ABSTRACT
This chapter offers for clinicians, supervisors, and supervisees an opportunity to review the level of competence in clinical practice. The cognitive behaviour therapy (CBT) model is a structured model that can be applied with idiosyncratic flexibility. The CBT skills are divided into eight categories: assessment; interviewing; structuring; change directed interventions; overcoming resistance; evaluation; self-reflection; intervention planning. A pass for the assessment component is defined as: competent use of existing assessment tools and monitoring forms, designing idiosyncratic ones for specific situations, combined with the ability to translate historical and assessment data in a cognitive behavioural framework leading to a case formulation. For a client entering therapy with a complaint of depression, the therapist should use tools to measure frequency, intensity, and duration of the depressive symptoms. Competence is defined as offering the client clear and specific methods to monitor symptom severity, frequency, and/or intensity. The way a cognitive behaviour therapist talks with clients is of the utmost importance.
