How to Become a More Effective CBT Therapist

Adrian Whittington is Director of Education and Training at Sussex Partnership NHS Foundation Trust. A Consultant Clinical Psychologist, Adrian is passionate about enabling wider access to evidence-based psychological therapies. Adrian was a director of postgraduate training programmes in CBT before taking up his current role. He works clinically with people with anxiety disorders and depression, particularly following trauma, and teaches on the postgraduate CBT training programme at the University of Sussex, UK.Nick Grey is Joint Clinical Director and Consultant Clinical Psychologist at the Centre for Anxiety Disorders and Trauma (CADAT), South London and Maudsley NHS Foundation Trust, King's Health Partners. He is actively involved in disseminating cognitive behavioural therapies, trying to ensure that the most effective treatments are applied in routine care. A BABCP-accredited practitioner, supervisor and trainer, Nick is also Honorary Lecturer at the Institute of Psychiatry and editor of A Casebook of Cognitive Therapy for Traumatic Stress Reactions (2009).

• About the Editors ix About the Contributors xForeword by David M. Clark xvForeword by Tony Roth xviiI The Foundations 11 Mastering Metacompetence: The Science and Art of Cognitive Behavioural Therapy 3Adrian Whittington and Nick Grey2 The Central Pillars of CBT 17David Westbrook3 Developing and Maintaining a Working Alliance in CBT 31Helen Kennerley4 Working with Diversity in CBT 44Sharif El-LeithyII Handling Complexity 635 Working with Co-Morbid Depression and Anxiety Disorders: A Multiple Diagnostic Approach 65Adrian Whittington6 Collaborative Case Conceptualization: Three Principles and Five Steps for Working with Complex Cases 83Robert Kidney and Willem Kuyken7 Transdiagnostic Approaches for Anxiety Disorders 104Freda McManus and Roz Shafran8 When and How to Talk about the Past in CBT 120Gillian Butler9 “Is it Them or is it Me?” Transference and Countertransference in CBT 132Stirling Moorey10 What To Do When CBT Isn’t Working? 146Michael WorrellIII Adapting for Specific Client Groups 16111 CBT with People with Long-Term Medical Conditions 163Jane Hutton, Myra S. Hunter, Stephanie Jarrett and Nicole de Zoysa12 CBT with People with Personality Disorders 178Kate M. Davidson13 CBT with People with Psychosis 191Louise Johns, Suzanne Jolley, Nadine Keen and Emmanuelle Peters14 CBT with Older People 208Steve Boddington15 CBT with People with Intellectual Disabilities 225Biza Stenfert KroeseIV Mastering Metacompetence 23916 Using Self-Practice and Self-Reflection (SP/SR) to Enhance CBT Competence and Metacompetence 241Richard Thwaites, James Bennett-Levy, Melanie Davis and Anna Chaddock17 Using Outcome Measures and Feedback to Enhance Therapy and Empower Patients 255Sheena Liness18 Making CBT Supervision More Effective 269Nick Grey, Alicia Deale, Suzanne Byrne and Sheena Liness19 Take Control of your Training for Competence and Metacompetence 284Adrian WhittingtonAn Afterword about Therapist Style 300Simon Darnley and Nick GreyIndex 306