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Metacognitive training (MCT) is an approach for treating the symptoms of psychosis in schizophrenia, [1] especially delusions, [2] which has been adapted for other disorders such as depression, obsessive–compulsive disorder and borderline over the years (see below). It was developed by Steffen Moritz and Todd Woodward.
The training consists of 8 modules and can be obtained cost-free from the internet in 15 languages. [121] [122] Studies confirm the training's feasibility [124] and efficacy in ameliorating positive psychosis symptoms. [125] [126] Studies of single training module show that this intervention target specific cognitive biases. [127]
Metacognitive therapy (MCT) is a psychotherapy focused on modifying metacognitive beliefs that perpetuate states of worry, rumination and attention fixation. [1] It was created by Adrian Wells [ 2 ] based on an information processing model by Wells and Gerald Matthews. [ 3 ]
Up to 15% of the general population may experience auditory hallucinations (though not all are due to psychosis). The prevalence of auditory hallucinations in patients with schizophrenia is generally put around 70%, but may go as high as 98%. Reported prevalence in bipolar disorder ranges between 11% and 68%. [18]
Early intervention in psychosis is a clinical approach to those experiencing symptoms of psychosis for the first time. It forms part of a new prevention paradigm for psychiatry [ 1 ] [ 2 ] and is leading to reform of mental health services , [ 3 ] especially in the United Kingdom [ 4 ] [ 5 ] and Australia.
Through MCT, patients first discover their own metacognitive beliefs, then are shown how these beliefs lead to unhelpful responses, and finally are taught how to respond to these beliefs in a productive way. MCT typically lasts for around 8-12 sessions and therapy includes experiments, attentional training technique, and detached mindfulness.
Scores are often given separately for the positive items, negative items, and general psychopathology. In their original publication on the PANSS scale, Stanley Kay and colleagues tested the scale on 101 adult patients (20-68 years-old) with schizophrenia [4] and the mean scores were, Positive scale = 18.20; Negative scale = 21.01
Open Dialogue (OD) developed from Need-Adapted Treatment as described by Alanen and colleagues in the early 1990s. This approach took shape within the mental health services of Finnish Western Lapland in the 1980s and 1990s. During its initial research and training in psychotherapy, seven key principles were identified: [6] providing immediate help