Research suggests that recovery from psychosis is a complex process which involves recapturing a coherent sense of self and personal agency. This has important challenges to existing treatment models. While current evidence-based practices are designed to ameliorate symptoms and skill deficits, they are less able to address issues of subjectivity and self-experience. In this workshop one recent approach to helping adults with psychosis to make sense of and managing their psychiatric challenges will be presented. This approach, Metacognitive Insight and Reflection Therapy (MERIT), is a form of psychotherapy that is explicitly concerned with self-experience and how it is disrupted in serious mental illness. This approach uses the term metacognition to describe those cognitive processes which underpin self-experience and posits that addressing metacognitive deficits will aid persons diagnosed with psychosis to make sense of the challenges they face and decide how to effectively manage them. The workshop will will first offer a conceptualization of psychosis as the interruption of a life and how persons experience themselves and then present the construct of metacognition. Next, the background, and practices of MERIT. will be outlined This will be followed by a discussion of how MERIT overlaps with other emerging treatments as well as how it differs. MERIT’s capacity to engage patients who reject they have mental illness as well as cope with entrenched illness identities is highlighted. Finally, limitations and directions for future research are discussed.