Psychosis (CBTp) worksheets
5 evidence-based resources for Psychosis (CBTp). Preview any worksheet, then assign it to a client as an interactive digital worksheet.
Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed
CBT for psychosis (CBTp) in this collection starts from engagement and normalising. Unusual experiences sit on a continuum with ordinary ones; a stress-vulnerability account (Zubin & Spring, 1977) frames when they become a problem, and on Morrison's account (2001) distress depends heavily on how an experience is interpreted. Understanding Psychosis and Normalising Unusual Experiences introduce that framing in plain language, and the CBTp Formulation maps triggers, experiences, appraisals, emotions and coping responses with the client.
The Coping Strategy Enhancement Record builds systematically on what the client already does, and the Voice Power Differential Worksheet, drawing on Birchwood and colleagues' work on voice power and Chadwick's person-based approach (2006), examines beliefs about a voice's power, knowledge and authority. The formulation should make sense of the client's experience rather than argue with it; if trust wavers, return to engagement before anything else. Ask about command hallucinations and any risk to self or others, keep a safety plan current, and liaise with the client's mental health team where one is involved.
All Psychosis (CBTp) worksheets
Showing 5 of 5 resources
Psychosis (CBTp)
CBTp Formulation
A maintenance-focused formulation for psychosis — mapping triggers, experiences, appraisals, emotions, and coping responses.
Psychosis (CBTp)
Voice Power Differential Worksheet
Examine beliefs about the power of voices — challenging omniscience, omnipotence, and the need to comply.
Psychosis (CBTp)
Normalising Unusual Experiences
Explore how common unusual experiences are in the general population — and how context, stress, and sleep deprivation can produce them in anyone.
Psychosis (CBTp)
Coping Strategy Enhancement Record
Systematically evaluate and build on existing coping strategies for managing distressing psychotic experiences.
Psychosis (CBTp)
Understanding Psychosis
A warm, non-stigmatising explainer on what psychosis means: unusual experiences that are more common than people think, why they happen, and how people recover and live well.
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Request a worksheetFrequently asked questions
Should I challenge a client's beliefs about voices or paranoia directly?
Usually not early on. The worksheets focus first on the emotional and behavioural impact of beliefs rather than their content, and normalising can do more than reality-testing at this stage. Testing beliefs about a voice's power comes later, through carefully graded experiments, once there is a working alliance and a safety plan in place.
What does normalising mean in CBTp?
Helping the client see that unusual experiences are more common than people assume, and that stress, sleep loss and circumstance can produce them in anyone — an approach associated with Kingdon and Turkington (1994). It should never feel like "you are saying this is not real": validate the distress the experiences cause, and do not let normalising discourage appropriate treatment.
Which risk issues matter most in this work?
Voices that command harm to self or others, and how strongly the client believes they must comply, alongside suicidal thinking and the client's wider safety. If discussing a voice's power increases distress or compliance, step back to coping strategies. Keep the safety plan current and involve the mental health team or crisis services in line with local policy.
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