lencer ... Cambridge, MA [u.a.] Hogrefe 2011 XIV, 125 S. Ill., graph. Darst. 4 Beil. txt rdacontent n rdamedia nc rdacarrier Neuroleptikum (DE-588)4041885-6 gnd rswk-swf Kognitive Verhaltenstherapie (DE-588)4114250-0 gnd rswk-swf Schizophrenie (DE-588)4052527-2 gnd rswk-swf Schizophrenie (DE-588)4052527-2 s Kognitive Verhaltenstherapie (DE-588)4114250-0 s Neuroleptikum (DE-588)4041885-6 s DE-604 Lencer, Rebekka 1965- Sonstige (DE-588)113632231 oth Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021135538&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021135538&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis Neuroleptikum (DE-588)4041885-6 gnd Kognitive Verhaltenstherapie (DE-588)4114250-0 gnd Schizophrenie (DE-588)4052527-2 gnd |
| subject_GND | (DE-588)4041885-6 (DE-588)4114250-0 (DE-588)4052527-2 |
| title | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis |
| title_auth | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis |
| title_exact_search | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis |
| title_full | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis Rebekka Lencer ... |
| title_fullStr | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis Rebekka Lencer ... |
| title_full_unstemmed | When psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis Rebekka Lencer ... |
| title_short | When psychopharmacology is not enough |
| title_sort | when psychopharmacology is not enough using cognitive behavioral therapy techniques for persons with persistent psychosis |
| title_sub | using cognitive behavioral therapy techniques for persons with persistent psychosis |
| topic | Neuroleptikum (DE-588)4041885-6 gnd Kognitive Verhaltenstherapie (DE-588)4114250-0 gnd Schizophrenie (DE-588)4052527-2 gnd |
| topic_facet | Neuroleptikum Kognitive Verhaltenstherapie Schizophrenie |
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