Avatar-mediated Therapy Versus Cognitive Behavioural Therapy for Persisting Experiences of Hearing Voices

This study is comparing two therapies for people who hear voices (auditory hallucinations) that are distressing and have persisted for at least a year. It compares Avatar Therapy — where a therapist helps you confront and gain control over a digital representation of the voice — with standard Cognitive Behavioural Therapy (CBT) for psychosis. **You may be eligible if:** - You are 18 or older - You have a diagnosis of schizophrenia-related disorder or mood disorder with psychotic symptoms - You have been hearing distressing voices for at least one year - You are currently taking antipsychotic medication (or have tried at least two in the past) - You have access to a computer and the internet for video calls - You are sufficiently fluent in English **You may NOT be eligible if:** - Your voice-hearing is caused by substance use or another medical condition - Your estimated IQ is below 70 - You recently changed antipsychotic medications or are receiving another psychological therapy for voices - The voices are in a language not spoken by the therapists Talk to your doctor to see if this trial is right for you.