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.

Pacing, Timing and Endings in CBT

Pacing, timing and endings in CBT

Learning Objectives

By the end of this chapter the reader should:

  • develop insight into suitability, assessment and timing issues within CBT;
  • have knowledge of factors which can delay, inhibit or undermine engagement, e.g. legal cases, insecure relationships, secondary gain;
  • be aware of the patient's personal readiness/capacity for change and its impact on progress and resources;
  • be cognisant of pacing and the change methodology around termination of therapy issues.


CBT has a rich heritage of time-limited, manualised approaches to a range of specific disorders (e.g. OCD, depression and panic) derived from research trials. While some may view it as lacking sensitivity to the individual's circumstances (e.g. Clarke, 1999), it provides a structure for both patient and therapist, which can be ...

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