Chapter

Group Cognitive Behaviour Therapy for psychosis

Louise Johns and Til Wykes

in Hallucinations

Published on behalf of Oxford University Press

Published in print June 2010 | ISBN: 9780199548590
Published online February 2013 | e-ISBN: 9780191754623 | DOI: http://dx.doi.org/10.1093/med/9780199548590.003.0005
Group Cognitive Behaviour Therapy for psychosis

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There is evidence from controlled trials supporting the efficacy of group CBT for hallucinations in reducing symptoms and improving social functioning and self-esteem, although the evidence base is much less than that for CBT for psychosis provided on an individual basis (NICE, 2009). One advantage of group as opposed to individual CBT is that it is a relatively short therapy, which might be easily implemented in health services, although therapists need to be adequately trained and skilled in both CBT and facilitating groups. Group treatment may not be suitable for everyone and individual CBT should also be available for those whose experiences are too disturbing to discuss, except in a more supportive individual relationship. Although it has not been tested, group CBT for voices could add to the therapeutic effects of individual CBT by introducing participants to new ways of thinking about their experiences. A hearing voices group may be useful either prior to individual therapy, for clients to begin talking about their experiences, or as an adjunctive to individual therapy. It may possibly help to reduce the duration of individual treatments or even increase the effectiveness of individual CBT. In itself, even if group CBT does not have a consistent effect on the severity of hallucinations, it is a useful service provision that offers emotional and practical support to this stigmatized and isolated client group.

Chapter.  9723 words. 

Subjects: Psychiatry

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