Cognitive therapy for a major depressive episode in residual schizophrenia.

Abstract:

:The present paper describes cognitive approaches to the treatment of a major depressive episode in a patient with residual schizophrenia. The goal of therapy was to increase and stabilize the patient's physical activity through decreasing dysfunctional cognition pertinent to inertia. A therapeutic strategy of 'scheduling activities' was first selected, but to no effect. The vicious circle of alternating excessive activity and total inertia remained unchanged. Based on a revised cognitive case conceptualization, a second strategy, 'scheduling inertia', was then introduced, in which the patient was asked to stay in bed or take a rest for planned periods of time every day. This intervention helped the patient to counteract her perfectionist beliefs. The results suggest that 'scheduling inertia' may be a useful strategy for improving inactivity in a major depressive episode during the residual phase of schizophrenia.

authors

Inoue K,Kawabata S

doi

10.1046/j.1440-1819.1999.00606.x

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

563-7

issue

5

eissn

1323-1316

issn

1440-1819

journal_volume

53

pub_type

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