Workshop​​ 
W02 -​​ 
Cognitive-Behavioural Therapy for Psychosis: Key Introductory Skills for Mental Health Professionals​​ 

Friday, 23 October​​ 

11:15 – 12:45 (1.5 hrs)
Karen Shin*, MD; Hricha Rakshit, MSc, OT​​ 


CanMEDS Roles:​​ 

  • Medical Expert​​ 

  • Collaborator​​ 

  • Communicator​​ 

At the end of this session, participants will be able to:​​ 1) Understand specific factors to identify which patients are more likely to respond to cognitive-behavioural therapy (CBT) for psychosis (CBTp) than others; 2) Incorporate new therapeutic techniques during assessments with patients struggling with delusions and voices to enhance treatment engagement; and 3) Use at least three CBTp techniques when providing care for patients with psychosis in any hospital, office, or community setting.​​ 

This workshop will focus on introducing cognitive-behavioural therapy (CBT) skills for treating patients with transdiagnostic psychotic symptoms. While CBT for psychosis (CBTp) is an evidence-based therapy, it is often unavailable and difficult for patients to access. The management of patients with severe persistent illness can sometimes focus on medications and create difficult therapeutic interactions. Obtaining skills in CBTp creates another therapeutic approach with patients, in combination with pharmacological treatment, and provides an additional option for addressing symptoms. Research has demonstrated that low-intensity CBTp—using CBTp techniques outside of a formalized course of CBTp—can still be beneficial. Patient improvements can be seen in the reduction of negative symptoms, delusions, and hallucinations. Mental health professionals, including psychiatrists, therapists, allied health members, and case managers, can learn CBTp techniques to enhance their care of patients struggling with symptoms of psychosis across diverse settings, from inpatient wards to community-based teams.

The format of this workshop will include a short didactic presentation to provide a background on CBTp, information about patient selection, and a description of the basic skills of CBTp. Demonstration of skills and examples will be used during the workshop, and active participation from workshop attendees will be incorporated through experiential opportunities. Skills on patient engagement, creating a CBTp formulation, and change strategies will be demonstrated. Worksheets will be provided, and group participants will have the opportunity to practice new skills, discuss the workshop material, and perform self-assessment.

References:

  • Hazell CM, Hayward M, Cavanagh K, et al. A systematic review and meta-analysis of low intensity CBT for psychosis. Clin Psychol Rev 2017;45:183–92.

  • Morrison AP, Barratt S. What are the components of CBT for psychosis? A Delphi study. Schizophr Bull 2010;36:136–42.

 

/ Virtual Conference 2020