Cognitive Behavioral Therapy With a Paranoid Schizophrenic Patient

Abstract

This case study describes the cognitive-behavioral therapy (CBT) of a married adult male diagnosed with paranoid schizophrenia. “Michael” was initially oriented to CBT for psychosis (CBTp) in a partial hospital program at McLean Hospital in Belmont, Massachusetts. Michael was then followed as an outpatient over 30 weekly sessions of CBTp. Over the course of treatment, Michael remained paranoid. However, his self-reported levels of conviction and preoccupation decreased measurably, and he experienced improvements in mood and psychosocial functioning. These results support a growing body of research demonstrating effectiveness of CBTp with schizophrenia and have implications for solo practitioners facing pressure to utilize evidence-based treatments. Further research is needed on the effectiveness of CBTp in outpatient settings.