Think and cope positively: A feasibility and acceptability study to improve the subjective well-being of people affected by a severe mental disorder

Abstract

OBJECTIVE: This study evaluated the feasibility and acceptability of Think and Cope Positively, a structured 15-session program designed to enhance well-being in adults diagnosed with severe mental health conditions such as schizophrenia and bipolar disorder. METHODS: Twenty-six participants were recruited through mental health services, and sociodemographic and clinical characteristics, protocol compliance, session attendance, and satisfaction were assessed. Intervention outcomes, including hedonic and eudaimonic well-being, optimism, therapeutic alliance, and psychological symptoms, were measured both before and after the intervention. RESULTS: Of the 26 participants, 20 completed the program (77%), attending an average of 14 out of 15 sessions. Both participants and facilitators reported high levels of satisfaction with the intervention. Statistically significant improvements in well-being, optimism, and therapeutic engagement were observed following the program. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: These findings indicate that Think and Cope Positively is a feasible and acceptable intervention to enhance well-being in individuals with severe mental health conditions. It provides a promising addition to existing psychosocial rehabilitation strategies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).