ABSTRACT

There are many potential obstacles to client change that need to be considered when one's clients are not making progress in Rational Emotive Behaviour Therapy (REBT). Some REBT therapists work much more productively with clients who think quickly, and struggle with those who are slower in their thought processes. Some therapists have a talent for working with clients who are severely disturbed and have complex problems, while others do much more effective work with clients who are mildly disturbed and have clearly delineated problems. When trying to account for obstacles to client change, consider one's clients' interpersonal environment. Many clients have the active and ongoing support of their significant others who encourage them to enhance their therapy-derived gains. Other client's relationships with people who have an investment in them staying the same. Research has shown that clients who complete self-help assignments in REBT and other approaches to cognitive behaviour therapy improve more than clients who fail to complete them.