title: Metacognitive training for delusion in treatment-resistant schizophrenia.
abstract: Metacognitive training for patients with schizophrenia (MCT) is a novel form of psychotherapy that aims to promote insight into the relationship between metacognitive deficits and psychotic symptoms, especially delusions. MCT has been found to be effective in reducing the delusional conviction and other positive symptoms in patients with schizophrenia. However, we are not aware of any research in which MCT has been used specifically to manage treatment-resistant schizophrenia patients. We report the case of a patient with treatment-resistant schizophrenia who responded to MCT. Her persecutory and referential delusions improved with a course of twelve sessions of therapy. Further, the improvement in delusions had a positive impact on her psychosocial functioning. A follow-up after two months of therapy revealed sustained improvement.
authors.affiliation: National Institute of Mental Health and Neurosciences-Clinical Psychology, Bangalore, India.
authors.forename: Devvarta
authors.initials: D
authors.lastname: Kumar
authors.affiliation: National Institute of Mental Health and Neurosciences-Psychiatry, Bangalore, India.
authors.forename: Mukund G
authors.initials: MG
authors.lastname: Rao
authors.affiliation: National Institute of Mental Health and Neurosciences-Psychiatry, Bangalore, India.
authors.forename: Dhanya
authors.initials: D
authors.lastname: Raveendranathan
authors.affiliation: National Institute of Mental Health and Neurosciences-Psychiatry, Bangalore, India.
authors.forename: Ganesan
authors.initials: G
authors.lastname: Venkatasubramanian
authors.affiliation: National Institute of Mental Health and Neurosciences-Clinical Psychology, Bangalore, India.
authors.forename: Shivarama
authors.initials: S
authors.lastname: Varambally
authors.affiliation: National Institute of Mental Health and Neurosciences-Psychiatry, Bangalore, India.
authors.forename: Bangalore N
authors.initials: BN
authors.lastname: Gangadhar
mesh_terms: D000328:Adult; D001364:Awareness; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003702:Delusions; D005260:Female; D006801:Humans; D000067489:Metacognition; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D016896:Treatment Outcome
keywords: Metacognitive Training; Schizophrenia; Treatment Resistant