Who benefits from CBT? Safran and Segal (1990): Suitability for Short-term Cognitive Therapy Interview 1 . Accessibility of automatic thoughts 2. Awareness and differentiation of emotions 3. Acceptance of personal responsibility for change
4. Compatibility with cognitive rationale 5. Alliance potential: in-session evidence 6. Alliance potential: out-of-session evidence, including previous therapy 7. Chronicity of problems The longer the person has been experiencing difficulties, the more the sessions are likely needed
8. Security operations: the extent to which the person relies on 'props' to feel safer in the short term but may cause more problems over time 9. Focality : ability to remain focused 10. General optimism regarding therapy: Greater optimism about the potential of therapy to bring about change
Barriers to Therapy Floridly psychotic: may be considered with a level of psychotic symptoms Current manic phase Cognitive impairment Practical issues