ABSTRACT

A common criticism of CBT 'is that it seems too "technique-oriented", that is, too focused on a nontheoretical, or nonceptual approach to the person patient'. This misconception assumes that cognitive behaviour therapists simply consult their treatment manuals for particular disorders and apply the recommended evidence-based techniques to do amelioration of clients' symptoms. The techniques come after a case conceptualization of the client's presenting problems developed collaboratively. Derived from the cognitive theory of emotional disorders, a case conceptualization is a highly individualized understanding of a client's problem in terms of its development, what circumstances activate her high anxiety and how the problem maintained. Installing Sat Nav made little impact on reducing her anxiety because it might malfunction thereby getting her lost. In the cognitive theory of anxiety, the theme is of a future threat or danger where the self is vulnerable which can guide the therapist in how to think about what might be the core fear driving the client's anxiety.