This book uniquely addresses the application of CBT to children and young people within health, school and community contexts.

With the recent expansion of increasing access to psychological therapies (IAPT) CBT is increasingly applied to work with children outside the traditional therapy clinic. This book provides accessible knowledge and practice skills for professional staff working with troubled children and young people in real-world settings. Front-line practitioners commonly face children with complex patterns of difficulties that do not fit clear diagnostic categories. Moreover, long waiting lists and fixed lengths of treatment don't always fit the presenting needs. Correspondingly, the authors take a much-needed realistic approach to applying CBT to childhood problems.

At the center of this book is the child, the authors moving outwards to cover childhood itself, the principles, core practice and techniques of CBT and its adaptation to the context of the therapy. This is relevant and accessible reading for a wide range of specialist child trainees and practitioners, including new IAPT therapists, counselors, nurses, teachers and social workers.

CBT in Context
CBT in context


Part 3 will focus on the application of CBT with children and young people in typical work settings. The problems presented by young people coming for help can be complex and the settings in which therapists work may be far from ideal. The aim in this chapter is to examine some of the more common moderating factors to CBT practice and to consider some of the ways that CBT can be effectively adapted to context.

The first chapter will begin with a number of challenges to achieving positive outcomes, namely:

  • the occurrence of multiple problems (co-morbidity) which may make the intervention more difficult
  • the way parents and the child may have mixed feelings about coming for professional help (the family's relationship to help)
  • the ...
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