A recent article written by Drs. Sally Riggs, Sarah Kopelovich, and Jennifer Gottlieb discussing the North American CBT for Psychosis Network was featured in the Advances in Cognitive Therapy newsletter (page 4).
Most people with schizophrenia spectrum disorders recently discharged from the hospital utilized a smartphone intervention that uses a combination of CBT and illness self-management strategies targeted to address troublesome residual symptoms.
This large, randomized clinical trial recruited participants with insomnia to complete an online CBT course that provided various tools for managing sleep and involved an animated, “cartoon” therapist. Sleep outcomes were improved in those participants who received the intervention, and measures of paranoia and hallucinations were also significantly reduced.
Inside Schizophrenia is a long-form monthly podcast by people with mental illness for people with mental illness. In this episode, Dr. Sarah Kopelovich joins to share schizophrenia caregiver specific training.
CBTp Trainers Kate Hardy, Clin.Psych.D, and Sarah Kopelovich, Ph.D., recently teamed up with Drs. Doug Turkington and Maria Monroe-DeVita to launch a CBTp-informed skills training for families and caregivers in Seattle, Washington. Hosted by the University of Washington and financed by philanthropic and state funding, the training reached more than 200 family members, 30 of whom are receiving follow-up consultation to further refine their familiarity and comfort with CBT skills. Dallas News recently reported on the training.
Virtual Reality Can Reduce Anxiety, Improve Social Interactions in Psychosis
Researchers in the Netherlands found that incorporating Virtual Reality into CBT, which allowed therapists to expose their clients to stressful social stimuli in a controlled environment, reduced symptoms of anxiety and paranoid ideation.
Clinical psychologist Dr. Lucy Maddox discusses the use and effectiveness of psychosis. She discusses how the individualized nature of CBTp can make it challenging to study, and addresses recent questions as to the efficacy of CBTp. She feels many studies on CBTp measure the wrong outcome measure by only looking at reduction in symptoms such as voices, rather than interpretation of or distress around symptoms, which can profoundly impact patients’ quality of life.
Depression and anxiety are frequently comorbid conditions in people diagnosed with schizophrenia. In examining a number of studies that used CBT interventions with patients experiencing psychosis, researchers found that CBT reduces symptoms of depression and anxiety in this patient population. This may have a carryover effect for treating psychosis, as distress from anxiety or depression can worsen psychotic symptoms.