Table 3.

Modules (Handouts and Clinician Guides) for Individual Resiliency Training (IRT) Program

Standard Modules
Module Name	Description	Number of Sessions
Orientation	Overview of IRT program providing treatment expectations, description of all modules, and teaching and practice of breathing retraining skill for anxiety reduction	1-2
Assessment/Goal-Setting	Evaluation and discussion of clients’ character strengths, areas of life satisfaction and dissatisfaction in order to create specific short- and long-term personally meaningful goals	2-4
Education about Psychosis	Didactics and discussion about the stress vulnerability model and various aspects of psychosis, including dispelling myths to de-stigmatize mental illness	7-11
Relapse Prevention Planning	Discussion of triggers and warning signs, and development of personalized plan for preventing relapse and re-hospitalization	2-4
Processing the Psychotic Episode	Development of cohesive narrative of episode, narrative exposure-based processing of traumatic reactions, and targeted cognitive restructuring for self-stigmatizing beliefs	3-5
Developing Resiliency	Positive Psychology exercises to enhance resilient qualities, increase positive emotions, and build skills around using particular strengths in daily life	3-4
Building a Bridge to Your Goals	Progress and goal review, discussion of possible use of Individualized Modules with plan for continuation or termination	2-3
Individualized Modules
Module Name	Description	Number of Sessions
Dealing with Negative Feelings	Cognitive restructuring for coping with psychotic, trauma/PTSD, mood, and anxiety symptoms	7-12
Coping with Symptoms	Behavioral coping strategy enhancement for psychotic symptoms, mood, and anxiety symptoms	2 per symptom
Substance Use	Assessment of substance use and interference of substances combined with motivational interviewing approach to develop cognitive and behavioral strategies to reduce substance use	11-20
Having Fun and Developing Good Relationships	Social skills training-based, in order to increase pleasurable activities and adaptive interpersonal communications	3-27
Making Choices about Smoking	Motivational interviewing approach coupled with behavioral and cognitive coping strategies to help with decision-making and next steps around smoking	2-4
Nutrition and Exercise	Education about weight gain and psychosis, including metabolic syndrome, plus behavioral strategies for improving physical health	2-4