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.


CraigChigwedere and YvonneTone

Learning Objectives

After reading this chapter you should:

  • understand the concept and effects of perfectionism,
  • recognise clinical perfectionism in clients,
  • understand a development and maintenance model of perfectionism,
  • have knowledge of strategies for the management of perfectionism.


The Case of Steven – ‘Please, Just Give me a New Face!’

Steven, a 22-year-old garage worker, presented for therapy with low mood and social avoidance behaviour. He dropped out of college due to self-consciousness about his appearance and belief that he ‘was ugly’. Steven became particularly focused on his bone structure and facial appearance. Due to his self-consciousness and strong belief that he was ‘ugly’ he avoided meeting people and getting into relationships. He had also travelled abroad for a cosmetic surgery consultation, having been refused surgery locally. Steven felt ...

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