Management Plan
on Schizophrenia
Presented by
Tamsila Sajjad
59959
Rupia
61814
Aqsa Shahid 14168
Presented by Rupia
SESSION 1: Psycho-education
Regarding the therapeutic process.
Provide behavioral, emotional, and attitudinal
information toward an assessment of Specifiers
relevant to a DSM e.g. with catatonia or without.
Diagnosis (If the client have the capacity to
understand)
The efficacy of treatment, and the nature of the
therapy relationship.
Importance of Client’s cooperation.
Explain in detail about the Disorder e.g. About
Hallucinations, Delusions, positive and negative
symptoms.
• Session 2 : Insight Building
• Assess the client’s level of insight(syntonic versus
dystonic)toward the “presenting problems” (e.g.,
demonstrates good insight into the problematic nature
of the "described behavior,” agrees with others’
concern, and is motivated to work on change.
• Insight building is continued.
Assess for the severity of the level of impairment to the
client’s functioning to determine appropriate level of care.
• Identify internal and environmental triggers of psychotic
symptoms
Session 3: Base line Information assessment (Baseline Charts)
1) Date Situation Thought Feelings Behavior Effect
Sleep schedule
2) Date Sleep-time Wake-up time
Session 4: Identification of Triggers
Identify internal and environmental triggers of
psychotic symptoms.
Activating Event Behavior
Consequences
MANAGEMENT
PLAN ON
SCHIZOPHRENIA
Presented by Tamsila Sajjad 59959
Session 5:
Cognitive Restructuring
Identification of negative thoughts
Challenging the thoughts
Balanced thought
Session 6: Continued work on Cognitive
Restructuring
Identifying and changing the self-talk and beliefs that
interfere with recovery.
Use Cognitive Therapy techniques to explore biased
self-talk and beliefs that contribute to delusional
thinking; assist the client in identifying and
challenging the biases, generating alternative
appraisals that correct biases, building confidence,
and improving adaptation.
Session 7: Desensitize the client’s fear of his/her
hallucinations by allowing or encouraging him/her to talk
about them, their frequency, their intensity, and their
meaning.
Apply In-Vivo Desensitization e.g. Expose with IR (Real or
imagery)
Example,
Hallucination Emotion
Healthy Reaction
Avelyine threats me Fear Use of rational
Use of CBT Techniques
Cognitive-behavioral strategies to teach the client coping
and compensation strategies for managing psychotic
symptoms e.g., calming techniques: Deep breathing, PMR,
Guided Imagery
Realistic self-talk; realistic attribution of the source of the
symptom.
(How to react to your symptom with realistic talk),
Cognitive Rehearsal e.g. Pre-programming (How to face
auditory, visual, olfactory hallucinations).
Guided Discovery (Find the benefits at the End).
Write Advantages and Disadvantages of Changing the Beliefs
(Referenting Technique of REBT)
Reinforcement (e.g. Token economics (Behavioral
technique of operational conditioning) for the clients who are
in extremely chronic stage and are illiterate. Give them
Social Survey Technique of CBT
Behavioral Experiments
Problem solving technique
Some other Socratic Questioning
Techniques Five sentence Rule Technique
Mindfulness technique
Sensory Grounding
Unconditional Self-Acceptance technique
of REBT
Role playing
Bibliotherapy (technique of REBT)
Management plan
schizophrenia
Presented by :
Aqsa shahid
Session 10: Debriefing
Debriefing about the Termination:
• Practice and strengthen skills learned in therapy. Prescribe in- and
between-session exercises that allow the client to practice new skills.
• Suggesting a client (or family members) to Participate in a Psych
education program with other families.
• Refer the client to a support group for individuals with a mental illness
with the goal of helping consolidate their new approach to recovery and
gain social support for it.
Session 11: Group Therapy
Group Therapy
• Support from peers can be a wonderful addition to the treatment
process. Group therapy is a space that allows people to safely share
their experiences with schizophrenia, the challenges they are facing,
and what seems to be helping.
• Sharing information and feedback helps to remove a sense of isolation
that can often be experienced. They can also create meaningful
connections with peers, learning how to develop and maintain
relationships.
• The client was encouraged to participate in group sessions, where he
had the opportunity to interact with fellow members. Participation in
group sessions fostered social engagement and promoted a sense of
belonging.
Session 12: Termination of Therapy
Termination of Therapy
• Termination of therapy was started in last session. The therapy was
terminated in proper way by informing the client's psychologist and
discussing the long term management plan with him. In which thought
dairy and distraction techniques were told to the client.
• Termination of therapy" in schizophrenia generally refers to stopping
antipsychotic medication, which is strongly discouraged due to the high
risk of relapse and symptom worsening, meaning that for most people
with schizophrenia, therapy should ideally be ongoing and not abruptly
ended; instead, any medication changes should be done gradually under
close medical supervision.
Continue..
Indications that a patient may be ready to terminate therapy include:
[Link] reduction in psychotic symptoms
[Link] insight into their illness
[Link] to identify and manage triggers
[Link] coping skills for daily challenges [Link] social functioning