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CBT Practice Guidance

This page is about the amount and type of clinical practice required for the different stages of your training and accreditation.   

Please also refer to the Standards of Conduct, Performances and Ethics [PDF] and the Guidelines for the specific accreditations.

CBT clinical practice during training

The requirements for Provisional Accreditation are set out fully in the Minimum Training Standards. These state that you must have completed at least 200 hours of supervised CBT clinical practice to apply. 

In order to meet the requirements for Provisional Accreditation, the majority of the 200 hours’ supervised clinical practice in CBT will be focused on fundamental CBT skills - working with people who have anxiety disorders and depression. These are outlined fully in the Core Curriculum Reference Document [PDF]

Your training practice can have been completed abroad but you must currently be in practise in the UK, its territories or Ireland to apply for accreditation.

Formats of CBT therapy during training

Most of your CBT practice during training should be one-to-one and face to face. This is because the evidence-base has largely been developed using this format.

The Provisional Accreditation application (section 3F) requires evidence of completed case studies and closely supervised cases. These are based on one-to-one delivery of CBT. 

If you have been trained in delivering CBT online or through telephone or video conferencing you can include these in your CBT clinical practice during training. There is specific guidance on this if you completed some of your training during the Covid 19 pandemic. 

CBT Practice after Provisional Accreditation

To maintain your accreditation, you must be currently practicing CBT in the UK, and at least 50% of your psychotherapeutic practice must be CBT.

There is no specific total requirement for the number of clinical hours for Full Accreditation and Reaccreditation.  However the minimum caseload for maintaining Accreditation is two CBT clinical contacts or equivalent per week. 

Example OneA part-time CBT therapist who provides CBT clinical supervision and training in a specialised trauma service. Clinical work consists of seeing one patient a week for a two hour session.

Example Two A full-time NHS manager in CBT service, who has no opportunity for clinical work in this role. Has a CBT private practice on Saturday mornings seeing two patients for one hour each.

Specialist areas of CBT practice

You can count practice with all relevant areas of mental health disorder and client group towards your practice for Full Accreditation and Reaccreditation.

Examples of client groups include adults, children and young people, older adults, learning disabilities, autism. You can work exclusively or partially with any of these groups.

You must have the appropriate specialist training, competence and clinical supervision.  We have specific recommendations for working with children and young people.  

Other cognitive and/or behavioural approaches

If you are accredited, you can practice exclusively, specialise in, or include other cognitive and/or behavioural therapies in your therapeutic work.

CBT is an ever-evolving model, and consequently there will be developments and emerging approaches in CBT. You must be able to demonstrate that you practice according to an evidence-base which builds upon cognitive and behavioural principles and interventions.

Formats of CBT therapy for Full Accreditation and Reaccreditation

If you have been trained in delivering CBT online or through telephone or video conferencing you can include these in your CBT clinical practice. There is specific guidance for clinical practice during the Covid 19 pandemic.

Your clinical supervision and training must be appropriate to the format and your supervisor must also be trained and experienced in using that form of delivery.

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