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schizophrenia

The therapeutic relationship has repeatedly shown to be a determining factor in positive outcomes in psychosis treatment. But how specifically do clinicians ensure that this alliance is the best it can be?

For the past couple of weeks we’ve been discussing an integrative treatment approach for psychosis that incorporates acceptance and commitment therapy (ACT), compassion-focused therapy (CFT), and mindfulness approaches within the cognitive behavioral therapy tradition.

When it comes to treatment for psychosis, CBT and acceptance- and mindfulness-based approaches have, at times, been assumed to be incongruent with respect to the goals of “control” and “change.” However, in their integration these approaches can complement one another by emphasizing the understanding, exploration, observation, and acceptance of thoughts and feelings rather than the “stopping” and “controlling” of unwanted thoughts and feelings.

Psychotherapeutic modalities such as cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) have proven to be effective for a range of psychiatric and psychosocial difficulties including depression, anxiety disorders, substance abuse, eating disorders, and personality disorders. But when it comes to treating psychosis, CBT and other forms of psychotherapy have historically received less attention, owing to the traditional reliance on pharmacological strategies for treating psychotic disorders.

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