It's therapy Jim but not as we know it?

Is anyone else working with psychotic patients who can't settle long enough to attend 50 min sessions or who are'nt able to attend an out-patients department?

I do such work as a cbt practitioner in a high security hospital...quite often achieving positive results with our patients.Especially in terms of teaching coping strategy enhancements to schizophrenic patients and re-attributional work with paranoid patients.

Sometimes this work is done "on the hoof" and many patients need repeated therapist contact.

My motto is start small(with CSE) then once the relationship has matured and the patient engaged,consider looking at the deeper schematics maintaining the beliefs and assumptions/N.A.T'S,if the patient is able.
It's long term work but productive and rewarding....

Anyone got anecdotes or research/articles to share on in-patient psychotic work?

Cheers...Peter L Holmes ..CBT Practitioner:

Replies:

CT with more seriously disturbed individuals, by Jim Pretzer, 09/19/01 Re:CT with more seriously disturbed individuals, by P eter Holmes, 10/04/01 Re:It's therapy Jim but not as we know it?, by Joe Dittmer, 10/02/01 Re:It's therapy Jim but not as we know it?, by Peter Holmes, 10/04/01

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