Volatility in Paranoia (VIP) Trial: An RCT of Changes in Volatility With Psychotherapy

This trial (VIP) tests whether a specific type of talking therapy can help reduce paranoid thinking in people with psychotic disorders (such as schizophrenia) by targeting a tendency called "volatility" — the brain's habit of overreacting to unexpected events and expecting the worst. **You may be eligible if...** - You are between 18 and 65 years old - You communicate in English - You have been diagnosed with a non-affective psychotic disorder (e.g., schizophrenia, schizoaffective disorder, or delusional disorder) - You experience ongoing paranoid beliefs that have persisted for at least 2 months - Your psychiatric medications have been stable for at least 2 weeks **You may NOT be eligible if...** - You have a serious medical or neurological illness that affects thinking - You have an active severe substance use disorder - You are acutely suicidal - You have IQ below 80 Talk to your doctor to see if this trial is right for you.