Let’s put the ‘T’ back into CBT

Purpose: The current manner in which cognitive behavioural therapy is delivered is critiqued, with a focus on the impact of evidence-based practice. Design/methodology/approach: This paper is based upon the experiences, ideas and clinical practice of the authors. Findings: The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy. Originality/value: An alternative framework based on revitalising CBT as a client centred, problem-based, and formulation driven form of psychotherapy is put forward.