Practical Tools to Support Those with Psychosis | Counselor Training
youtu.be
The comprehensive narrative on managing psychotic disorders encompasses a range of strategies and insights from various experts. Dr. Dawn-Elise Snipes' presentation delves into the nature of functional psychotic symptoms, which are not solely linked to schizophrenia but can also arise from conditions like encephalitis, traumatic brain injuries, and neurodegenerative diseases. The presentation underscores the variability of symptoms and the importance of differential diagnosis, as well as the impact of factors like sleep deprivation and abnormal glucose metabolism on these disorders. Affective psychoses, including major depressive disorder and bipolar disorder, are discussed with an emphasis on the potential for remission and the importance of understanding prodromal symptoms for early intervention. The role of stress as a trigger for acute episodes is highlighted, along with the challenges of medication compliance and the sensitivity of antipsychotic medications to factors like hydration, heat, and body weight changes. Strategies for managing cognitive impairments and stress responses include the use of 'scaffolding,' lists, and environmental modifications to assist with memory and concentration, as well as role-playing to improve problem-solving skills. Cognitive Behavioral Therapy (CBT) and Cognitive Behavioral Therapy for Psychosis (CBTp) are presented as beneficial approaches for managing residual symptoms and during the prodromal phase, focusing on coping skills, relaxation training, and exploring the patient's psychotic experiences without invalidating their reality. The importance of understanding the patient's perspective and fostering a sense of curiosity is emphasized, with therapists encouraged to explore the consequences of delusions and to educate patients about cognitive distortions. Practical exercises, behavioral experiments, and diary-keeping are suggested to help individuals evaluate the accuracy of their beliefs and develop distraction techniques. The narrative also touches on the challenges faced by individuals with schizophrenia in experiencing positive emotions and engaging in goal-directed behavior, suggesting motivational enhancement techniques and the use of token economies to incentivize participation in activities. The importance of personalizing strategies to the individual's interests and experiences is underscored, as is the need for environmental adjustments to support individuals in their daily lives. The narrative concludes with a mention of upcoming resources for further insights into managing psychotic disorders.
The comprehensive narrative on managing psychotic disorders encompasses a range of strategies and in