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Despite advances in drug treatment, persistent symptoms are common in
patients with chronic schizophrenia. On p 303 Tarrier et al report on a
randomised controlled trial of cognitive behaviour therapy, supportive
counselling, and routine care for psychotic symptoms in patients with
chronic schizophrenia. All patients received stable neuroleptic
medication. Reduction in psychotic symptoms was greatest in
patients receiving cognitive behaviour therapy, with those receiving
supportive counselling occupying an intermediary position. Whether
benefits can be maintained and psychological treatments can be used to
treat acutely ill patients need to be ascertained.