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by DanBC
2376 days ago
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Thank you for giving this detailed reply. The evidence for CBT for things like psychosis is mixed. The English NICE say that CBT should be offered to everyone who has psychosis, and to most people at risk of developing psychosis. https://www.nice.org.uk/guidance/cg178/chapter/1-Recommendat... Other people think the NICE committee is biased (and I think they're probably right) https://twitter.com/Keith_Laws/status/1205833799826890752?s=... Sometimes people point to the English IAPT scheme (which offers mainly CBT) as evidence of lack of effectiveness of CBT for depression. They say that it only works for about 60% of the people who try it. I think this is a misunderstanding of the data, which can be found here: https://digital.nhs.uk/data-and-information/publications/sta... IAPT has 4 tiers. The higher tiers are delivered face to face, one to one, with an experienced therapist, and you get up to 16 weeks of therapy. The lower tiers might be group work, or telephone based, or maybe even delivered over computer. If you have a therapist they may be less experienced. And you get 5 weeks of therapy. But the results of all these tiers are mashed together. |
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