Therapy to help young adults with psychosis reduce problem drinking

This trial is testing cognitive enhancement therapy (CET)—a structured program designed to improve thinking skills and reduce alcohol use—in young adults ages 16–35 who have recently developed psychosis and are drinking in ways that concern their doctors. Half of the participants will receive this therapy, while the other half will receive standard care with one educational session about how substance use affects recovery from psychosis. The study will measure not only how much participants drink, but also whether they're able to return to school or work and rebuild relationships.

Young adults with early psychosis often struggle with problem drinking, which can make their illness worse and slow recovery. This therapy hasn't been tested in this specific group before, so researchers want to see if improving thinking skills can help reduce drinking and, more importantly, help people get back to living their lives.