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.

Structuring the Therapeutic Process

Structuring the therapeutic process

This chapter covers three aspects of managing CBT sessions. The competencies described include preparing the session, pacing and time management and between-session practice (often referred to as homework). These are all important aspects of CBT and, if implemented adequately, will make an important contribution to the overall effectiveness of the therapy. They may be considered as some of the background cogs of the CBT engine which mesh together the other parts of the machine.

Preparing the Session

Competency in CBT with children benefits from preparation. It is unhelpful to construe therapy as essentially a spontaneous and intuitive process in which the therapist relies entirely on such qualities for its success. As with good teaching, there will be spontaneous and intuitive ...

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