# Few schizophrenia patients receive psychotherapy, despite its effectiveness **URL:** \ **Category:** News on schizophrenia and mental health matters\ **Created:** [January 12, 2026, 5:42pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581 "2026-01-12T17:42:31Z")\ **Posts on this page:** 11\ **Page:** 1
**Author:** ![everhopeful](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/everhopeful/32/605_2.png) [@everhopeful](https://schizophreniasupport.discourse.group/u/everhopeful)\ **Post date:** [January 12, 2026, 5:42pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/1 "2026-01-12T17:42:31Z")
> **[Psychotherapy for Schizophrenia: An Underutilized Treatment](https://www.psychologytoday.com/ie/blog/freud-fluoxetine/202211/psychotherapy-schizophrenia-underutilized-treatment)** > > Few schizophrenia patients today receive any psychotherapy, but it is an important component of treatment. ls it effective though? ---
**Author:** ![labratmat](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/labratmat/32/16_2.png) [@labratmat](https://schizophreniasupport.discourse.group/u/labratmat)\ **Post date:** [January 12, 2026, 5:50pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/2 "2026-01-12T17:50:30Z")
It seems to be that szs with a fragile grasp of the reality must be hard to treat. I imagine many a psychotherapist wouldn’t know where to begin in treating a sz patient. I can understand why tbh. Those with far out beliefs and delusions can’t really be dealt with logically in the end, hard as it is to accept. ---
**Author:** ![labratmat](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/labratmat/32/16_2.png) [@labratmat](https://schizophreniasupport.discourse.group/u/labratmat)\ **Post date:** [January 14, 2026, 10:15pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/3 "2026-01-14T22:15:41Z")
The perfect example of a sz unshakeable delusion is believing sz voices are supernatural. If someone holds this belief then what can a psychotherapist do to change it? So when they apply other psychological systems they justy build on a person who is delusional and a house of cards is a house of cards… ---
**Author:** ![SzSupportAdmin](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/szsupportadmin/32/334_2.png) [@SzSupportAdmin](https://schizophreniasupport.discourse.group/u/SzSupportAdmin)\ **Post date:** [January 14, 2026, 10:39pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/4 "2026-01-14T22:39:32Z")
> [@everhopeful](#): > > ls it effective though? I think it can be on some. @labratmat is right though, I believe than on some it probably wont make a dent. I speak from experience on that one trying to get through to those with fixed, unmovable beliefs on the old forum. ---
**Author:** ![Catman](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/catman/32/14_2.png) [@Catman](https://schizophreniasupport.discourse.group/u/Catman)\ **Post date:** [January 14, 2026, 11:42pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/5 "2026-01-14T23:42:01Z")
It can be effective. When someone is delusional, the last thing you want to say to the person is that they’re delusional. As if all of their suffering is invalid. Does that mean that you reinforce their delusional belief? No, but what it does mean is that you’re building a rapport with the person and trust is being established. If the person tells me that they’re hearing voices, I say to them that it must be very difficult to believe that voices are talking to you. How do the voices make you feel? I didn’t google this. ---
**Author:** ![SzSupportAdmin](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/szsupportadmin/32/334_2.png) [@SzSupportAdmin](https://schizophreniasupport.discourse.group/u/SzSupportAdmin)\ **Post date:** [January 14, 2026, 11:47pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/6 "2026-01-14T23:47:04Z")
I believe there are different protocols depending on if you are talking about a one on one dealing with someone with fixed false beliefs and if you are dealing with them on a forum. I believe the standard method is similar to what you are saying on a one on one, pyschiatrist and patient basis. The equation gets more complex when you are dealing with a group setting like this and want to make sure that beliefs arent affecting others. ---
**Author:** ![Catman](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/catman/32/14_2.png) [@Catman](https://schizophreniasupport.discourse.group/u/Catman)\ **Post date:** [January 14, 2026, 11:51pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/7 "2026-01-14T23:51:28Z")
@SzSupportAdmin I agree 💯 I was thinking of psychotherapy. Yeah, a forum is much different. ---
**Author:** ![Wave](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/wave/32/14465_2.png) [@Wave](https://schizophreniasupport.discourse.group/u/Wave)\ **Post date:** [January 14, 2026, 11:59pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/8 "2026-01-14T23:59:29Z")
It really depends on the therapist Too many therapists are just not qualified My current therapist is a decent human being who gives me good advice. That’s good enough for me. ---
**Author:** ![shutterbug](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/shutterbug/32/900_2.png) [@shutterbug](https://schizophreniasupport.discourse.group/u/shutterbug)\ **Post date:** [January 15, 2026, 12:01am UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/9 "2026-01-15T00:01:54Z")
> [@Catman](#): > > It can be effective. It’s very helpful for those of us with insight. Having an illness will warp your behaviour around it over time. The therapy is a powerful tool for undoing that damage and restoring balance back to one’s life. ---
**Author:** ![Catman](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/catman/32/14_2.png) [@Catman](https://schizophreniasupport.discourse.group/u/Catman)\ **Post date:** [January 15, 2026, 12:16am UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/10 "2026-01-15T00:16:14Z")
> [@shutterbug](#): > > It’s very helpful for those of us with insight. Having an illness will warp your behaviour around it over time. The therapy is a powerful tool for undoing that damage and restoring balance back to one’s life. I agree. I sometimes say that every child, every person, has a virtual cassette in their heads. A person that you look up to says that you’re stupid, you’re never going to amount to anything, that you’re a complete waste of space. There comes a point when they can stop saying it because you’re going to say it to yourself. Therapy, if you have the insight, lets you rewind and erase all of those false and hurtful words. That’s not only freeing but lets you be the narrator of your own life. ---
**Author:** ![SzSupportAdmin](https://yyz2.discourse-cdn.com/flex012/user_avatar/schizophreniasupport.discourse.group/szsupportadmin/32/334_2.png) [@SzSupportAdmin](https://schizophreniasupport.discourse.group/u/SzSupportAdmin)\ **Post date:** [January 28, 2026, 4:22pm UTC](https://schizophreniasupport.discourse.group/t/few-schizophrenia-patients-receive-psychotherapy-despite-its-effectiveness/1581/11 "2026-01-28T16:22:10Z")