This podcast features Alison Brabban (Durham University and Tyne, Esk & Wear Valleys NHS Foundation Trust) on ‘Treating Psychosis Without Antipsychotics: Is it an option?’. It was recorded at a meeting of the Durham University and TEWV NHS Foundation Trust Joint Special Interest Group in Psychosis in the Joachim Room at Hild-Bede College at Durham University on Wednesday 28 May 2014.
Alison is a Consultant Clinical Psychologist at the TEWV NHS Foundation Trust and an Honorary Senior Clinical Lecturer in the Mental Health Research Centre at Durham University.
Abstract: Antipsychotic drugs are usually the first line of treatment for psychosis, and clinical guidelines report clear benefits in terms of symptom reduction. Nevertheless many patients are dissatisfied with pharmacological treatment with 74% of patients choosing to discontinue their drugs over 18 month. Evidence is also emerging that suggests that the effectiveness of these drugs has been overestimated, whereas the severity of their adverse effects has been underestimated. Despite this no genuine treatment choice exists beyond medication. This presentation reports on the first research trial to treat psychosis without medication: a randomised controlled trial of Cognitive Behavioural Therapy for those with psychosis refusing to take antipsychotics. It will consider whether treatment of psychosis without medication might be a possibility.
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