When Psychopharmacology Is Not Enough
Using Cognitive Behavioral Therapy Techniques for Persons with Persistent Psychosis
2011, xiv + 126 pp.
Using cognitive behavioral therapy techniques to improve outcomes and medication
adherence for patients with schizophrenia or other psychoses – essential reading
for psychiatrists and other mental health care providers.
An exclusive focus on biological models of schizophrenia and on antipsychotic
drugs for the treatment of schizophrenia or other psychoses is increasingly being
recognized as a barrier to effective treatment.
Written by an expert team of psychiatrists and psychologists with wide experience
of combining drug and psychological treatments, this book provides a practically
oriented and clear overview of how to use CBT techniques in mental health services
that have traditionally emphasized medication management. At the same time
as respecting the important role of drug treatment, it shows clinicians how to
achieve better outcomes with schizophrenia and other psychosis patients using
The book describes key adaptations of standard CBT approaches to improve
treatment outcome in schizophrenia, the core techniques that have been found
to be most effective, how to integrate the CBT approach into more traditional
medication management, and how to use CBT techniques with individuals who feel
stigmatized by a diagnosis of mental illness or by taking antipsychotic medications.
Includes key symptom and coping assessments and practical pull-out strategy
cards for both patient and clinician use, including treatment planning checklist,
guided exploratory questions, logical reasoning strategy, hearing voices strategy.
From the Reviews:
"This is a very worthwhile book. For psychiatrists who are not experts in CBT, the book will prove especially eye-opening as it clearly elucidates how invaluable its techniques are when employed in conjunction with pharmacotherapy. [It] includes many useful tables and scales as well as 4 removable and plasticized strategy, checklist, and "guided exploration" pull-out cards. This plethora of highly useful scales and tables is unusually complete and practical."
Howard S. Sudak, MD, Department of Psychaitry, University of Pennsylvania School of Medicine, Philadelphia, in Journal of Clinical Psychiatry,
Vol. 73, 2012
"This book provides a practical, straightforward start to incorporating cognitive behavioral techniques into the treatment of patients with chronic psychotic disorders. [...] The authors discuss the importance of psychopharmacology in treatment, but also demonstrate how to achieve better outcomes with cognitive behavioral therapy. [...] I highly recommend this book."
Brett C. Plyler, M.D., Northwestern Memorial Hospital in Doody's Notes,
“This book will be enjoyed by all those clinicians who know that medications are not sufficient in treating people
with psychotic disorders in the long-term. It provides us with an excellent overview of cognitive behavioral
strategies to help patients cope better with their psychotic experiences.”
Sir Robin M. Murray, MD, DSc, FRCP, FRCPsych, FMedSci, FRS, Professor of Psychiatric Research at the Institute of Psychiatry, London, UK
“A user-friendly and clear summary of CBT techniques which can be used by line-level mental health providers as
well as psychiatrists and psychologists. [It] is especially innovative, leading to the development of particularly
potent intervention programs.”
Patrick W. Corrigan, PsyD, Distinguished Professor of Psychology at the Illinois Institute of Technology, Chicago, IL
"I am the former executive director of NAMI and the mother of a daughter with a serious mental illness. I am so pleased to recommend this groundbreaking book. Until now, clinicians had to figure out for themselves how to integrate CBT techniques with medication management. This book is a wonderful guide for how to combine them."
Laurie Flynn, BA, Executive Director, TeenScreen National Center, Division of Child & Adolescent Psychiatry, Columbia University, New York, NY
"All in all provides an essential resource on the current knowledge of psychological strategies in the treatment of psychosis for clinicians."
Nina Seiferth, PhD, Head Psychologist & Andreas Heinz, MD, Director of the Department of Psychiatry and Psychotherapy at the Charité University of Medicine, Berlin, Germany