Individualized Metacognitive Therapy (MCT+) for Psychosis (English)

English version by Steffen Moritz, Francesca Bohn, Ruth Veckenstedt, Lucy Leighton, Todd S. Woodward, and Marit Hauschildt

MCT+ combines the process-oriented approach of metacognitive group training with elements of individual cognitive-behavioral therapy (i.e., the learning units related to jumping to conclusions and other biases can be adapted to the individual experiences, observations, and symptoms of the patient).

Six years after the release of the first edition, we are happy to announce the second edition of the MCT+ manual. In light of multiple studies indicating that patients often view their affective problems as more important than their positive symptoms, we have broadened the approach, which was initially targeted at the cognitive biases responsible for psychotic symptoms, so that MCT+ now also helps patients deal with low self-esteem, depression, and stigma. The present program contains new or optimized exercises as well as a new unit on self-esteem. The links below are to a shortened adaptation of the German MCT+ concept. We would be very grateful for feedback on this version.

Downloading the materials is permitted free of charge with the understanding that any commercial use is prohibited. Copyright restrictions apply (e.g., no modification of the materials, no use of slides for other purposes without the authors’ prior consent). You may download the worksheets for each module below. If you plan to administer individualized metacognitive training for psychosis (MCT+), please send us a brief email: We would also be grateful for any comments you might have and any recommendations for revision.

Therapy manual with brief introduction for all 11 MCT+ units:
please register at no cost here

For therapeutic sessions, you may print out the presentation. This can be used repeatedly with different patients. The worksheets are handed to the patient.

Help us to help others!

In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide most of our interventions free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you would like to support us, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obligated to make a contribution.

We guarantee that all donations will go into the further development of our interventions (future tasks: translation of modules into other languages, new graphics). On request, we can send you a donation receipt (please email Steffen Moritz ( and send us your address). Please inquire about different possibilities for sponsorships. Donations can be made to the following account

Pay to: UKE AG Neuropsychologie
Bank: Hamburger Sparkasse HASPA

Account title (this is crucial to ensure that your donation reaches us): 0470/001 - Metacognition

IBAN: DE54200505501234363636