Behavioural and Cognitive Psychotherapy
- Behavioural and Cognitive Psychotherapy / Volume / Issue 03 / May 2008, pp 365-369
- Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008
- DOI: http://dx.doi.org/10.1017/S1352465808004360 (About DOI), Published online: 23 May 2008
Brief Clinical Reports
Cognitive Behavioural Therapy for Obsessive Compulsive Symptoms Affected by Past Psychotic Experience of Schizophrenia: A Case Report
Osamu Koboria1 c1, Hirotoshi Satoa2, Rieko Katsukuraa3 and Seiichi Haradaa3
a1 Institute of Psychiatry, King's College London, UK
a2 National Centre for Neurology and Psychiatry, Japan
a3 Tokyo Institution of Cognitive Behavioural Therapy, Harada Mental Clinic, Japan
Abstract
Obsessive-compulsive symptoms (OCS) have been observed in a substantial proportion of patients with schizophrenia. Although several studies have investigated the comorbidity associated with OCS in schizophrenia, few case studies are available regarding cognitive behavioural therapy (CBT) for the treatment of OCS of patients within this group. This paper describes a case report in which OCS emerged gradually after the remission of positive symptoms of schizophrenia. The CBT involved psycho education and case formulation, cognitive restructuring, exposure and response prevention (EPR), and behavioural experiments. Improvement in the compulsive behaviours led to a greater insight regarding the relationship between OCS and past experience of positive symptoms (e.g. hallucinations). The cognitive characteristics of the patient were discussed in light of current cognitive models of OCD.
Correspondence:
c1 Reprint requests to Osamu Kobori, Department of Psychology, PO Box 077, Institute of Psychiatry, King's College London, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: osamu.kobori@iop.kcl.ac.uk An extended version is also available online in the table of contents for this issue: http://journals.cambridge.org/jid_BCP.
