title: Using cognitive behavioural therapy with complex cases: using the therapeutic relationship to change core beliefs.
abstract: Cognitive Behavioural Therapy (CBT) is often perceived as a manualised, symptom focused, surface level approach. This article aims to reflect on working with complex clinical presentations and explore how third wave CBT can be effectively integrated into standard cognitive behavioural interventions. To achieve these aims, a case study of a CBT assessment and treatment is presented. The interventions used are described in detail. The focus changes from the more traditional symptom-led interventions to third wave approaches based on the therapeutic relationship. When the focus was redirected towards the therapeutic relationship then real change occurred, quickly and powerfully. Reflections on the process are discussed and the overall approach used was evaluated with an action plan developed to enhance future clinical practice. It is hoped that this study can help CBT be viewed as a comprehensive form of psychotherapy.
authors: Kings College-London, London, UK. jamescbt@gmail.com
authors: James
authors: J
authors: Binnie
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy / Q000451:nursing / Q000523:psychology; D015897:Comorbidity; D003469:Culture; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008370:Manuals as Topic; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D010342:Patient Acceptance of Health Care / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing / Q000523:psychology / Q000628:therapy