485: Ask David: Schizophrenia; OCD--What REALLY Works?

The answers to today's questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question.

Here are the questions for today's podcast.

1. Joel asks: How can we use TEAM CBT to help a patient or loved one struggling with schizophrenia?
2. Jean asks: Since CBT won't work with OCD, should we use exposure or the Hidden Emotion Technique instead?
3. Jim asks: When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain?

And here are the answers.

Question #1

Dear Dr Burns,

I learned from you that the foundational principle of CBT is that our emotions, and ultimately our behaviors, are rooted in thoughts or beliefs. Are there emotional and/or behavioral disorders (perhaps like schizophrenia) that are rooted in abnormal neurobiological brain pathologies, rather than in distorted cognitions or self-defeating beliefs? And if so, is TEAM CBT relevant to helping those suffering from these "psychoses"?

With much gratitude, respect, and affection,

Joel

Question #2

Dear Dr. Burns:

I'm curious if you have thoughts about the problem of talking back to the obsessive thoughts in OCD.

Thank you,

Jean

Question #3

Dear Dr. Burns:

When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain? I am not having thoughts that I did anything wrong, or there is something the matter with me, I feel sad, hurt and confused and angry.

Jim

Thanks for listening today!

Matt, Rhonda, and David