Rewriting the story: can a talking therapy help people shed self-stigma and reclaim their identity?
NCT ID NCT07735481
First seen Jul 30, 2026 · Last updated Aug 06, 2026 · Updated 3 times
Summary
This trial tests whether Narrative Enhancement and Cognitive Therapy (NECT), a 12-session group program, can help adults with severe mental health disorders — including substance use disorders — overcome self-stigma and promote personal recovery. About 106 participants receiving outpatient psychiatric care will be randomly assigned to either NECT plus usual care or a comparison group that does not target self-stigma. The study measures changes in recovery, self-stigma, and empowerment after the intervention and at follow-up.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Narrative Enhancement Cognitive Therapy (NECT) — a structured group intervention combining psychoeducation, cognitive restructuring, and narrative exercises
- What this could lead to
- If it works, NECT could offer a practical, low-cost group therapy to help people with mental health disorders reduce self-stigma and improve personal recovery.
- What could go wrong
- This is a relatively small trial (106 participants) testing a behavioral intervention, so results may not generalize widely. The therapy requires weekly sessions for 12 weeks, and benefits may not persist long-term.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 106 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Written informed consent * DSM-5 psychiatric diagnosis within F10-F48, F60-F69, or F90, including substance use disorders * Receiving outpatient or day-hospital treatment * Diagnosed or in treatment for at least 12 months * Clinically stable for at least 3 months, with stable pharmacological treatment during this period * Clinical Global Impressions-Severity score below 6 Exclusion Criteria: * Participation in another program likely to affect social functioning or self-stigma, such as social cognitive remediation or social skills training * Acute psychiatric episode with a Clinical Global Impressions-Severity score above 6 * Medical emergency or immediate life-threatening situation at inclusion * Unable to provide informed consent * Comorbid intellectual disability * Receiving care under constraint or deprived of liberty by judicial order Insufficient ability to speak and read French
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Geneva University Hospital
Geneva, Canton of Geneva, 1205, Switzerland
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