Behavioural and Cognitive Psychotherapy

Treatment Applications

Cognitive Behaviour Therapy for Psychosis: Current Evidence and Future Directions

Craig Steela1 c1

a1 University of Reading, UK


The past decade has seen considerable growth in the evidence base of cognitive behavioural therapy for psychosis. Consistent reports of moderate effect sizes have led to such interventions being recommended as part of routine clinical practice. Most of this evidence is based on a generic form of CBT for psychosis applied to a heterogeneous group. An increase in the effectiveness of cognitive behavioural interventions may require new protocols. Such therapeutic developments should be based on the theoretical understanding of the psychological processes associated with specific forms of psychotic presentation. The current evidence base of CBT for psychosis is reviewed, and barriers that have held back the development of this research are discussed.


c1 Reprint requests to Craig Steel, Charlie Waller Institute for Evidence Based Psychological Treatments, School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AL, UK. E-mail: