
Adjusting to Sight LossA CBT Group Programmeby Maryrose Maguire
A six-week, evidence-based CBT group programme for the emotional work of adjusting to sight loss.
Who this group is for: anyone working through a shift in their sight, whether that's a recent diagnosis, a deterioration, a progressive condition, or a new stage of a condition you've lived with for years.
If you'd prefer individual work, or your needs sit outside a group, One-to-One therapy is shaped around you. Book a free call and we'll find the right fit.
Led by Maryrose Maguire, pre-accredited psychotherapist with formal CBT training · Online across Ireland · Small supportive group
A structured group programme for the emotional and relational side of sight loss. Six weeks. Whether you're newly diagnosed, living with low vision, registered blind or legally blind, or somewhere on a progressive path, you're welcome here.
This programme was designed from the ground up for people living with sight loss, with every practice, tool and piece of material built with your reality in mind.
Unlike One-to-One therapy, this gives you a clear weekly framework and the quiet, unexpected relief of doing this work alongside others who understand exactly what you are going through.
Next cohort.
The next group starts starts soon. Places are limited to keep the group small and supported. Investment: €350 per person for the full six weeks.
Adjusting to Sight Loss · A CBT Group Programme
Ready to feel met?Join the waitlistWaitlist gets first access & full details before doors open publicly
Six weeks. Your whole self.
Tap any week to read more.
1Where You Are, Right NowCBT skill: the thought,feeling,behaviour cycle
A grounded start. The story of your sight so far, the feelings you have had to put away simply to get through, and what brought you here. You will meet the group and the framework we will use across the six weeks: the CBT model, how thoughts, feelings and behaviours connect, and how changing one changes the others.
A short audio practice from me, around five minutes. Once during the week, you notice one moment that shifted your mood and speak it aloud into your phone's voice memo: what happened, what you felt, what you did. No writing, no form. You bring it to Week 2.
2Grief and the Story of LossCBT skill: behavioural activation for grief and withdrawal
Adjustment is grief. Not always for what is gone, often for what will not be. The model of grief that actually fits sight loss, and the permission most people are quietly waiting for to feel it. We name the behavioural withdrawal cycle, how grief quietly changes what we do, and how gently re-engaging with what matters can interrupt it.
One small re-engagement, chosen by you in session, scheduled into one specific time in the week. A walk, a phone call, ten minutes of music, a meal with someone. You notice afterwards how it landed. Audio prompt sent mid-week as a gentle nudge.
3Anxiety, Uncertainty and the Worrying MindCBT skill: cognitive restructuring of anxious thoughts
The spiral that arrives in the dark. The CBT skill of catching and testing anxious thoughts, cognitive distortions named specifically for what people with sight loss actually experience: catastrophising, fortune telling, mind reading, emotional reasoning. Practical tools for working with the thoughts that arrive when everything goes quiet.
A guided audio thought record, around eight minutes. You press play in a quiet moment, eyes closed if you like, and I walk you through the five steps aloud. You speak your answers into voice memo, or simply think them through. Done in bed at 3am if that is when the thought arrives.
4Identity, Independence and Asking for HelpCBT skill: working with core beliefs
The deeper layer. Core beliefs activated by sight loss: I am a burden, needing help is weakness, I am less than I was. The specific, concrete losses: work, driving, creative practice, the role in the family. The quiet work of separating dependence from worth. Practical conversation about asking for help without shame.
A reflection practice we record together in session, that you replay during the week. You also choose one small ask, something you would normally do yourself or go without, and you make the ask. We talk about how it went the following week.
5The People Around YouCBT skill: behavioural experiments in real relationships
Partners, parents, children, friends, colleagues. How sight loss lands on the relationships that matter, including the social withdrawal that happens quietly, and the small, assertive, honest conversations that keep connection alive. A behavioural experiment to try during the week.
A behavioural experiment, designed with you in session and rehearsed aloud. One honest conversation, or one re-connection, with one person who matters. A short audio prompt to listen to beforehand, framing the experiment in your own words.
6Living Well: Your Staying-Well PlanCBT skill: relapse prevention and staying-well planning
Two things that belong together. Continuing the behavioural activation work from Week 2, deliberately re-engaging with pleasure, purpose and connection in whatever form is still available. And your personal plan: triggers, tools, early warning signs, your people, your first step. What you build across the six weeks and leave with.
Your staying-well plan, built across the six weeks and finalised in the last session. You leave with it as an audio recording in your own voice, with a large-print and screen-reader version available on request. Something you can come back to in a hard week, in your own words.
Built for sight loss. Not adapted after the fact.
There are no worksheets to fill in, no PDFs to squint at, no forms you cannot read on your own. The CBT skills are real and clinically grounded, the way you practise them is built for how you actually live.
- Audio-first. Every between-session practice is a short guided audio recording you can listen to in your own time, on the phone you already own. Five to ten minutes, never more.
- Voice, not pen. Where a sighted course would hand you a thought record to write, you speak your answers into your phone's voice memo, or simply think them through with the audio guiding you.
- Intake by phone. No form to fill in alone. We complete the intake together on a call before the course begins, so I have what I need and you have nothing to chase.
- Live sessions on Zoom. Audio-only fully welcome. All visual content described aloud, always. Sessions recorded as audio replays in your inbox within 48 hours.
- Formats on request. Large print, plain-text screen-reader versions and Braille summaries of the staying-well plan available, free, on request at intake.
- A sighted partner who wants to help? Optional companion notes for a spouse, adult child or friend acting as scribe, only if you want that, never assumed.
Not a webinar. A circle.
Ninety minutes, live, online. Camera on if you want. Audio-only is completely fine and fully supported throughout. Each week opens with a brief settling practice, then a short piece of teaching, then guided discussion and small breakout pairs, then a tool you take into the week ahead.
Settle & arrive
A short settling practice to begin: breath, sound or body-based, never reliant on vision. A brief check-in around the group. No pressure to share. Always an invitation.
The teaching
Plain language psychoeducation on the week's theme. All content described aloud. No notes you have to take. Everything is provided in accessible formats afterwards.
Breakout pairs & group conversation
Small breakout rooms of two to three people, with a prompt designed for the week. We come back together to share what landed, what stuck, and what shifted.
A tool to take with you
One practical exercise: a CBT technique or a reflection, to use during the week. Always optional. Never homework you will feel guilty about skipping.
Everything you need. Nothing you don't.
- ✦ Six live 90-minute sessions with Maryrose, in a small supportive group
- ✦ Audio replays within 48 hours, in case life happens
- ✦ A workbook designed from scratch for sight loss, available in large print, screen-reader friendly text, and audio
- ✦ Guided audio practices to use between sessions, no visual content, no screen required
- ✦ A private between-session space to ask questions and stay connected to the group
- ✦ A personal plan you build across the six weeks and leave with
Built for how you actually read, listen and move through the world.
Most therapeutic materials are designed for sighted people. Worksheets in small columns. Slides full of text. Homework that assumes you can write or read print easily.
This programme was designed differently, from the first draft.
Every piece of material is available in three formats: large print at minimum 24pt, high contrast, no columns or tables; screen-reader friendly plain text; and audio. All content is described aloud during every session. Settling practices use breath, sound and body sensation, never visual imagery.
If you have specific access needs, a particular screen reader, a preferred format, anything at all, tell me at the discovery call and we will set it up properly before week one begins.
A small group programme. Not One-to-One therapy.
What this course is: a structured group programme for the emotional and relational side of adjusting to sight loss, drawing on person-centred, grief and CBT-informed approaches, with mindfulness integrated throughout. Each week introduces a named skill or framework, explained clearly and applied to what people actually face when their sight changes.
Who leads it: Maryrose Maguire, a pre-accredited psychotherapist (IACP) with formal CBT training and a focus on adjustment to sight loss.
What it draws on: the international evidence base for CBT and behavioural activation in sight loss, including Rovner and Casten's VITAL trial in age-related macular degeneration and Hodge and colleagues' research on emotional support for people with visual impairment in the UK. This is an early-stage offering from a pre-accredited psychotherapist; the established Irish sight loss organisations have far longer and deeper experience in this space, and I have a lot to learn from them.
What it is not: it is not individual psychotherapy, it is not a clinical treatment for a diagnosed condition, and it is not a substitute for medical care, ophthalmology, low-vision rehabilitation, or One-to-One therapy if that is what you need. It is not training in mobility, technology or daily living skills. If you are in acute distress, in crisis, or experiencing thoughts of self-harm, a group programme is not the right setting. Please reach out for One-to-One support, and I'll say the same honestly at any discovery call.
How it sits alongside other care: many people take this course while also seeing their consultant, their GP, a sight loss support organisation, or while in their own One-to-One therapy. The course is designed to complement those, not replace them. No diagnosis required.
A note on the materials: every worksheet, reflection and practice in this programme was written from scratch for people living with sight loss, rather than adapted from materials designed for a sighted population.
I work to the IACP Code of Ethics and Practice, which includes a duty to represent my training and services accurately. If anything on this page is unclear about what you'll actually get, please ask before booking.
The practical bits.
What if I miss a session?
All sessions are recorded and the audio replay lands in your inbox within 48 hours. You won't fall behind.
Do I need to be on camera?
Never required. Audio-only is completely welcome and fully supported. You set the pace.
Accessibility
Materials are provided in large print, screen-reader friendly text and audio. Slides and visual content are always described aloud. If you have specific access needs, please mention them at the discovery call and we'll set it up properly.
Can a family member join me?
The course itself is for the person living with sight loss. For partners, One-to-One sessions and couples therapy are available separately.
Refund policy
Full refund up to 7 days before we begin. Within 7 days, your place transfers to the next cohort at no cost. Once we've started, places aren't refundable, but get in touch if life truly intervenes and we'll find a way.
Be first to know. Join the waitlist.
Cohorts are small and fill from the waitlist before doors open publicly. Add your name and I'll email you as soon as the next round is announced, usually a few weeks ahead.
Beyond sight loss.
The emotional experience of adjusting to a life-changing diagnosis, the grief, the identity shift, the anxiety, the impact on relationships, is something many people face. While sight loss is at the heart of this practice, this work also welcomes people navigating other acquired disabilities and chronic conditions. If you are unsure whether this is right for you, a free 15-minute call is always the place to start.
Book a free call →Built in Ireland, for Ireland.
Small group. Designed for you. Real change.
When it feels right, a free 15-minute call. No pressure. Just a conversation with someone who understands sight loss, and who built something specifically for it.
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