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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.
MCT is a time-limited therapy which usually takes place between 8–12 sessions. The therapist uses discussions with the patient to discover their metacognitive beliefs, experiences and strategies. The therapist then shares the model with the patient, pointing out how their particular symptoms are caused and maintained.
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]
Mobile Crisis, or Mobile Crisis Teams (MCT), are an emergency mental health service in the United States and Canada, typically operated by hospital or community mental health agency. They serve the community by providing emergency services to people in crisis, such as mental health evaluations, de-escalation , and/or pointers to local services ...
Meta-analyses confirm the effectiveness of metacognitive training (MCT) for the improvement of positive symptoms (e.g., delusions). [ 121 ] [ 122 ] For people at risk of psychosis , in 2014 the UK National Institute for Health and Care Excellence (NICE) recommended preventive CBT.
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.
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