The Application of Maultsby ’s Rational Behavior Therapy in Psychosis – A Case Report

We report the case of a 17-year-old patient who had been recently diagnosed with schizophrenia according to ICD-10 criteria, presenting with recurrent psychotic symptoms and suicidal ideation. Over 1.5  years, the patient was treated in an outpatient setting with antipsychotic medications and, intermittently, with RBT-based psychotherapy (by the first author). The therapy process was interrupted periodically due to temporary improvements in the patient’s status, non-adherence, or relapses, incl uding one episode requiring hospitalization. Nevertheless, the treatment eventually resulted in a long-lasting remission. We present examples of the RBT techniques used in this therapeutic process and highlight this treatment modality’s unique features which support patients utilizing rational sel f-counseling skills to become more independent in coping with their problems. We emphasize that patients with a mental illness like schizophrenia or bipolar disorder also suffer from learned emotional disturbances that are amenable to treatment with cognitive-behavior therapies like RBT. In conclusi on, we submit that with its self-counseling properties, RBT offers non-intrusive ways of helping people experiencing psychotic symptoms as part of their diagnosis and in prodromal or non-diagnostic states.
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research

Related Links:

This study aims to survey the current epidemiology and the changing ecology of emergency psychiatry services in Taiwan.MethodsA total of 804 psychiatry consultations were initiated at the ED during the 1-year period from July 1, 2014 to June 30, 2015 in a medical center in northern Taiwan. Clinical data of gender, age, chief complaints, tentative diagnoses, dispositions, and ED staying hours were compared to a previous report in the same hospital in 1988.ResultsPsychiatry consultation was initiated in 0.72% of all ED visits (804/111,923). Among these visits, females were 1.73 times of the males. The most common chief compl...
Source: Asia-Pacific Psychiatry - Category: Psychiatry Authors: Tags: ORIGINAL ARTICLE Source Type: research
BACKGROUND: Clozapine is the only treatment with regulatory-recognition of lowering suicidal risk, at least in schizophrenia patients. It remains uncertain whether such effects extend to other drugs for psychosis. METHODS: We searched for reports o...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
CONCLUSIONS: The pandemic poses significant challenges to individuals with serious mental illness in terms of COVID-19-related distress. Psychiatric services should proactively address the emotional distress and worries associated with the pandemic.PMID:34189930 | DOI:10.1176/appi.ps.202100130
Source: Psychiatric Services - Category: Psychiatry Authors: Source Type: research
CONCLUSIONS: This study documents a high level of health care resource utilization among those with MDD and suicidal thoughts and behaviors. Only a small proportion had documented PHQ-9 scores. Given that sizable proportions did not receive any antidepressant therapy or psychotherapy, even after suicidality was noted in their medical record, continued efforts in screening and treatment intensification are warranted for this vulnerable population.FUNDING: Janssen Scientific Affairs, LLC.PMID:34127105 | DOI:10.1017/S1092852920002849
Source: CNS Spectrums - Category: Neurology Authors: Source Type: research
Background: Suicide is defined as an act of intentionally causing one's death. Different psychological disorders including depression, personality disorders, bipolar disorder, schizophrenia, substance abuse, and addiction, and anxiety diso...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Risk Factor Prevalence, Injury Occurrence Source Type: news
CONCLUSIONS: The suicide rates among people with serious mental illness were high, highlighting the requirements for increasing psychological assessment and monitoring. Further study should focus on region and age differences in suicide among this population.PMID:33952359 | DOI:10.1017/S0033291721001549
Source: Psychological Medicine - Category: Psychiatry Authors: Source Type: research
We examined genomic correlates of SIB in 8,049 male and 1,290 female veterans with schizophrenia or bipolar disorder.
Source: Biological Psychiatry - Category: Psychiatry Authors: Source Type: research
Children who have a parent with bipolar disorder are more likely to develop attention-deficit/hyperactivity disorder (ADHD) during their preschool years than children with no family history of bipolar disorder, reports astudy inJournal of the American Academy of Child and Adolescent Psychiatry. The study also found that these children were more likely to develop symptoms of bipolar disorder as they grew older.“[Bipolar disorder] symptoms were scarce during the preschool years and increased throughout [early adolescence],” wrote Boris Birmaher, M.D., of the University of Pittsburgh School of Medicine and colleag...
Source: Psychiatr News - Category: Psychiatry Tags: ADHD anxiety BD-NOS bipolar disorder children early onset Journal of the American Academy of Child and Adolescent parents Source Type: research
We examined the association between ozone (O3) and fine particles (PM2.5) and emergency department (ED) visits related to mental health outcomes, including psychosis, neurosis, neurotic/stress, substance use, mood/affective, depression, bipolar, schizotypal/delusional, schizophrenia, self-harm/suicide, and homicide/inflicted injury, from 2005 through 2013 in California. Air monitoring data were provided by the U.S. EPA ’s Air Quality System Data Mart and ED data were provided by the California Office of Statewide Health Planning and Development. We used the time-series method with a quasi-Poisson regression, controll...
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research
In the United States (US), suicide is a leading cause of death, and most of these suicides involve firearms, highlighting the importance of lethal means safety in suicide prevention.(1, 2) US Veterans experience a suicide rate 1.5 times higher than US civilian adults and are more likely to use firearms as the means of suicide.(3) Risk factors for suicide within this population include demographic factors such as sex, age, race, and level of education, as well as health factors such as smoking status, psychiatric conditions (e.g., posttraumatic stress disorder [PTSD], depression, bipolar and anxiety disorders, schizophrenia...
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Tags: Original Research Source Type: research
More News: Bipolar | Cognitive Behavior Therapy | Depression | Mania | Men | Psychiatry | Psychology | Psychotherapy | Schizophrenia | Suicide | Teaching