Can Talk Therapy Help Persons with Schizophrenia? - 0 views
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Lara Cowell on 20 Oct 15Schizophrenia is a very disabling psychiatric illness affecting about 2 to 3 million Americans. Contrary to popular perception, it has nothing to do with a "split personality." Schizophrenia is a chronic brain disorder involving "positive" and "negative" symptoms. Positive symptoms include hallucinations (hearing voices or seeing visions that aren't real), delusions (fixed false beliefs), and disorganized thinking or speech. A recent study in the Archives of General Psychiatry by Paul Grant, Aaron Beck, and their colleagues found that a modified version of cognitive-behavioral therapy (CBT), a specific type of talk therapy, can produce clinically significant improvement in patients with schizophrenia. Importantly, significant improvement was seen in certain negative symptoms-apathy/avolition (lack of drive)-as well as in positive symptoms. These results are impressive, especially considering that the participants had been ill for an average of 18 years and suffered from severe symptoms. In this study, study participants were divided into two groups. One group received CBT in addition to "standard treatment," which included treatment with antipsychotic medications. The other group received standard treatment alone. CBT has been shown to be effective in a variety of psychiatric illnesses. It uses pragmatic techniques to help a person correct inaccurate or dysfunctional thoughts and emotions by promoting critical comparison of those thoughts with observable facts. For example, if a person believes that he/she is "doing absolutely nothing," one CBT technique would be to encourage the person to keep a detailed diary of daily activities. The therapist would later review this diary with the patient and facts would be compared to perceptions. Homework assignments would include strategies to increase productive activities. In the study mentioned above, the researchers focused CBT "on identifying and promoting concrete goals for improving quality of life and