Subjective cognitive functioning in psychosis deserves more attention: Practical tips and recommendations

Cognitive functioning is a core symptom domain in psychotic disorders that can be examined both objectively and subjectively. We argue for greater clinical focus on subjective cognitive complaints, which have been neglected historically due to concerns about insight and weak relationships with objective test results. Subjective cognitive functions are important to consumers, affect their quality of life, and influence their motivation to participate in cognitive-enhancing treatments. Accordingly, we provide suggestions for how mental health clinicians might sensitively enquire about subjective cognition; efficiently measure and address these experiences; and build new or existing knowledge, which may enhance clinical care.