When Psychopharmacology Is Not Enough

Table of ContentsPreface1 Review of Treatment Approaches for PsychosisThe Biomedical Model: Psychoeducation Directed Toward Medication Adherence . Family Therapy . PersonalTherapy: An Individualized Stepwise Treatment Approach . Cognitive Remediation2 Moving Beyond a Biological Model3 Evidence Supporting the Use of Cognitive Behavioral Therapy for Psychosis4 General Aspects of TreatmentTreatment Goals and Treatment Components . Planning of Treatment Sessions . How to Get PatientsInto Treatment: The Engagement Phase . Building a Stable Therapeutic Alliance . Special Aspects of PatientTreatment for Chronic Positive Symptoms5 Cognitive Behavioral Therapy Strategies for Chronic Voice HearingReduction of Fear and Increase of Control: Focusing Techniques . Change of Evaluative Processes forVoice Hearing . Improving Coping Strategies6 Cognitive Behavioral Therapy Strategies for Chronic DelusionsCreating the Right Conditions for Change: Normalizing and Using Analogies . Strategies for CognitiveRestructuring of Persistent Delusions . Contradiction and Confirmation of Personal Experiences . RealityTesting and Behavior Experiments . Long-Term Stabilization of Achieved Therapy Effects7 Why Psychopharmacology May Not Be EnoughBasics of Using CBT for Patients Treated With Antipsychotic Medication . A Brief Overview of AntipsychoticMedications . Choosing an Approach: Changing Medication, or a CBT Adjunct?8 Cognitive Behavioral Therapy for Psychosis and Medication AdherenceUnderstanding Medication Nonadherence: Taking the Patient's Perspective . Can a CBT Approach EncourageNonadherence? . Is CBT Appropriate for Patients Who Refuse Medication? . Using CBT to Assessand Improve Adherence . Indications for the CBT Adherence Intervention . Understanding AdherenceAttitudes: The Health Belief Dialogue9 Adapting CBT for Psychosis Strategies to Specific Patient NeedsFirst-Episode Psychosis . Dual-Diagnosis Patients . CBT for Psychotic Symptoms Occurring in DisordersOther Than Schizophrenia

This book will be enjoyed by all those clinicians who know that medications are not sufficient in treating people with psychotic disorders in the long-term. It provides us with an excellent overview of cognitive behavioral strategies to help patients cope better with their psychotic experiences.A" Sir Robin M. Murray, MD, DSc, FRCP, FRCPsych, FMedSci, FRS, Professor of Psychiatric Research at the Institute of Psychiatry, London, UK A user-friendly and clear summary of CBT techniques which can be used by line-level mental health providers as well as psychiatrists and psychologists. [It] is especially innovative, leading to the development of particularly potent intervention programs.A" Patrick W. Corrigan, PsyD, Distinguished Professor of Psychology at the Illinois Institute of Technology, Chicago, IL "I am the former executive director of NAMI and the mother of a daughter with a serious mental illness. I am so pleased to recommend this groundbreaking book. Until now, clinicians had to figure out for themselves how to integrate CBT techniques with medication management. This book is a wonderful guide for how to combine them." Laurie Flynn, BA, Executive Director, TeenScreen National Center, Division of Child & Adolescent Psychiatry, Columbia University, New York, NY "All in all provides an essential resource on the current knowledge of psychological strategies in the treatment of psychosis for clinicians." Nina Seiferth, PhD, Head Psychologist & Andreas Heinz, MD, Director of the Department of Psychiatry and Psychotherapy at the Charite University of Medicine, Berlin, Germany