In this grand rounds presentation, Drs Taknint and Depestre will discuss their use of C/TA in assessing for and communicating psychotic spectrum disorder (PSD) diagnoses with patients. They will overview challenges in PSD assessment, outline the alignment of C/TA with recovery oriented approaches for psychosis, and detail how to use C/TA techniques to co-create an anti-oppressive assessment experience when caring for patients with severe mental illness. The speakers will use 3 case studies to illustrate their approach.