Does cognitive remediation therapy work better than standard care for psychotic disorders?
Cognitive remediation therapy (CRT) is a treatment that helps people with psychotic disorders, like schizophrenia, improve their thinking skills. Research indicates that adding CRT to standard care works better than standard care alone. A re-analysis of a major trial found that both individual and group CRT formats provide significant benefits compared to treatment as usual 3.
What the research says
A re-analysis of trial data using stakeholder perspectives confirmed that CRT delivers significant benefits over treatment as usual. This improvement was seen on the Global Assessment Scale, which measures overall functioning, and quality of life 3. The study involved ranking outcomes with service users and staff to ensure the results reflected what matters most to patients and clinicians 3.
Research also highlights that cognitive difficulties are a core feature of schizophrenia and are present even at the first episode of the illness 5. These difficulties are severe and linked to functional disabilities. Because these thinking problems are intrinsic to the disease and not just caused by chronicity or hospital stays, addressing them directly with therapy is crucial 5.
While some studies look at other therapies, the specific evidence for CRT supports its use. For instance, a 2025 study on social skills training noted that executive function impairment affects outcomes, suggesting that targeted interventions are needed 6. Another review noted that while many studies exist on creative arts therapies, the evidence for specific interventions like CRT is often evaluated through rigorous randomized controlled trials 2.
What to ask your doctor
- Is cognitive remediation therapy available as an add-on to my current treatment plan?
- Would group or individual cognitive remediation therapy be a better fit for my situation?
- How might improving my thinking skills help with my daily functioning and quality of life?
- What are the potential benefits of cognitive remediation therapy compared to standard care alone?
This question is drawn from common patient questions about Psychiatry and answered using cited medical research. We do not provide individualized advice.