This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. A step-by-step guide to using CBT, the book is structured around case examples of clients who present with the most commonly encountered conditions; from mild depression and GAD to more complex, enduring symptoms and diagnosis like OCD, personality disorder and social phobia.

The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies and discharge planning.

The book also includes learning exercises and clinical hints, as well as extensive reference to further CBT research, resources and reading. It will be invaluable for trainees on Improving Access to Psychological Therapies (IAPT) programs, and anyone studying graduate CBT courses.

Principles of Cognitive Behavioural Therapy

Principles of cognitive behavioural therapy
MandyDrake and MikeThomas

Learning Objectives

By the end of this chapter you should be able to:

  • Discuss the historic development of CBT
  • Describe the Stepped Care model
  • Explain the principles of CBT
  • Outline the therapeutic process

This chapter will cover some of the background to cognitive behavioural therapy (CBT) principles using the device of common questions and answers. Perhaps one view that needs to be challenged right at the beginning of the text is the invidious belief that CBT is an instrumental approach lacking the degree of human contact and empathy which are often highlighted in other therapeutic approaches. This is not a new criticism and this continuing negative perception of CBT may, in part, be due to the protocol-driven case formulations which ...

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