Psychosis & Schizophrenia Spectrum

Schizophrenia Spectrum and Other Psychotic Disorders (DSM-5-TR)

Hallucinations, delusions, disorganized thinking/behavior, and negative symptoms. Psychotherapy is typically adjunct to medication. CBTp has best evidence among psychotherapies. Recovery-oriented approaches emphasize meaning and functioning.

Prevalence: ~1% lifetime for schizophrenia; ~3% for psychotic experiences

6 Therapeutic Approaches

Sorted by evidence tier: guideline-recommended first, then RCT-supported, then emerging/limited evidence.

● Guideline-Recommended (2)

Cognitive-Behavioral

CBT

Aaron Beck · 1964

APA Div 12: Strong/Very Strong for multiple disorders. NICE: recommended for depression, all anxiety…

Cognitive-Behavioral

CBTp

Kingdon / Turkington · 1994

Effect: g = 0.33

~20-30% additional improvement

NICE: recommended for psychosis (CG178)

◐ RCT-Supported (4)

Dance/Movement Therapy

Marian Chace · 1942

Postmodern

Open Dialogue

Jaakko Seikkula · 1995

Psychoanalytic

Supportive Psychotherapy

Various (Rockland, Winston) · 1950

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