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Cognitive Behaviourial Therapy Cognitive behaviourial therapy is used to treat and prevent depressive disorders The title of this article is basically self explanatory Cognitive Therapy with an Adolescent to Prevent Relapse of Psychotic Disorder Writers Dr Sally Beeken and Dr Kedar Dwivedi used cognitive therapy techniques over a six month period in order to prevent relapses of psychosis for a 14 year old girl The 14 year old girl seemed to be a stable child She had a nuclear family was a high achiever at school conscientious bright and popular Because of her normality she was given blood tests an EEG And an MRI to investigate an organic cause for her psychosis but all of the tests were normal As far as her psychotic episodes she had three in a one year period Her episodes were characterize by restlessness disinhibition thought disorder delusions visual and auditory hallucinations and mood swings Each of her episodes was short and resolved After her third episode she began to take a medication called Carbamazepine and began cognitive therapy sessions Knowing that cognitive therapy is well suited to work with adolescents because it is non- confrontational the therapists began sessions First an agenda was always shared between patient and therapist which included news homework tasks business and plans To create a relaxed environment humor was used to examine distressing material After this proceeded three stages In the first stage they examined events of each episode including her thoughts and feelings In the second the examined the thinking errors and how they might have caused the psychotic episode In the third the therapist considered the time line of events produced by the patient Her delusional beliefs were examined and evidence for and against each delusion was made Melanie Feldman sometimes the evidence lead to alternative explanations for her experiences During the examination of events it became clear that her episodes were followed by sleeplessness and anxiety They then attempted to
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