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How to Help Your Client with Psychosis through CBT

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Psychosis is a complex mental health condition that can significantly impact an individual’s thoughts, emotions, and perception of reality. It may involve hallucinations, delusions, and disorganized thinking.

Coping with psychosis can be extremely challenging, but Cognitive Behavioral Therapy (CBT) has shown promise in helping individuals manage their symptoms and improve their overall functioning.

As a CBT coach, you have the unique opportunity to guide your client towards understanding and coping with their psychosis in a supportive and empathetic manner. In this article, we will explore how you can support your clients with psychosis through the application of CBT techniques.

Understanding Psychosis:

The first step in helping your client is to gain a comprehensive understanding of psychosis and its impact on their life. Psychosis may be a part of disorders like schizophrenia or occur in other conditions. Be empathetic and non-judgmental, creating a safe space for your client to express their experiences and emotions related to psychosis.


Educate your client about psychosis to demystify their symptoms and reduce distress. Help them understand the difference between reality and hallucinations or delusions.

Identifying Triggers:

Assist your client in identifying triggers that exacerbate their psychotic symptoms. These triggers may include stress, lack of sleep, or substance use. Understanding these triggers can help your client develop strategies to manage and reduce their impact.

Cognitive Restructuring:

CBT involves cognitive restructuring to challenge and modify irrational beliefs and thoughts associated with psychosis. Help your client develop a more balanced perspective and reduce distress caused by distorted thinking.

Reality Testing:

Encourage your client to engage in reality testing, especially when experiencing hallucinations or delusions. This process involves questioning the accuracy of their beliefs and seeking feedback from trusted individuals.

Emotion Regulation Techniques:

Teach emotion regulation techniques, such as mindfulness and grounding exercises, to help your client manage emotional distress and anxiety associated with psychosis.

Behavioral Interventions:

Explore behavioral interventions to address specific challenges related to psychosis. These may involve setting daily routines, coping with social situations, or improving communication.

Social Skills Training:

Help your client develop social skills to enhance their ability to engage in social interactions. Social skills training can reduce feelings of isolation and improve communication with others.

Medication Adherence:

Acknowledge the importance of medication adherence in managing psychosis symptoms. Encourage your client to take their prescribed medications as directed by their healthcare provider.

Stress Management:

Teach stress management techniques to help your client cope with stressors and reduce the impact of stress on their symptoms.

Creating a Supportive Environment:

Work with your client to create a supportive environment that fosters understanding and reduces stigma around their psychosis. Encourage open communication with family and friends.

Addressing Self-Stigma:

Many individuals with psychosis may experience self-stigma, leading to feelings of shame or inadequacy. Help your client challenge self-stigma and cultivate self-compassion.

Setting Realistic Goals:

Collaborate with your client to set realistic and achievable goals. Break down larger goals into smaller steps to promote a sense of accomplishment and motivation.

Safety Planning:

Develop a safety plan with your client to address crisis situations or times when their symptoms may become overwhelming. Ensure they have access to emergency contacts and resources.

Seeking Professional Help:

Acknowledge that managing psychosis often requires comprehensive treatment. Be prepared to provide information about mental health resources and support services.


As a CBT coach, your guidance and support can significantly impact your client’s journey towards managing psychosis and improving their overall well-being. By applying cognitive restructuring, emotion regulation techniques, and behavioral interventions, you can empower your clients to cope with their symptoms and navigate the challenges of psychosis. Recognise their progress, no matter how small, and acknowledge their resilience in facing the complexities of their condition. With your compassionate approach and the transformative power of CBT, your clients can find hope, stability, and a path towards recovery and improved quality of life despite psychosis.

To succeed in attracting clients, join our CBT Practitioner Diploma course. Get more information here: https://inst.org/cbt-training-course/


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