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.
Chapter 16: What to Do If CBT Is Not Working
What to Do If CBT Is Not Working
All experienced practitioners can think of cases where they felt ‘stuck’, and the intervention did not seem to be having any impact on the young person or their difficulties. As already discussed, evaluative studies suggest that poor response to intervention occurs in around 30 per cent of cases. For example, Marder and Chorpita (2009: 10) reviewed the literature on CBT with child anxiety treatments and concluded that ‘across contexts, more than a third of the youth tested in these treatment studies maintained symptoms severe enough to warrant diagnoses at post-treatment’. Although this is not altogether positive, it may provide some reassurance for CBT practitioners, for whom non-responders can produce feelings ...