The importance of choice in therapy: From the perspective of a, hopefully flexible, CBT practitioner

The main purpose of this paper is to present a personal account of my therapeutic journey and to show how my practice of CBT is informed not only by orientation-specific variables (e.g. emphases on 1) attitude; 2) perpetuation of disturbance as opposed to its acquisition; 3) specificity; 4) the development of client self-help skills; and 5) homework), but by more general, trans-theoretical variables (e.g. rooting therapy in the bonds, views, goals and tasks domains of the working alliance and dealing effectively with threats to this alliance). In doing so, I hope to show that when practised well CBT draws upon general principles that span different therapeutic approaches as well as on ideas specific to CBT.