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Schizophrenic Clients

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I’m trained as a clinical psychotherapist. I wouldn’t teach mindfulness practices to someone diagnosed with paranoid schizoaffective disorder. IMO, it is contraindicated for this population.

If you don’t mind, can you share what it is in your psychology training that suggests that mindfulness practice would be appropriate for this population? 

Edited by Jeff Miller
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Hi both,

An interesting question.

I've worked with Paranoid Schizophrenics in a Forensic Mental Health Care Home setting here in the UK.

I was allowed to offer them Mindfulness, but NOT Hypnotherapy / Self Hypnosis...

I could have applied for permission to work with hypnosis with these individuals as long as they weren't in a florid state. But I didn't get around to that as felt the Mindfulness would be enough for now.

I don't know where you are in the World or what the regulations are there, but here are some interesting readings:

https://thepsychologist.bps.org.uk/volume-25/edition-12/new-voices-should-we-be-more-mindful-psychosis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436583/#:~:text=Mindfulness meditation alleviates symptoms of,5 and reduced negative symptoms.

https://www.heretohelp.bc.ca/visions/mindfulness-vol12/is-mindfulness-useful-or-dangerous-for-individuals-with-psychosis

Many others here:

https://www.google.com/search?q=mindfulness+for+paranoid+schizophrenia&rlz=1C5CHFA_enGB744GB744&oq=mindfulness+for+paranoid+sc&aqs=chrome.1.69i57j33i22i29i30l2.7544j0j7&sourceid=chrome&ie=UTF-8

My rule of thumb has always been to check with the person prescribing the anti psychotics (and make sure there is a paper trail).

The results to date have varied from indifferent (with permission) to enthusiastic.

With the greatest respect, I would add that I would NOT advise this to people who have no psych-brain training other than Mindfulness.

Hope this helps,

Gareth

www.alchemylifetherapy.com 

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