Ability to implement CBT using a collaborative
approach
Generic therapeutic
competencies
Knowledge and
understanding of mental
health problems
Knowledge of, and ability to
operate within, professional
and ethical guidelines
Knowledge of a model of
therapy, and the ability to
understand and employ the
model in practice
Ability to engage client
Ability to foster and maintain
a good therapeutic alliance,
and to grasp the client’s
perspective and ‘world view’
Ability to manage emotional
content of sessions
Ability to manage endings
Ability to undertake generic
assessment (relevant
history and identifying
suitability for intervention)
Ability to make use of
supervision
Basic CBT competencies Specific behavioural and Problem specific competencies Metacompetencies
cognitive therapy techniques
Knowledge of basic principles of Exposure techniques Specific phobias
CBT and rationale for treatment Generic
Applied relaxation & applied metacompetencies
tension Social Heimberg model
Knowledge of common cognitive Phobia
biases relevant to CBT Activity monitoring & Clark model Capacity to use clinical
scheduling judgment when
implementing treatment
Knowledge of the role of safety- Panic Clark model
models
seeking behaviours Guided discovery & Disorder Clark Capacity to adapt
Barlow model
Socratic questioning interventions in
response to client
Ability to explain and demonstrate feedback
rationale for CBT to client Ability to use thought records OCD Steketee/ Kozac & Capacity to use and
Foa model respond to humour
Ability to agree goals for the Ability to identify and work
Borkovec model
intervention with safety behaviours
Clark
GAD Dugas/ Ladouceur
Ability to structure sessions Ability to detect, examine and kmodel
help client reality test Clark
Zinbarg/Craske/ CBT-specific
Sharing responsibility for automatic thoughts/images Barlow model metacompentencies
session structure & content
Foa/Rothbaum model
Ability to elicit key cognitions/ Capacity to implement
CBT in a manner
Ability to adhere to an agreed images Resick model
PTSD consonant with its
agenda Clark
Ehlers model underlying philosophy
Ability to identify and help
Ability to plan and to review client modify assumptions, Clark
Capacity to formulate
practice assignments attitudes and rules Depression – High and apply CBT models
(‘homework’) intensity interventions to the individual client
Using summaries and feedback Ability to identify and help
to structure the session client modify core beliefs Cognitive Therapy (Beck) Capacity to select and
apply most appropriate
BT & CBT method
Ability to employ imagery Behavioural Activation
techniques (Jacobson)
Ability to use measures and self Capacity to structure
monitoring to guide therapy and ) sessions and maintain
Ability to plan and conduct
to monitor outcome appropriate pacing
behavioural experiments Behavioural Activation
Depression – Low Capacity to manage
(Jacobson)
Ability to devise a maintenance intensity interventions obstacles to CBT
cycle and use this to set targets
therapy
Ability to develop formulation
and use this to develop Behavioural Activation
Problem solving treatment plan /case
conceptualisation
Ability to end therapy in a Ability to understand client’s Guided CBT self-help
planned manner, and to plan for inner world and response to
long-term maintenance of gains therapy
after treatment ends