Metacognitive Training (MCT) for Psychosis (American)
Via the web-links below, you can download the MCT modules and homework. Please also see two new modules addressing self-esteem and stigma, which can be conducted in addition to the standard modules, or as stand-alone sessions.
Contribution & e-training MCT
If you download the MCT material, please make a contribution ($35/35€ for individuals; $100/100€ for institutions). You may donate online via this link, for more information see here. Your contribution will be used to revise, develop and evaluate new (self-help) treatments. Of course, we will send you an official donation receipt. Please note that we have developed certified e-trainings for the MCT and D-MCT (www.uke.de/e-mct; www.uke.de/e-dmct).
To view the modules, you need to install Adobe Reader; a free version can be downloaded here. When presenting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).
Are you a clinician or researcher and would like to receive the manual as well as review articles? Please press below. If you administer metacognitive training for psychosis (MCT), please send us a short notification. We are grateful for comments, criticisms and recommendations for improvement. Interested in our e-learning showing you how to facilitate the intervention? Please click here.
Modules (7.2) Cycle A
Modules (7.2) Cycle B
For module 6, we recommend using the so-called BADE version (see manual). Videos that depict cognitive biases and which can serve as visual aids to improve understanding can be found here: MCT Videosuite.
Because many people with psychosis feel stigmatized and suffer from poor self-esteem, they would like these topics to also be addressed in therapy. Therefore, we decided to incorporate these aspects into MCT. The two new modules can be conducted in addition to the standard modules, or as standalone sessions (the therapist can determine the structure that best meets the needs of their clients). We advise trainers to continue conducting eight modules per cycle (ideally with completion within four weeks).
Rules (print out & bring to sessions), Homework and Yellow & Red Card
Authors: Steffen Moritz, Todd S. Woodward & MCT Study Group. Translators: Caroline Stevens and Marit Hauschildt.
Manual and overview articles can be obtained via online registration. Some reviews can also be downloaded from the MCT main page (at the bottom). Dissatisfied with some modules? No problem - become a member of our open source initiative! Subscribe to our newsletter and stay updated on the latest developments.
Every MCT participant receives a yellow and a red card that easily fit into a purse. The yellow card asks three essential questions, which may help to prevent the formation of hasty, false and consequential conclusions:
- What is the evidence?
- Are there alternative views?
- Even if it's like that...am I over-reacting?
On the red card, the patient is encouraged to write down the names of persons and institutions with corresponding telephone numbers who may help when a crisis occurs.
Eichner, C. & Berna, F. (2016). Acceptance and efficacy of Metacognitive Training (MCT) on positive symptoms and delusions in patients with schizophrenia: a meta-analysis taking into account important moderators. Schizophrenia Bulletin, 42, 952–962.
Liu, Y. C., Tang, C. C., Hung, T. T., Tsai, P. C., & Lin, M. F. (2018). The efficacy of Metacognitive Training for delusions in patients with schizophrenia: a meta-analysis of randomized controlled trials informs evidence-based practice. Worldviews on Evidence-Based Nursing, 15, 130–139.
Moritz S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., & Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on Metacognitive Training in schizophrenia. Clinical Psychology Review, 34, 358–366.
Moritz, S., Krieger, E., Bohn, F., & Veckenstedt, R. (2017). MKT+: Individualisiertes metakognitives Therapieprogramm für Menschen mit Psychose (2. Aufl.). Heidelberg: Springer.
Moritz, S., Veckenstedt, R., Bohn. F., Köther, U., & Woodward, T. S. (2013). Metacognitive Training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358–383). New York: Oxford University Press.
Moritz, S., Veckenstedt, R., Randjbar, S., & Vitzthum, F. (2010a). MKT+: Individualisiertes metakognitives Therapieprogramm für Menschen mit Psychose. Heidelberg: Springer.
Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R., & Woodward, T. S. (2010b). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561–569.
Moritz, S. & Woodward, T. S. (2007): Metacognitive Training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619–625.
Penney, D., Sauvé, G., Mendelson, D., Thibaudeau, É., Moritz, S., & Lepage, M. (2022). Effectiveness, durability, and moderators of Metacognitive Training for psychosis (MCT): a systematic review and meta-analysis. JAMA Psychiatry.
Downloading the materials is permitted with the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors).
Help us to help others!
Given the limited budgets in many psychiatric hospitals, it is our goal to ensure that MCT remains accessible to anyone interested in using it. However, maintaining the MCT program, as well as continuing to improve and develop it, requires significant personnel and financial resources. If you want to support MCT, we would be very grateful for donations. We will, of course, continue to provide support and assistance to anyone using the program.
Thank you for your continued support. We guarantee that all donations will go to the further development of MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a receipt for your donation: please send an email to Steffen Moritz (firstname.lastname@example.org) and include your mail address. Please inquire about different possibilities for sponsorships.