A Case Study of Person with Schizophrenia with Auditory Hallucinations (Voices) – A Cognitive Behavioral Case Work Approach

Background: Effective psychosocial treatment like cognitive-behavioural therapy (CBT) is needed for quick recovery from schizophrenia. The applicability of CBT for schizophrenia has many applications to social work practice. Aim: The aim of the present study was to manage auditory hallucination using cognitive behavioural case work study approach. Methodology: It uses a single subject design and compares pre and post -intervention baseline data with that following intervention. Psychiatric social work assessment using – social history Performa, Brief Psychiatric Rating Scales (BPRS), Hamilton Anxiety Rating Scale (HAM-A), The Calgary Depression Scale for Schizophrenia, Psychotic Symptoms Rating Scales (PSYRATS), Family Assessment Device (FAD). Based on the assessment, psychiatric social work intervention was provided to patient and family members, which includes psycho education, Cognitive Behavior therapy and family intervention. Results: There was change in the pre and post score of psychotic symptoms, anxiety, depression and hallucinations (voices). Psychotic Symptoms were significantly reduced with treatment of client with cognitive behavior case work intervention and medication Patient understanding level of illness was improved, distorted beliefs about hallucination was modified, client was able to cope with distressing symptoms.