Does metacognitive therapy work?
Noah Mitchell
Published Jan 09, 2026
Conclusions: Our findings indicate that MCT is an effective treatment for a range of psychological complaints. To date, strongest evidence exists for anxiety and depression. Current results suggest that MCT may be superior to other psychotherapies, including cognitive behavioral interventions.
Is metacognitive therapy evidence based?
The evidence base supports MCT as an effective treatment and there is growing evidence that MCT may be more effective than other psychotherapies (see Normann & Morina, 2018). At a mechanism level, evidence indicates that MCT effectively reduces the CAS and creates metacognitive change (Normann & Morina, 2018).
What is the difference between CBT and metacognitive therapy?
Comparison of MCT and CBT. MCT and CBT are used by therapists to change various aspects of cognitions, and both treatments are goal directed, short term and structured. However, CBT is focuses mainly on the content of cognitions, whereas MCT focuses on the meta-level (cognitions about cognitions).
Is metacognition a disorder?
In clinical psychology, metacognitive strategies refer to the monitoring and control of thoughts related to a mental disorder. This includes both learned, unhealthy thought patterns that contribute to the problem, and learned behaviors used to break those patterns. Imagine a patient with generalized anxiety.
Who benefits more from having metacognitive skills?
Research shows that even children as young as 3 benefit from metacognitive activities, which help them reflect on their own learning and develop higher-order thinking.
17 related questions foundHow can I improve my metacognition?
Metacognitive Skills
- Know What You Don't Know. ...
- Set yourself great goals. ...
- Ask Yourself Good Questions. ...
- Prepare Properly. ...
- Monitor your performance. ...
- Seek out feedback and then use it. ...
- Keep a diary.
Why is MCT better than CBT?
We found that MCT was superior to CBT at post treatment and follow-up on the primary outcome of depression symptoms as measured using the BDI-II but treatments did not differ significantly on the HDRS. MCT was superior at both time-points on the majority of secondary outcome measures.
How do you do metacognitive therapy?
MCT is a time-limited therapy which usually takes place between 8–12 sessions. The therapist uses discussions with the patient to discover their metacognitive beliefs, experiences and strategies. The therapist then shares the model with the patient, pointing out how their particular symptoms are caused and maintained.
What are metacognitive beliefs?
Metacognition is broadly defined as beliefs about one's own cognition, and it is involved in the monitoring, control and appraisal (i.e., the interpretation) of one's own thoughts. Metacognition serves as an internal guide that allows people to recognise their own thoughts, helping to allow them to take action.
What is rumination anxiety?
Rumination is defined as engaging in a repetitive negative thought process that loops continuously in the mind without end or completion. The pattern can be distressing, difficult to stop, and unusually involves repeating a negative thought or trying to solve an evasive problem.
How does MCT therapy work?
Metacognitive Therapy focuses on removing the CAS and discovering what clients believe about their own thoughts and how their mind works. The therapist then shows the client how these beliefs lead to unhelpful responses which exacerbate and maintain the problem (e.g. depression or anxiety).
Can a person be metacognitive?
Individuals with well-developed metacognitive skills can think through a problem or approach a learning task, select appropriate strategies, and make decisions about a course of action to resolve the problem or successfully perform the task.
What are maladaptive metacognitive beliefs?
“Positive” maladaptive metacognitive beliefs are hypothesised to indirectly cause and sustain emotional distress by increasing an individual's likelihood of choosing to respond to thoughts with repetitive negative thinking.
What are some examples of metacognition?
Some everyday examples of metacognition include:
- awareness that you have difficulty remembering people's names in social situations.
- reminding yourself that you should try to remember the name of a person you just met.
- realizing that you know an answer to a question but simply can't recall it at the moment.
What are the 3 categories of metacognitive knowledge?
Metacognitive knowledge refers to acquired knowledge about cognitive processes, knowledge that can be used to control cognitive processes. Flavell further divides metacognitive knowledge into three categories: knowledge of person variables, task variables and strategy variables.
What is cognitive attentional syndrome?
Aim: Cognitive-attentional syndrome (CAS) is the main factor underlying depressive and anxiety disorders in the metacognitive approach to psychopathology and psychotherapy. This study explore neural correlates of this syndrome during induced negative thinking, abstract thinking, and resting states.
What is attention training technique?
The Attention Training Technique (ATT) uses sounds in a formal exercise to help us see thoughts, and our attention, in a different way, which will result in an increased ability to distance ourselves from unhelpful thoughts, and improve our ability to control our focus of attention.
What is the ACT technique?
Acceptance and commitment therapy (ACT) is a type of psychotherapy that emphasizes acceptance as a way to deal with negative thoughts, feelings, symptoms, or circumstances. It also encourages increased commitment to healthy, constructive activities that uphold your values or goals.
What are the 5 metacognitive strategies?
Metacognitive Strategies
- identifying one's own learning style and needs.
- planning for a task.
- gathering and organizing materials.
- arranging a study space and schedule.
- monitoring mistakes.
- evaluating task success.
- evaluating the success of any learning strategy and adjusting.
Is metacognition a skill?
Definition. Metacognitive skills are strategies applied consciously or automatically during learning, cognitive activity, and communication to manipulate cognitive processes before, during, or after a cognitive activity (Flavell, 1976, 1979).
Can you teach metacognition?
Teachers can facilitate metacognition by modeling their own thinking aloud and by creating questions that prompt reflective thinking in students. Explicit instruction in the way one thinks through a task is essential to building these skills in students.
What is positive metacognition?
Positive metacognitive beliefs concern the usefulness of cognitive activities that constitute the CAS, e.g., “If I worry, I will be prepared,” while negative metacognitive beliefs concern the uncontrollability, dangerousness and importance of thoughts, e.g., “I cannot control my thinking.” Such metacognitions, ...
What are meta beliefs?
The later are meta-beliefs. They constitute our pictures of how the world and the human mind work. For example you may have heard someone say; “Everyone has the right to their own beliefs” and “I don't like anyone to force their beliefs on me.” Both of these are meta-beliefs. They involve values about beliefs.
What is cognitive thought process?
Cognition is defined as 'the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses. ' At Cambridge Cognition we look at it as the mental processes relating to the input and storage of information and how that information is then used to guide your behavior.
Does everyone have metacognition?
While “inner language,” thought to be a prerequisite, begins in most children around age five, metacognition is a key attribute of formal thought flowering about age eleven. Interestingly, not all humans achieve the level of formal operations (Chiabetta, 1976).