Cognitive Therapy for Schizophrenia Sans Antipsychotic Meds
the MPR take:
For patients with schizophrenia, antipsychotic medications are usually the first-line recommended treatment, but some patients refuse or discontinue pharmacological therapy. In this study, researchers evaluated the use of cognitive therapy for patients diagnosed with schizophrenia spectrum disorders who were not taking antipsychotic drugs for psychosis. 74 patients were randomly assigned to receive either cognitive therapy plus treatment as usual or only treatment as usual. Cognitive therapy was shown to significantly reduce the severity of psychiatric symptoms and improve personal and social functioning; some aspects of delusional beliefs (cognitive) and voice hearing (cognitive and physical) were also improved. It did not significantly impact the distress levels associated with delusional beliefs or voice hearing, or levels of depression, social anxiety, and self-rated recovery.
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