Abstract
This chapter reviews the empirical support for relapse prevention therapy for schizophrenia. Schizophrenia is very heterogeneous in its clinical presentation, course, and level of functional impact. Symptoms of schizophrenia traditionally have been grouped into two broad categories of positive and negative symptoms. CBT interventions for schizophrenia tend to include some common features, including psychoeducation, enhancing coping skills, cognitive restructuring, functional analysis, problem solving, and enhancing communication skills. As applied to schizophrenia, CBT engages patients in collaboratively challenging their interpretations of events or experiences. CBT as an adjunct to routine clinical care also resulted in significant additional benefits compared with routine clinical care plus supportive therapy. DRT blends elements of traditional substance abuse relapse prevention and motivational enhancement therapy with traditional mental health treatments of social skills training/psychosis relapse prevention into a single therapy approach. The implementation of relapse prevention interventions is also elaborated.
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