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Metacognitive training for psychosis

Mahesh Menon

6 Dec 2023


Metacognitive Training for psychosis (MCT- Moritz & Woodward, 2007) CBT based, structured, group intervention targeting the cognitive biases associated with delusions in psychosis. It was developed by researchers at the University of British Columbia and the University of Hamburg.  MCT sessions involve discussions and experiential activities to help individuals with delusions recognize how cognitive biases such as ‘jumping to conclusions’ and the inability to look at disconfirmatory evidence can lead to holding on to erroneous beliefs. The exercises done in session do not focus on their individual beliefs, but rather allow for this increased awareness using more fun, playful activities mixed with general discussions about interpersonal interactions and the role of anxiety, stress paranoia etc. MCT has been validated in a number of randomized control trials, and meta-analyses, and is now used in routine clinical practice in a number of countries. 

The event will be equivalent to 5.1/2hrs of CPD.


Topics we’ll cover in the workshop
• Understanding cognitive biases associated with delusions
• The development and application of MCT
• The evidence base for MCT
• Integrating CBT techniques into MCT
• Running the MCT groups

Learning Objectives

By the end of the workshop, we hope that you will:
• Have a better understanding of the cognitive biases associated with delusions
• Know how to run the MCT groups
• Be better able to engage with your clients in discussing delusions

Training Modalities

Didactic content, reviews of the exercises presented in MCT and Q&A.

Key References

Moritz S, Woodward TS, Metacognition Study Group. (2007). Metacognitive Training for Patients with Schizophrenia (MCT). VanHam Campus Verlag : Hamburg.
Moritz S, Woodward TS. (2007). Metacognitive training in schizophrenia : from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619–625.
Moritz S, Veckenstedt R, Andreou C, Bohn F et al. (2014). Sustained and “sleeper” effects of group Metacognitive Training for schizophrenia. JAMA Psychiatry, 71 (10), 1103-1111.
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
Lysaker PH, Gagen E, Moritz S, Schweitzer RD. (2018). Metacognitive approaches to the treatment of psychosis: a comparison of four approaches. Psychology Research and Behavior Management, 11, 341-351.

About the presenter

Dr Mahesh Menon is a Clinical Associate Professor in the Department of Psychiatry at the University of British Columbia in Vancouver Canada, and a Clinical Psychologist based at the BC Psychosis Program at the UBC Hospital. He runs the Cognitive Neuroscience of Schizophrenia (CNOS) Lab with Prof. Todd Woodward (one of the co-developers of MCT). Dr Menon has been closely involved with the development of MCT with Profs Woodward & Moritz over the last 15 years, and has been training clinicians on MCT in Canada and internationally. His clinical and research interests focus on understanding delusions, and in psychotherapy for psychosis and severe mental illness. He has published over 65 peer reviewed papers and book chapters, and his work has been supported by a number of research grants from agencies including the Brain and Behaviour Foundation, the Canadian Institute of Health Research (CIHR), the Ontario Mental Health Foundation, and the Schizophrenia Societies of Ontario & British Columbia.

Who should attend

The workshop is most suitable for clinicians with some prior experience of psychosis who are interested in groups and individual therapy for clients with psychosis- including psychologists, counsellors, occupational therapists and other related professions.

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

Please click below if you are interested in contributing to the survey.


The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

View Survey

This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS England Talking Therapies National PWP Leads Network

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