Cognitive Analytic Therapy (CAT) is always approached collaboratively with the client, who is seen as uniquely individual. As such CAT can be used in a whole range of settings and for a richly diverse range of presenting problems, and it is an appropriate way of working with clients of all ages and stages of life. The CAT model is well placed to understand the social and cultural context for the client, as well as address this relationally via the theory and application of reciprocal roles. The feedback from the staff was that they found this understanding valuable as it helpfully informed their practice and also led to increased cooperation between team members. The open, collaborative therapeutic stance used in CAT can be particularly useful when working with clients who may be difficult to engage, and can also counteract against the control issues that can often present in this client group.