iCliniq logo

Ask a Doctor Online Now

HomeAnswersPsychologist/ CounselorschizophreniaPlease explain the treatment approaches of schizophrenia.

Is CBT useful in treating schizophrenia?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 7, 2019
Reviewed AtJune 27, 2023

Patient's Query

Hello doctor,

I have a case that was assigned to me in school, and I want to seek help from doctors. My case is about a girl who has schizophrenia and was diagnosed very early. She shows all the symptoms, like hallucinations, hearing voices, hurting other people, and talking to people who are not there. My questions are as follows. How can this person get counseled? Is CBT useful? If she does not seek help, what would happen to her? How can I help her if I was a counselor? What approaches can I use during our sessions and why? And lastly, what is the possible outcome?

Hi,

Welcome to icliniq.com.

CBT is usually not useful in schizophrenia when the patient is having fulminant and active symptoms of schizophrenia such as delusions and hallucinations. The prerequisites for CBT (cognitive behavioral therapy) are,

1. The patient should be motivated for therapy.

2. The patient should understand the therapeutic alliance between the therapist and himself.

3. The patient should have good frustration tolerance.

4. The patient must realize that the symptoms are because of his/her maladaptive thoughts, feelings, and behavior.

So in your case, the treatment of choice is drug therapy along with supportive treatment. As far as the prognosis is concerned, it depends upon the following:

1. The response to treatment.

2. Good family support.

3. The age of onset, a very early start is a bad prognostic factor.

4. Treatment compliance.

5. Employment status.

6. The family history of mental illnesses.

7. Type of schizophrenia.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Meena. Parth Singh
Dr. Meena. Parth Singh

Psychologist/ Counselor

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a Wellness Expert online

Psychologist/ Counselor

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy