Coping with auditory hallucinations10/3/2023 ![]() ![]() Relatives are given credit for their endurance and sympathy for unsuccessful attempts to work with the patient feelings of guilt are neutralized. In family treatment, joint sessions with the patient and relatives are preferred. Psychoeducation focuses on symptoms and on problem solving. Patients and relatives are encouraged to elicit new ideas and solutions. Daily monitoring of the characteristics of the voices, contextual aspects, and coping and its effect is pivotal in constructing a coping strategy.Ĭognitive-behavioral therapy interventions focus on precipitating events, on emotional, cognitive, and behavioral actions or reactions, and on the reactions of others. Graduated exercises are followed by practice. Compliance is reinforced by adjusting the duration and frequency of sessions according to principles of operant conditioning.Ĭoping training teaches patients and relatives a repertoire of skills for anxiety management, for distracting the patient's attention from the voices, and for focusing attention on the voices when nececessary. To enhance patient responsibility the patient selects the timing and order of therapeutic interventions. Hallucinations are accepted as a reality for which the patients are responsible. With use of motivational interviewing, interventions are accommodated to the patient's degree of awareness of the illness. Resistance is no longer explained in psychiatric terms but viewed as consumer complaints for which the adjustments should be made. Medication noncompliance is recast as a request for medication adjustment. Symptoms and behavior are relabeled positively. A focus on disease and on medical institutions is replaced by one on consumer needs and demands. The motivation module includes several components. ![]()
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