Therapists and clients: who brings what to the alliance? So important is the therapeutic relationship to clients, it would appear, that they would be prepared to accept a treatment with a lower recovery rate to receive it. Further, clients’ ratings of the alliance...

The therapeutic alliance accounts for seven times more of the variance in outcomes than the therapy model. But why, and what exactly is it, anyway? We know that the therapeutic alliance is critical to successful therapy. We all agree on that, don’t we? Beyond that,...

When all therapies are equal, why are some more equal than others? The NICE draft guideline for the treatment of depression is out for consultation. The evidence from IAPT’s own data shows CBT and counselling to be broadly equivalent in outcome. So, why is CBT being...

Why we should all be collecting less data and stop feeding the beast   What does high quality therapy look like and how should we measure it? We suggest adopting two key performance indicators and making every other one fight for its place at the table. In the process...

"It is common to think of ourselves as somewhat remarkable compared to others."  Are therapists any different? You would like to think, wouldn’t you, that given the nature of what we do as therapists, including promoting fairness and balance in our clients’...

What level of drop out in therapy is OK (part 2) How do we define dropout, and how can we use those definitions to create a simple framework to monitor and reflect on our own practice or service levels of dropout? How can we use benchmarking to get a relative sense of...