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Cognitive behaviour therapy: a rational choice in psychosis
Author(s) -
Morrison Anthony P,
Shiers David
Publication year - 2014
Publication title -
prescriber
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.106
H-Index - 3
eISSN - 1931-2253
pISSN - 0959-6682
DOI - 10.1002/psb.1188
Subject(s) - psychosis , cognition , medicine , citation , psychology , psychiatry , library science , computer science
line treatment for psychosis for many years. However, recent evidence suggests that the efficacy of these medications may be not as strong as previously thought, with treatment benefits compared to placebo being only small to moderate. Moreover, recent research suggests that the adverse effects of such medications may have been underestimated; common side-effects include rapid and substantial weight gain, sexual problems and metabolic disturbances including increased risk of developing diabetes. Less common, but more severe, adverse effects can include agranulocytosis and an increased risk of sudden cardiac death. Given such a risk/benefit profile, for some people with psychosis the choice to decline to take antipsychotics may represent a very rationale decision1 and it is therefore important to explore alternative, evidence-based options for such individuals. One obvious alternative to consider is cognitive behaviour therapy (CBT).