SZ 16(b) Comparing therapies

Identify what cognitive behaviour therapy, family therapy and drug therapy attempt to change (3)

Cognitive behaviour therapy: irrational thoughts / cognitions

Family therapy: family interactions

Drug therapy: brain chemistry

Compare cognitive behaviour therapy, family therapy and drug therapy on their effectiveness (3)

* On their own, roughly equal

* Drug therapy possibly more effective than others, especially clozapine

* CBT and FT added to drug therapy improves effectiveness by a small amount

Compare cognitive behaviour therapy, family therapy and drug therapy on their drop- out rate (3)

* Drugs have highest drop- out rate (approx 40%)

* CBT have lower drop- out rate than FT...

*...and than drug therapy

Compare cognitive behaviour therapy, family therapy and drug therapy on their unintended outcomes, including side effects and how treatments can 'go wrong' (6)

* Drugs have common and severe side effects

* Common: tardive dyskinesia, weight gain, etc

* Severe: agranulocytosis and malignant neuroleptic syndrome can be fatal

* CBT and FT can 'go wrong' and inadvertently make things worse

•CBT might lead to more irrational interpretation of symptoms

* FT might bring family tensions to surface

Compare cognitive behaviour therapy, family therapy and drug therapy on their convenience (4)

* Drugs most convenient

* Little effort to just take medication

* CBT and FT involve effort in getting to therapist / engaging with therapy

* Especially challenging for FT, given greater numbers involved