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Short course
10.10
Managing
schizophrenia

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Psychological therapies in treating schizophrenia

Inability to cope with stress
 Stress management: cognitive-behavioural strategies coupled with problem-solving therapy.

Social interpersonal difficulties
 Social-skills training, targeting specific areas such as making conversation, eye contact, non-verbal communication, method role playing, modelling, and small groups.
 Self-help groups.

Residual psychotic symptoms
 Cognitive-behavioural treatments which either lead to switching attention, increasing or decreasing stimuli, sensory strategies or physiological strategies.
 Reality reinforcement educational group, aiming to increase patient's insight into the bizarre nature of their beliefs and allowing differentiation between symptoms and reality.

Deficit symptoms
 Counselling, encouragement to join groups, structured rehabilitation, sheltered employment with high task repetition.
 Constructive use of leisure time.
 Training in skills for activities of daily living
 Specific rehabilitation of basic life skills, such as cooking and budgeting.
 Use of community support workers for practical assistance.

Social handicaps (finances, resources, housing, stigma)
 Assistance and advocacy, social programs, service networking, self-help groups.

Family discord
 Psycho-education: didactic information about schizophrenia, drugs and the role of stress in relapse.
 Stress management: enhance communication; problem solving (both discreet issues and problem-solving techniques).
 Crisis intervention.

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