ABSTRACT

Safran and Segal developed ten-item Suitability for Short-Term Cognitive Therapy Rating Scale by rating clients on a 0 to 5 scale, where a total score of 0 indicates least suitability and a total score of 50 the greatest suitability for short-term CBT. The client's score was 39, making her very suitable for short-term CBT. Safran and Segal offer no cut off point of unsuitability for short-term CBT; they merely state that high ratings show a good prognosis for therapy and low ratings show a poor prognosis. Westbrook et al. caution that this scale 'should be used as a guide than a rigid set of criteria' in assessing client suitability for CBT. The client agreed to ten sessions of therapy with progress reviews every three sessions. Usually suggest to clients unsure about CBT to have several trial sessions before they reach a decision about its applicability to them and their difficulties.