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Cognitive Behavioural Therapy for Obsessive Compulsive Symptoms Affected by Past Psychotic Experience of Schizophrenia: A Case Report

Published online by Cambridge University Press:  23 May 2008

Osamu Kobori ,
Hirotoshi Sato ,
Rieko Katsukura  and
Seiichi Harada
Osamu Kobori*
Affiliation:
Institute of Psychiatry, King's College London, UK
Hirotoshi Sato
Affiliation:
National Centre for Neurology and Psychiatry, Japan
Rieko Katsukura
Affiliation:
Tokyo Institution of Cognitive Behavioural Therapy, Harada Mental Clinic, Japan
Seiichi Harada
Affiliation:
Tokyo Institution of Cognitive Behavioural Therapy, Harada Mental Clinic, Japan
*
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: [email protected] An extended version is also available online in the table of contents for this issue: http://journals.cambridge.org/jid_BCP.
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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.

Keywords

Obsessive-compulsive disorderschizophreniacognitive behavioural therapy
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 3 , May 2008 , pp. 365 - 369
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

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