Cognitive Behavioral Therapy for Psychotic Disorders

Summary: The International Classification of Diseases (ICDs) – 10th Edition – as well as the most recent 11th edition of the ICD include schizophrenia, persistent delusional disorders, acute and transient psychotic disorders (ATPDs), schizoaffective disorder, schizotypal disorders, and others under the broad rubric of psychotic disorders.[12] Psychotic disorders are considered as a severe mental illness and almost all psychotic disorders (except ATPD) have a chronic course, characterized by severe impairment in cognitions, affect, and behavior. It has been well researched that despite adequate trials of available pharmacological treatments, a substantial proportion of patients (25%–50%) with psychotic disorders, particularly schizophrenia, continue to experience persistent hallucinations, delusions, emotional withdrawal, and depressive symptoms.[345] Moreover, about 5%–10% of patients with schizophrenia do not show any benefit from any antipsychotic medications.[6] Persistence of psychotic symptoms can be disabling and distressing to the patients, can lead to the development of depression, and poses a high risk of suicide.[78910]

Authors: Ajit Avasthi, Swapnajeet Sahoo, Sandeep Grover

Year of Publication: January-2020