Cognitive Therapy for Auditory Hallucinations as an Alternative to Antipsychotic Medication: A Case Series

Antipsychotic medication is the main focus of current treatment approaches to schizophrenia and psychotic symptoms. However, there are some disadvantages to such treatments including side-effects, non-response and non-compliance. Cognitive behavioural interventions have been employed successfully as an adjunct to medication, and two case studies suggest that such interventions can be of benefit to patients as an alternative to antipsychotic medication. Four patients received cognitive therapy for auditory hallucinations as an alternative to antipsychotic medication and were assessed weekly used a semi-structured interview that quantifies dimensions of psychotic symptoms. Measurements occurred over a two week baseline period, during intervention and at follow-up. Three of the four patients seemed to find the treatment acceptable. Two patients achieved significant decreases in conviction, distress and frequency. Cognitive therapy may be a useful alternative to medication for auditory hallucinations. A more controlled evaluation is required. Copyright © 2001 John Wiley & Sons, Ltd.