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Cognitive Behavioral Therapy for Schizophrenia: An Overview of Treatment
Debbie M. Warman and Aaron T. Beck, The University of Pennsvlvania
Cognitive behavior theralqy (CBT) has been demonstrated to be a useful adjunct to medication and other standard treatments for
schizophrenia patients. Although the cognitive approach to schizophrenia has e popular in the United Kingdom, it has received
relatively little attention in the United States. The present paper serves as on overview of CBT for schizophrenia, with an emphasis
on delusions. We discuss the purpose and enumerate the challenges of conducting CBT with schizophrenia patients, providing spe-
cific case examples and strategies--such as normalizing, collaboration, behavioral experiments, understanding the meaning of pa-
tients' dehzsions, role-plays, and image U exercises--Jbr handling such challenges. It is concluded that CBT can lead to decreased
distress associated with patients' symptoms.
HE TREATMENT of schizophrenia has long presented patients who received befriending at 9-month posttreat-
T a challenge for mental health providers. Antipsychotic ment follow-up (Sensky et al., 2000). Although the num-
medications have offered much in the form of symptom ber of controlled studies is limited and there is consider-
relief for schizophrenia patients, yet many patients re- able heter