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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.
Miss_Mouse-
CBT is definitely NOT a 'one size fits all'. CBT is an umbrella term for infinite variations of the cognitive and behavioural models.
However, you're not alone in having that misconception.
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Hmmm, if they work they can be measured. Beck set out to prove psychodynamic / psychoanalytical methods worked - he proved they didn't and the rest is history.
If we didn't use science to progress we'd still be using the Freudian methods. Which as we all know were hocum.
bluebikerider
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.