Compassionate, evidence-informed therapy to reduce distress from hallucinations, delusions, and paranoia.
People experiencing psychosis, schizophrenia spectrum disorders, or related symptoms
Individual, In person or Virtual
1–2 sessions per week, Session length: 45–60 minutes
Medication management, family therapy, peer support, psychoeducation
Adapted from standard CBT, shown in research to reduce psychosis related distress and improve daily functioning
CBT for Psychosis (CBT) is a structured, skills-based therapy adapted from traditional Cognitive Behavioral Therapy. Rather than focusing on eliminating hallucinations or delusions, it helps individuals respond to them in ways that feel safer and less distressing.
In sessions, clients learn how thoughts, beliefs, and interpretations influence their emotional reactions. By reframing these experiences and practicing coping strategies, people gain confidence to manage symptoms, reduce fear, and strengthen daily functioning.
Practical tools to manage symptoms and strengthen daily coping
Teaches ways to cope with voices, visions, or intrusive beliefs
Encourages problem-solving and building routines that support stability
Helps individuals distinguish between thoughts, feelings, and symptoms
Works alongside medication, psychiatry, and community resources
A typical session begins with a check-in on symptoms and mood. The therapist and client set small goals, such as reducing the distress of a recurring hallucination or practicing grounding skills during paranoia. Techniques may include reality testing, reframing thoughts, developing coping statements, and role playing real-life scenarios.
The focus is on empowerment: clients decide what feels safe to share, and therapy progresses at their pace. Homework may include practicing a coping tool or journaling experiences to discuss in the next session.
Helping Individuals Manage and Understand Psychosis
People experiencing hallucinations, delusions, or paranoia
Individuals with a schizophrenia spectrum disorder
Those in early intervention programs after a first episode of psychosis
Family members seeking guidance on supportive communication
Anyone wanting tools to live well alongside symptoms
Evidence-Based Approach to Understanding and Managing Psychosis
TruPaths showcases CBT for Psychosis because it provides hope, dignity, and practical tools for those living with schizophrenia and related conditions. Programs we highlight integrate CBTp with psychiatry, family therapy, and supportive housing or community programs, offering whole-person care.
Hope is possible. If you or a loved one experiences psychosis, CBT for Psychosis can reduce distress and support daily life. Explore programs that integrate therapy with psychiatry, medication, and peer support.
Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.
