Metacognitive Reflection and Insight Therapy for Early Psychosis: A preliminary study of a novel integrative psychotherapy

Jenifer L. Vohs, Bethany L. Leonhardt, Alison V. James, Michael M. Francis, Alan Breier, Nikki Mehdiyoun, Andrew C. Visco, Paul H. Lysaker

Research output: Contribution to journalArticle

30 Scopus citations


Poor insight impedes treatment in early phase psychosis (EPP). This manuscript outlines preliminary findings of an investigation of the novel metacognitively oriented integrative psychotherapy, Metacognitive Reflection and Insight Therapy, for individuals with early phase psychosis (MERIT-EP). Twenty adults with EPP and poor insight were randomized to either six months of MERIT-EP or treatment as usual (TAU). Therapists were trained and therapy was successfully delivered under routine, outpatient conditions. Insight, assessed before and after treatment, revealed significant improvement for the MERIT-EP, but not TAU, group. These results suggest MERIT-EP is feasible to deliver, accepted by patients, and leads to clinically significant improvements in insight.

Original languageEnglish (US)
Pages (from-to)428-433
Number of pages6
JournalSchizophrenia Research
StatePublished - May 2018



  • Early phase psychosis
  • Insight
  • Psychotherapy
  • Schizophrenia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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