ABSTRACT

For many students, becoming proficient in CBT techniques is easier than mastering the fine points of CBT process. Learning CBT interventions comes easier than learning the nuances of CBT case conceptualization and change processes. Moreover, teaching and supervising counselors-in-training to apply these nuances with actual clients can be even more difficult. This chapter reviews various CBT processes that counselors encounter with diverse clients. These include relationship building, the roles of counselor and client, and active engagement of the client in the counseling process. Then common obstacles in CBT practice such as relationship ruptures, interrupting the client, and working with clients with different levels of motivation for change are reviewed. Finally, Motivational Interviewing is highlighted in this discussion.