Can CBT make a meaningful contribution in the treatment of schizophrenia, bipolar disorder and severe personality disorders? Cognitive behavioural therapy (CBT) for psychosis focuses on altering the thoughts, emotions, and behaviours

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Can CBT make a meaningful contribution in the treatment of schizophrenia, bipolar disorder and severe personality disorders?

Cognitive behavioural therapy (CBT) for psychosis focuses on altering the thoughts, emotions, and behaviours of patients by teaching them skills to challenge and modify beliefs about delusions and hallucinations, to engage in experimental reality testing, and to develop better coping strategies for the management of hallucinations. The goals of these interventions are to decrease the conviction of delusional beliefs, and hence their severity, and to promote more effective coping and reductions in distress. This essay will attempt to assess the contribution of CBT to each of the disorders in turn by discussing reviews on efficacy, long term effects, compliance and cost, and then compare the outcome of CBT with alternative form of drug and therapy treatments.

Schizophrenia

Schizophrenia usually involves a dramatic disturbance in thoughts and feelings and results in behaviour that may seem odd to other people. Some people hear voices, others see things which are not there, or feel they are being persecuted. Some people only experience one episode of psychosis and some recover from schizophrenia. Over the past ten years the use of CBT for