This paper provided an overview of narrative-cognitive therapy, an approach that integrates cognitive therapy and image expressive therapy (e.g.,sandplay, collage, and painting). The overview was followed by an examination of the cases of collage-based cognitive-narrative therapy that take schema modification into account. Cognitive-narrative therapy is an integration of cognitive therapy and image expressive therapy consisting of two processes. In the first process, the client narrates the artwork that they intently (half-unconsciously) create in a sandplay, collage, or painting with images, thus becoming more overtly conscious. In the second process, the client uses the narrative taken from the sandplay, collage, or paintings, which they are now more fully conscious of, as a tool for clearly comprehending their psychological tasks. Despite any negative schema the client may have, awareness of psychological tasks leads to the formation and strengthening of adaptive schemas. This is seen as a method of schema correction. The therapist has traditionally been aware of the client's psychological tasks but silently watches over them. In this research, the therapist assists the clients to perform their psychological tasks. This is thought to engender insight in the client, increase their motivation, and ultimately encourage them to accomplish their psychological tasks. This paper examines the cognitive-narrative therapy approach by studying one of the several collage therapy studies.