ABSTRACT

When your clients report improvement, it is important that you assess the basis for this change. Determine whether your clients have improved by changing their irrational beliefs, by changing the distorted nature of their inferences, by avoiding certain problematic activating events, by changing their environment, or by changing their behaviour without making corresponding changes in their thinking (see Dryden and Neenan 2004b for a full discussion of this issue). In addition, look at the consistency of your clients’ improvement. Have they overcome their disturbed feelings together with showing improvement in their behaviour, or has one change occurred in the absence of the other?