Cognitive Biases in Schizophrenia
Dopaminergic Modulation of (Meta)cognitive Dysfunctions Associated with Psychosis
Overconfidence and False Memories in Schizophrenia
Enhanced Spreading Activation in Formal Thought-Disordered Schizophrenic Patients
Schizophrenia — A Neurodevelopmental or a Neurodegenerative Disorder?
Cognitive Dysfunction in Depression
Posttraumatic Stress Disorder (PTSD)
Obsessive-Compulsive Disorder (OCD)
Basic Research
Intervention Research
Studies Related to Religion
Association Splitting — A Technique for Reducing Obsessive Thoughts
Decoupling — A Self-Help Treatment to Reduce Nail Biting, Trichotillomania, Skin Picking
Habit Replacement
Imaginal Retraining — A Self-Help Technique to Reduce Cravings
Imagery Rescripting
Individualized Metacognitive Therapy for Psychosis (MCT+)
Metacognitive Training for the Acute Psychiatric Setting (MCT-Acute)
Metacognitive Training for Borderline Personality Disorder (B-MCT)
Online Training MCT for Depression
Culturally adapted Metacognitive Training for Depression (CA-D-MCT)
Metacognitive Training for Depression in later life (MCT-Silver)
Metacognitive Training for Obsessive-Compulsive Disorder (MCT-OCD)
Metacognitive Training for OCD (myMCT)
Metacognitive Training Videosuite
MCT Psychosis (Open Source)
MCT+ (Open Source)
Self-help app COGITO (Arabic)
Self-help app COGITO (Turkish)
Please Support Our Work
We are pleased to provide the MCT materials—such as manuals, slides, and worksheets—free of charge. However, to help us continue and expand this work, we kindly ask for your support. We suggest a donation of $35/35€ for individuals or $100/100€ for institutions. Click
here
to donate.
Your generosity enables us to regularly update and expand the MCT materials, conduct rigorous scientific evaluations, and translate the program into additional languages—allowing more people worldwide to access effective, low-threshold support.
You can donate online via
this link
. For details on how contributions are used, please see
here
. We are happy to provide an official donation receipt upon request.
Please note that we have also developed certified e-trainings for MCT for psychosis (
www.uke.de/e-mct
) and D-MCT for depression (
www.uke.de/e-dmct
) for therapists. For an e-learning on body-focused repetitive behaviors, see
www.uke.de/e-bfrb-training
.
To view the modules, you need to install Adobe Reader; a free version can be downloaded
here
. When presenting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).
Are you a clinician or researcher and would like to receive the manual as well as review articles? Please press below. If you administer metacognitive training for psychosis (MCT), please send us a short notification. We are grateful for comments, criticisms and recommendations for improvement. Interested in our e-learning showing you how to facilitate the intervention? Please click
here
.
Translators and co-authors: Dr. Yuan Zhou (
[email protected]
) and Lai Yin Tsang (
[email protected]
). We are also very grateful to Dr. Suzanne Ho (
[email protected]
) for further modifcations.
Manual and overview articles can be obtained via
online registration
. Some reviews can also be downloaded from the MCT
main page
(at the bottom). Dissatisfied with some modules? No problem - become a member of our
open source initiative
!
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and stay updated on the latest developments.
Reminder
Every MCT participant receives a yellow and a red card that easily fit into a purse. The yellow card asks three essential questions, which may help to prevent the formation of hasty, false and consequential conclusions:
What is the evidence?
Are there alternative views?
Even if it's like that...am I over-reacting?
On the red card, the patient is encouraged to write down the names of persons and institutions with corresponding telephone numbers who may help when a crisis occurs.
Liu, Y. C., Tang, C. C., Hung, T. T., Tsai, P. C., & Lin, M. F. (2018). The efficacy of Metacognitive Training for delusions in patients with schizophrenia: a meta-analysis of randomized controlled trials informs evidence-based practice.
Worldviews on Evidence-Based Nursing, 15
, 130–139.
Meinhart, A., Sauvé, G., Schmueser, A., Penney, D., Berna, F., Gawęda, Ł., Lamarca, M., Moritz, S., Ochoa, S., König, C., Acuña, V., & Fischer, R. (2025). Metacognitive training for psychosis (MCT): a systematic meta-review of its effectiveness.
Translational Psychiatry
,
15
(1), 156.
https://doi.org/10.1038/s41398-025-03344-0
Moritz S.
, Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., & Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on Metacognitive Training in schizophrenia.
Clinical Psychology Review,
34
, 358–366.
Moritz, S., Krieger, E., Bohn, F., & Veckenstedt, R. (2017).
MKT+: Individualisiertes metakognitives Therapieprogramm für Menschen mit Psychose
(2. Aufl.). Heidelberg: Springer.
Moritz, S., Veckenstedt, R., Bohn. F., Köther, U., & Woodward, T. S. (2013).
Metacognitive Training in schizophrenia. Theoretical rationale and administration
. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358–383). New York: Oxford University Press.
Moritz, S., Veckenstedt, R., Randjbar, S., & Vitzthum, F. (2010a).
MKT+: Individualisiertes metakognitives Therapieprogramm für Menschen mit Psychose.
Heidelberg: Springer.
Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R., & Woodward, T. S. (2010b). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia.
Current Opinion in Psychiatry, 23
, 561–569.
Help us to help others!
Given the limited budgets in many psychiatric hospitals, it is our goal to ensure that MCT remains accessible to anyone interested in using it. However, maintaining the MCT program, as well as continuing to improve and develop it, requires significant personnel and financial resources. If you want to support MCT, we would be very grateful for donations. We will, of course, continue to provide support and assistance to anyone using the program.
Thank you for your continued support. We guarantee that all donations will go to the further development of MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a receipt for your donation: please send an email to Steffen Moritz (
[email protected]
) and include your mail address. Please inquire about different possibilities for sponsorships.
Metacognitive Training Programs (MCT)
Our Neuropsychology and Psychotherapy Research Unit has developed several training programs for individual or group treatment, some of which are designed for self-help. The most frequently requested programs are listed below. Additional information is available under the
Metacognitive Training
and
Interventions
menu items.
MCT for Psychosis
MCT for Depression
Decoupling for impulse control disorders
Donation account
Account holder:
UKE Forschungsbereich Neuropsychologie
Bank:
Hamburger Sparkasse HASPA
Reference/Reason for Payment line
(this is crucial to ensure that your donation reaches us): "1027 001" (you can also indicate to which specific project you are donating, for example "1027 001 Depression").
IBAN:
DE54 2005 0550 1234 3636 36
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HASPDEHHXXX