Open AccessIntegration of Clozapine-associated Harm Obsessions into Cognitive Behavioral Conceptualization and Treatment Planning for Thought Broadcasting: A Case Study
Author(s) -
Sarah L. Kopelovich,
Keith Wood,
Robert O. Cotes,
David R. Goldsmith
Publication year - 2020
Publication title -
journal of psychiatric practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.395
H-Index - 54
eISSN - 1538-1145
pISSN - 1527-4160
DOI - 10.1097/pra.0000000000000470
Subject(s) - psychiatry , psychology , distress , schizoaffective disorder , psychoeducation , clozapine , cognitive behavioral therapy , schizophrenia (object oriented programming) , cognition , quetiapine , relapse prevention , clinical psychology , psychotherapist , psychosis , medicine , psychological intervention
As many as 30% of individuals with a schizophrenia spectrum disorder experience obsessive-compulsive symptoms (OCS). Clozapine has demonstrated superior efficacy for the treatment of medication-resistant schizophrenia but it is also associated with an increased risk for OCS. Because pharmacologic management of clozapine-related OCS can be particularly challenging, cognitive behavioral therapy (CBT) should be considered. Nevertheless, there are few detailed accounts of CBT for OCS and schizophrenia.