Therapy of psychoses

What therapies are available? - A review

bildIf a psychosis is associated with deep uncertainty, before everything else, then it is the essential challenge of a therapy to quiet the mind, to limit the possibly existing, excessive stimulation and to create environmental conditions, which make it possible to bring a person to their senses.

In addition to this, it is then also necessary to establish a personal therapeutic relationship as rapidly as possible, which can effectively help with the individual orientation - through the reflection of feelings, the limitation of loneliness and the slow compilation of sovereignty.

To limit the excessive stimulation, psychopharmaceutical drugs are also helpful. However, before everything else, it is the "chemistry" of the therapeutic relationship which plays an important role, along with its continuity and flexibility, even more so than the technique being applied. The therapeutic relationship is the basis for the medication, and not the other way around. This is all the more important since a psychosis always represents a desperate struggle with regard to autonomy and the promotion of this autonomy in a lasting relationship, and in the context of the family and the social relationships, so that it is a part of the nature of the therapy for a psychosis.

As a consequence, it makes no sense to consider an insight into one's condition as reflecting advancements and the demand for compliance, as a sense of one's willingness to cooperate or as a subjugation ritual. The insight into one's condition is, for the most past, a task of the therapist, not to be seen abstractly, but completely concrete: What has brought this person at this point in time and under which circumstances, to react psychotically? On this basis, the cooperation can develop - not unilaterally, but struggling mutually to find the fitting way, carefully balancing between proximity and distance, adaptation and resistance.

For the therapy of psychoses, a multitude of possibilities are available. Important here is that these therapies be adapted to suit the individual needs of the person affected and the relationship they have with their family, that is to say, to bring about an "integration". The following, frequently utilized therapies are available:

Medicinal therapy

  • Medicinal therapy is primarily carried out using so-called antipsychotics, but also witht he aid of other medications.

Psychosocial therapies: Psychological individual and group therapies

  • Psychoeducation
  • Cognitive behavioural therapy (CBT)
  • Depth psychological procedures, person-centred therapy
  • Addiction therapy

Other therapies

  • Family therapies
  • Ergotherapy
  • Sociotherapy
  • Social competency training (SCT)
  • Metacognitive training (MCT)
  • Art therapy
  • Dance therapy
  • CogPack

Generally, it is important that the therapies should be begun as soon as possible. This is the case for the first psychosis as well as in the event of a renewed psychotic episode, that is to say, following a relapse. The medicinal therapy is generally used in combination with psychological, social and/or other therapies.

On the following pages, you will receive an overview concerning the most important medicinal and psychosocial therapies. Inform yourself well, so that you will be able to help in making a decision in the future.

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