Overcoming Obstacles in CBT comes to the rescue of anyone struggling with the challenges of practicing CBT, whether you are a trainee working under supervision or a qualified practitioner. It examines key obstacles, issues and difficulties encountered over the course of the therapy, illustrated with extensive case examples. Learning objectives, practice exercises and further reading lists help you engage with and relate the issues to your own practice.

Assessment, Problem Focus and Model Selection

Assessment, problem focus and model selection

Learning Objectives

After reading this chapter the reader should:

  • understand the value and limitations of disorder-specific models;
  • understand the value of a thorough assessment;
  • know how to go about selecting an appropriate CBT model;
  • know when to combine models and sequence interventions where necessary;
  • understand when and why to use longitudinal case conceptualisation;
  • understand the importance of shifting the focus when faced with an evolving picture.


The practice of CBT is supported by an invaluable array of tried and tested disorder-or problem-specific approaches (‘models’, ‘protocols’ – see Table 3.1). The majority of these models enjoy a thorough empirical base in theoretical and clinical research. They have been evolved from extensive direct experience with patients and are derived from the core principles ...

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