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Symposia

Treatment - CBT

Making a Research Contribution Using Data Collected in Routine Practice

3 - (SYM 55) Single-session Cognitive Behavioral Therapy for Psychosis in a Psychiatric Inpatient Setting

Sunday, November 23, 2025
12:56 PM - 1:15 PM CST
Location: Celestin G, Level 3
Keywords: CBT, Assessment, Research Methods
Recommended Readings: Persons, J. B. (2001). Conducting effectiveness studies in the context of evidence-based clinical practice. Clinical Psychology: Science and Practice, 8, 168-172.,   Van Swearingen, Kristen M., and John E. Lothes. “Symptom Reduction in DBT-Informed Partial Hospital, Intensive Outpatient, and Step-down Programs: Mindfulness Matters.” Psychotherapy Research 32, no. 5 (July 4, 2022): 640–51. https://doi.org/10.1080/10503307.2021.2001602.,   Neacsiu, A. D., S. L. Rizvi, and M. M. Linehan. “Dialectical Behavior Therapy Skills Use as a Mediator and Outcome of Treatment for Borderline Personality Disorder.” Behaviour Research and Therapy 48, no. 9 (February 24, 2015): 832–39. https://doi.org/10.1016/j.brat.2010.05.017.,   ,  
Abstract Body

Cognitive behavioral therapy for psychosis (CBTp) is an evidence-based treatment for individuals experiencing symptoms of psychosis, yet access to this treatment is limited for those with serious mental illness, and the intervention is underutilized in psychiatric inpatient settings. Single-session CBT (SS-CBT) aims to deliver key therapeutic benefits of CBT in one session, and research indicates that SS-CBT can lead to reductions in symptoms of anxiety, stress, and insomnia. However, there has been no research adapting SS-CBT to inpatients with psychosis even though single-session interventions may provide a sustainable and feasible method of delivering CBTp to individuals with psychosis receiving inpatient psychiatric care.

This study is a single arm field trial of effectiveness and content of SS-CBTp sessions developed and delivered as part of routine clinical care at a community psychiatric hospital setting. The aims of this presentation are to 1) characterize the primary components of the intervention, including patient-identified goals and content of the SS-CBTp session and 2) understand how the SS-CBTp intervention impacts psychological recovery, cognitive flexibility, and progress on the patient’s intervention goal.

Referrals for the SS-CBTp intervention were solicited from unit psychiatrists or from unit CBTp groups. The authors conducted an audit of the progress notes to evaluate the primary components and effectiveness of the intervention. Session goals collaboratively identified with patients include but are not limited to learn strategies to cope with distressing voices, strategies to cope with paranoia, ways to deal with behavioral and suicidal crises, and learn about and practice mindfulness skills. Intervention content is selected based on the patient’s intervention goal and is consistent with common elements of SS-CBT. The intervention content may include psychoeducation, enhancing cognitive flexibility, coping skill enhancement, mindfulness, and wellness planning. Data collection concludes in May 2025.