CBT methods for delusional beliefs1. Questions about less important parts of the delusion The therapist does not directly challenge the main part of the delusion, but uses questions to guide the patient to recognize the contradictions in his delusional beliefs, as well as the patient's doubts about the less important parts of the delusion - for example, does not immediately challenge his belief that he is being watched, but questions the number, intentions and strength of those watching him.2. Searching for Alternative Explanations The therapist works with the patient to consider whether it is possible to differently interpret the facts that the patient uses to support his delusional beliefs. In this case, the therapist must act very carefully so as not to impose his explanations on the patient, but simply offer him other possibilities.3. Reality Testing The therapist asks the patient to write down specific facts in his daily life that support his delusional beliefs. They then review these facts together and discuss how much they actually support the patient's delusional beliefs and whether there are other possibilities to explain them.4. Exploring the Emotional Meaning of Delusions Delusional beliefs are often associated with strong emotions: fear, anger, rage, depression, and helplessness. When the therapist focuses on exploring and alleviating these emotions through techniques of cognitive restructuring, gradual exposure, systematic problem solving, etc., the effects of delusional beliefs in the patient's life are often mitigated.5. Addressing and changing cognitive schemas associated with delusions During therapy, the cognitive schemas (core beliefs about oneself, others, and the world) are gradually revealed that create the basis for the emergence of delusions, which are often associated with the patient's self-esteem and with attacks on his important personal values. The therapist and patient then work together to address these themes and attempt to change them through Socratic talk, cognitive restructuring, and behavioral experiments aimed at increasing the patient's self-confidence. Individual therapy for delusional beliefs can be combined with other cognitive-behavioral programs: social skills training (link ), problem-solving practice, family therapy, etc. The article was written using materials from the book “Cognitive-behavioral therapy of mental disorders” Prashko, Mozhny .================== ============================================================= You can get advice by contacting : By phone 8-923-146-08-18Skype: Alexey Mossine-mail: [email protected]