Schizophrenia Treatment Without Psychiatric Drugs

     Do not think about, write about or deal with  human behavior without determining the effects of incentives.

    Where we see that the alternative to antipsychotic drugs may be the much less invasive cognitive behavior therapy. If psychiatric loses the exclusive treatment of schizophrenia, it loses all.

Cognitive Behavior Therapy With Schizophrenia

Thanks to madinamerica.com for the reference.

“Background: Antipsychotic drugs are usually the first line of treatment for schizophrenia; however, many patients refuse or discontinue their pharmacological treatment. We aimed to establish whether cognitive therapy was effective in reducing psychiatric symptoms in people with schizophrenia spectrum disorders who had chosen not to take antipsychotic drugs.

Methods:  We did a single-blind randomised controlled trial at two UK centres between Feb 15, 2010, and May 30, 2013. Participants aged 16–65 years with schizophrenia spectrum disorders, who had chosen not to take antipsychotic drugs for psychosis, were randomly assigned (1:1), by a computerised system with permuted block sizes of four or six, to receive cognitive therapy plus treatment as usual, or treatment as usual alone. Randomisation was stratified by study site. Outcome assessors were masked to group allocation. Our primary outcome was total score on the positive and negative syndrome scale (PANSS), which we assessed at baseline, and at months 3, 6, 9, 12, 15, and 18. Analysis was by intention to treat, with an ANCOVA model adjusted for site, age, sex, and baseline symptoms. This study is registered as an

International Standard Randomised Controlled Trial, number 29607432.

Findings 74 individuals were randomly assigned to receive either cognitive therapy plus treatment as usual (n=37), or treatment as usual alone (n=37). Mean PANSS total scores were consistently lower in the cognitive therapy group than in the treatment as usual group, with an estimated between-group eff ect size of −6·52 (95% CI −10·79 to −2·25; p=0·003). We recorded eight serious adverse events: two in patients in the cognitive therapy group (one attempted overdose and one patient presenting risk to others, both after therapy), and six in those in the treatment as usual group (two deaths, both of which were deemed unrelated to trial participation or mental health; three compulsory admissions to hospital for treatment under the mental health act; and one attempted overdose).

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   I can guarantee that if the deaths had occurred in the cognitive therapy group, psychiatric apologists would have been in full throat about the dangers of unqualified treatment. This argument would have  brought he emotional hysterics of those who know best but only have hysteria and unfounded belief to buttress their argument.

Interpretation  Cognitive therapy significantly reduced psychiatric symptoms and seems to be a safe and acceptable alternative for people with schizophrenia spectrum disorders who have chosen not to take antipsychotic drugs. Evidence-based treatments should be available to these individuals. A larger, definitive trial is needed.

Funding National Institute for Health Research.”

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    If non-drug therapy can do as “well” with schizophrenia as psychiatric drugs, there’s little psychiatry can claim as its own except hubris and a thoughtful stroking of the chin, whiskers optional.

To order my novel, “Days of Songs and Mirrors: A Jacobite in the ‘45”, click here.

Government Job or Respect–Which’ll It Be?
Cheerio and ttfn,
Grant Coulson
Cui Bono–Cherchez les Contingencies

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