Cognitive Remediation Therapy
A structured intervention that uses exercises and strategies to improve cognitive functions, such as memory and attention, often used alongside treatment for schizophrenia.
What Is Cognitive Remediation Therapy?
Cognitive remediation therapy is a structured intervention that uses targeted exercises and compensatory strategies to improve specific cognitive functions, such as attention, memory, and executive functioning, most commonly used to support people with schizophrenia and other conditions involving cognitive difficulties.
How It Works
This approach is based on principles of neuroplasticity, using structured, often computer-based or paper-based exercises targeting specific cognitive domains, sometimes combined with strategies to apply these improvements to daily functioning. This description uses original explanatory language.
What Happens During Therapy?
Sessions typically involve structured cognitive exercises, which may be computerized or paper-based, targeting specific cognitive skills, often combined with discussion of how to apply improved skills to real-world tasks such as work or daily living.
Evidence and Effectiveness
Research supports cognitive remediation therapy for improving cognitive functioning and, to some extent, daily functioning in people with schizophrenia, with evidence from multiple randomized controlled trials and meta-analyses, particularly when combined with psychosocial rehabilitation.
Who May Benefit?
Cognitive remediation therapy may be considered as part of an individualized treatment plan for people with schizophrenia or other conditions involving significant cognitive difficulties that affect daily functioning.
Limitations and Considerations
Gains from cognitive remediation may not automatically transfer to real-world functioning without additional supportive strategies, and consistent engagement with structured exercises is required.
Finding a Qualified Therapist
Cognitive remediation therapy is delivered by psychologists, occupational therapists, and other trained professionals, often within specialized psychiatric rehabilitation programs.
How Long Does Therapy Take?
Cognitive remediation therapy programs often involve multiple sessions per week over several months, though length varies by program and individual needs.
Therapy vs. Medication
Cognitive remediation therapy is a rehabilitation-focused intervention and does not replace antipsychotic medication for schizophrenia; it is generally used as an adjunct to medication management, in consultation with a qualified prescribing healthcare professional.
What Conditions Is It Used For?
Related Therapy Types
Medical Information Disclaimer
Ratel Health provides general educational information and does not provide medical diagnosis, treatment, or individualized medical advice. Information on this page is not a substitute for evaluation or care from a qualified healthcare professional. Do not use this information to diagnose yourself or another person, or to start, stop, or change treatment or medication without consulting an appropriately qualified healthcare professional.
References
- American Psychological Association. Clinical Practice Guidelines.
- American Psychiatric Association. Practice Guidelines.
- National Institute of Mental Health. Psychotherapies.