Evidence for CBTp

Emotional fMR Auditory Paradigm Demonstrates Normalization of Limbic Hyperactivity after Cognitive Behavioral Therapy for Auditory Hallucinations

The Importance of Human Relationships, Ethics and Recovery-Oriented Values in the Delivery of CBT for People with Psychosis

Statewide Implementation of Cognitive Behavioral Therapy for Psychosis Through a Learning Collaborative Model


CBTp Competence Standards

The position of the NACBTPN is that competence in provision of CBTp is attained through rigorous training, consultation and/or supervision, inclusive of the following elements:

  1. Training consistent with needs of learners, as assessed by an initial formal assessment of these needs (although this may not be possible in some settings where training is offered to diverse groups of learners from multiple settings)

  2. Recognition that awareness of learning needs is crucial in order to determine the level of training in CBTp that would be required to reach either

i. competence in CBTp, or

ii. competence in CBTp-informed care

      and recognition that each of these levels of competence require significantly different levels of training and skill development

3.  Inclusion of longitudinal, formal, consultation and/or supervision of CBTp clients

4.  Recognition that in order to achieve a level of competence, all learners ought to be evaluated and assessed for adherence to CBTp. Evaluation ought to include consideration of CBTp intervention skills as well abilities in case formulation and treatment planning.         


CBTp Websites

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White Feather

Books, Articles & Handouts

COVID-19 CBTp Materials 

  • Blue Washed Wall

    COVID Leading to Secondary Mental Health Pandemic

    The COVID pandemic is now leading to the emergence of a secondary mental health pandemic. Clients with psychosis are at increased risk of poorer medium- and long-term psychosocial and clinical outcomes. In response to the pressing need to flexibly deliver high-quality care to individuals with psychosis, this brief report proposes high yield cognitive behavioral techniques for psychosis (HY-CBt-p) facilitated by task sharing and digital enhancements. Previous research suggests that effect sizes will be lower than that of 16-session formulation-driven CBTp, but additional research is needed to test the feasibility, acceptability, efficacy, and comparative effectiveness of different forms of remote-delivered CBTp.

  • PART 1: Supporting CBT Clients During COVID-19

    Access a 2-part clinical tip sheet prepared by the University of Washington CBTp Implementation Team on the remote administration of CBTp. Part 1 focuses on Best Practices in TeleCBTp.

  • PART 2: Supporting CBT Clients During COVID-19

    Part 2 shares Key Intervention Targets and Strategies to consider, and can be accessed HERE. Access to the recorded didactics that are intended to accompany these materials are also available by request, by emailing cbtECHO@uw.edu.

Cultural Considerations when Applying CBT to Racial and Ethnic Minorities

This practice brief, prepared by Jessica Maura, PhD and Sarah Kopelovich, PhD, is intended to help clinicians —particularly those who administer Cognitive Behavioral Therapy for individuals with serious mental illness—to enhance their cultural awareness and incorporate culturally-relevant practices into their formulation and treatment approach."

The Importance of Human Relationships, Ethics and Recovery-Oriented Values

This research brief captures the methodology and key findings of a review paper published by Drs. Alison Brabban , Rory Byrne, Eleanor Longden, and Anthony Morrison on service user perceptions of CBTp. The brief includes the top 10 strategies to ensure ethical and competent delivery of CBTp.

Values-based CBTp

  • Cognitive Behavioral Therapy for Psychosis (CBTp)

    This fact sheet written by Dr. Kate Hardy provides an explanation of CBT, CBT for psychosis, and early intervention principles as it relates to CBTp; a case example of using CBTp with a client presenting with concerns related to auditory hallucinations; and training requirements for clinicians who are interested in practicing CBTp. It was developed for SAMHSA/CMHS under Contract Reference: HHSS283201000021/Task Order No. HHSS28342002T.

  • Stepped Care Model for CBT for Psychosis

    Cognitive behavioral therapy for schizophrenia spectrum disorders is an evidence-based treatment that is recommended by United States schizophrenia treatment guidelines. Based on recent estimates, only 0.3% of individuals with a primary psychotic disorder are able to access this treatment in the United States. Stepped care interventions have shown promise as an applied treatment delivery model in other settings and for other psychotherapeutic interventions. The current paper describes how the stepped care model can be applied to CBT for psychosis in the US to increase access to the intervention in community mental health settings by leveraging the multidisciplinary team.

  • Statewide Implementation of CBTp Through a Learning Collaborative Model

    Few CBTp implementation studies have applied a framework to CBTp implementation. The authors adapted the Learning Collaborative model in an attempt to promote adoption of CBTp in community mental health clinics across a large, populous state with poor access to mental health services. Fifty-six providers attended an in-person training followed by six months of biweekly consultation sessions (Phase 1). Twenty-one providers participated in an additional six months of consultation (Phase 2).

  • A Systematic Review of CBT Approaches to Delusions and Hallucinations

    While CBTp has been established as an evidence-based treatment for psychosis, most randomized controlled trials (RCTs) take a broad approach in designing CBTp interventions, given the significant heterogeneity of psychotic symptoms. There may be utility in looking at more symptom-specific, tailored CBTp interventions. This paper reviews effect sizes from CBTp interventions in RCTs that specifically targeted either persecutory delusions or auditory hallucinations, and identifies some that are particularly efficacious.

CBT for Psychosis


CBTp Apps

CBT in your Hand

The app aims to stop the cycles of depression. Record feelings and stop to think the best course of action.
Catch it
The app uses CBT to help deal with emotions through three different phases, Catch it, Check it, and Change it. The mood is added to a user diary and short recommendation is provided.
Cognitive Diary CBT Self-Help
Record bothersome or problematic events and rate distress level. List thoughts during the event, thoughts believed, and irrational beliefs. Record positive thoughts and feedback.
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Train your Brain

Web‐based cognitive training intended for all types of users as it targets five categories of cognition: Memory, Attention, Speed, People Skills, and Intelligence. The program contains 19 exercises that address each category and adapt to users’ skill level.
For adults aimed to improve overall well‐being and happiness, with influences from positive
psychology, cognitive behavioral therapy and mindfulness. Each activity intends to strengthen one of the five happiness skills: savor, thankful, aspire, give, or empathize.
iSleep Easy
iSleep Easy contains guided meditations to help fall asleep and sleep better. There are four opening meditations that can customize along with the background sound, voice volume and sound volume of each audio track.
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Adventure‐style game to document and cope with stressors. Type a response within the game and the app recommends strategies for dealing with it. The social feature allows users to connect anonymously with other people of the same age group (13+).
Teaches a skill called “diaphragmatic breathing” to help feel more relaxed. Diaphragmatic breathing, also known as “belly breathing,” is a common relaxation skill utilized in a variety of treatments for anxiety and PTSD.
This app offers sections designed to help improve self‐monitoring and control of illness management for schizophrenia. Organize questions for health care providers, learn about schizophrenia and get guidance on when to contact others for help.
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