Although no statistically significant differences were present between the groups for the primary outcomes, several positive trends were noted. Thirty percent of Self-Book art therapy participants reported postintervention emotional distress scores that were below the abnormal range for emotional distress, compared with only 5% of standard care control participants, suggesting that Self-Book art therapy may have clinical value. Further studies are recommended to better understand the therapeutic mechanisms of Self-Book art therapy for enhancing psychological well-being.