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Cognitive Remediation Therapy (CRT)

Cognitive remediation therapy (CRT) is a set of techniques designed to teach ‘thinking skills’ and can be thought of as a form of cognitive rehabilitation. It involves training in a set of tasks designed to improve cognitive abilities and social functioning. The domains targeted depend upon client need, but might include attention, working memory, planning, and executive function. CRT has been studied most often in schizophrenia/psychosis, but also in other conditions such as anorexia nervosa. Patients with schizophrenia show cognitive deficits in executive functioning, verbal fluency, and distractibility (Wykes & van der Gaag, 2001). Patients with anorexia nervosa have difficulties in set shifting tasks which is believed to correspond to cognitive inflexibility / rigid thinking seen in this client group (Tchanturia, Davies, & Campbell, 2007). Read more
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Problem

Therapy tool

Language

Intervention

Presentations

Recommended Reading

What is Cognitive Remediation?

Components of CRT Programs

Wykes and van der Gaag (2001) categorize some of the components and features of CRT programs.

Type of intervention Shaping behavior through reinforcement

Changing the environment

Practice alone

Dyadic teaching

Scaffolding

Target of intervention Specific task performance

Specific cognitive strategy (e.g., use of planning)

Type of outcome Neuropsychological test performance

Social functioning

Symptom level

Medium of training Individual treatment

Group treatment

Computerized training

Paper and pencil tasks

References

  • Tchanturia, K., Davies, H., & Campbell, I. C. (2007). Cognitive remediation therapy for patients with anorexia nervosa: preliminary findings. Annals of General Psychiatry, 6(1), art. 14. doi.org/10.1186/1744-859X-6-14
  • Wykes, T., & van der Gaag, M. (2001). Is it time to develop a new cognitive therapy for psychosis—cognitive remediation therapy (CRT)? Clinical Psychology Review, 21(8), 1227–1256.