Recovery-oriented cognitive therapy for schizophrenia

Cognitive therapy has been established in the literature to be an effective treatment for schizophrenia. We originally developed recovery-oriented cognitive therapy (CT-R) to extend this efficacy to individuals with chronic... [ view full abstract ]

Cognitive therapy has been established in the literature to be an effective treatment for schizophrenia. We originally developed recovery-oriented cognitive therapy (CT-R) to extend this efficacy to individuals with chronic disability and prominent negative symptoms. The basic science supporting the model provides an understanding of negative beliefs that make it difficult for these individuals to engage in life and recovery, as well as positive beliefs and experiences that can catalyze therapeutic connection and progress. We will present results of a clinical trial that supports the efficacy of CT-R for low functioning individuals, illustrating how the treatment succeeds for the most chronic cases, and showing that specific cognitive mechanisms of change predict outcome. Adapting CT-R for group, team-based, and milieu settings, we present implementation results showing how the approach supports recovery and continuity of care across the network that links up state hospital (forensic and civil) with independent living. The active therapeutic approach helps individuals who face considerable challenges -- low energy, disorganization, grandiose beliefs, auditory hallucinations, aggressive behavior, self-injury -- change into empowered people who have much to offer, feel valued, and participate in the community.