Metacognitive Therapy

Although Metacognitive Therapy is still new, I think it is one of the psychotherapy methods we will hear most in the future. The founders of Metacognitive Therapy are Dr. Adrian Wells and Dr. Hans Nordah.

metacognitive therapy
Metacognitive Therapy

What is Metacognitive Therapy?

Metacognitive Therapy emphasizes processes such as harmonious and flexible use of attention, establishing a flexible and adaptive relationship with the intellectual and emotional world, structuring one’s thoughts about the world of thought.

First of all, metacognitive therapy suggests that negative thoughts and emotions are universal and transient states. Everybody has negative thoughts about himself, the world or others from time to time, and in some of them, while it passes shortly, in others, it prolongs, lasts and becomes permanent.

It is precisely at this point that what decides whether the thoughts will be permanent or temporary; metacognition and related reactions.

metacognitive therapy 1
Dr. Adrian Wells

The metacognition; are our thoughts about our thoughts. For example; when we notice a thought, it includes comments about whether it is necessary, unnecessary, dangerous, useful, harmful or harmful. That is, the metacognitive process involves an upper mental processing on the mind.

Our comments on our thoughts and feelings determine how long we hold on them, how long we will let them go, or how seriously we take them. When the thought “I am in danger” appears, how much we will focus, or how much we will be engaged and how we will be, is the motivation of metacognitions.

Therefore, metacognitive therapy suggests that no matter how painful our thoughts and feelings, if our secondary comments about them are adaptive and flexible, we will not get caught in these networks.

This also means intellectual and attentive flexibility. Thoughts, when a part of us, which flows through the mind and can be observed, is perceived as a separate flow from us, do not reflect the identity completely.

The ultimate goal of Metacognitive Therapy is mental flexibility. As an anology; It does not deal with viruses but strengthens immunity. Thus, even if the microbes continue to come, they do not get sick or they are mild.

Difference with Cognitive Behavioral Therapy ( CBT )

Metacognitive therapy is different from the Cognitive Behavioral Therapy (CBT) used previously because it does not focus on beliefs associated with social and physical perception or thoughts about others and the environment. Instead, metacognitive therapy examines how people respond to these thoughts. It addresses the metacognitive processes that lead to the continuity of erroneous and dysfunctional thoughts about reality and manage this process.


Metacognitive therapy is the most effective intervention for social anxiety, above medication and above even a combination of medication and cognitive therapy.

For more information, the official website:

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