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I've had quite a lot of measured (and audited) success with clients who suffer from paranoia and / or psychosis - by simply working collaboratively on anxiety (cognitive restructuring and behavioural activation finishing off with Padeskey's 'Personal Model of Resilience). Quite astounding really, that CBT has come so far from humble beginnings.
It's this measurability that has surely resulted in its prolific use across so many different mental health issues, as well as its relative low cost, of course. I agree it can have marvellous results, when used correctly, with the right patients, but I do worry that it's become a bit of a default one-size-fits-all approach that isn't suitable for everyone, yet ousts some of the less measurable, lengthy or more costly therapies available, which can't be a good thing.
I've had quite a lot of measured (and audited) success with clients who suffer from paranoia and / or psychosis - by simply working collaboratively on anxiety (cognitive restructuring and behavioural activation finishing off with Padeskey's 'Personal Model of Resilience). Quite astounding really, that CBT has come so far from humble beginnings.