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Endings in Short Term CBT and Low Intensity CBT

Taf Kunorubwe

27 Feb 2024


You are probably familiar with and may have even used that adage about CBT Therapists helping clients to become their own therapists. In essence, within CBT we aim to sufficiently socialise and skill up our clients in the CBT model and methods to independently cope and essentially make ourselves redundant (Westbrook et al, 2011). The intention behind this has been present within CBT, from its development.

“One of the most powerful components of the learning model of psychotherapy is that the patient begins to incorporate many of the therapeutic techniques of the therapist” Beck et al. (1979, p. 4).

Our core curriculums tend to offer an introduction to “ending therapy in a planned manner and the effective management of unplanned endings” (BABCP, 2021). 

However, in practice endings can pose unique challenges for both clients and therapists. For instance, therapists’ apprehension of premature endings (Beck, 2005) or potentially feelings of anxiety/loss (Daymond & Millward, 2022).

Therefore, this session will not only consider the technical aspects such as developing a blueprint/relapse prevention but offer an opportunity to reflect therapist's beliefs and responses to endings and consider ideas on how to respond to unexpected endings.

The event will be equivalent to 2 hrs of CPD.


This webinar will:
• Provide an overview to ending in brief CBT / LICBT sessions.
• Outline the recommendations for endings and developing a collaborative blueprint/relapse prevention.
• Reflect on therapist activating beliefs and behaviours related endings.
• Consider how to respond unexpected endings.

Learning Objectives

By the end of the webinar and associated resources participants will:
• Be able to describe endings and some of the common outcomes.
• Outline the process of developing a collaborative blueprint/relapse prevention.
• Identify therapist activating therapist activating beliefs and behaviours related endings.

Training Modalities

The session will include lecture content, Q&A, and polls.

Key References

Bear, H. A., Dalzell, K., Edbrooke-Childs, J., Garland, L. & Wolpert, M. (2022). How to manage endings in unsuccessful therapy: A qualitative comparison of youth and clinician perspectives. Psychotherapy Research, 32(2), pp. 249-262.

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery. G. (1979). Cognitive therapy of depression. New York: Guilford Press.

Beck, J. S. (2005). Cognitive therapy for challenging problems: What to do when the basics don't work. Guilford Press.

Salmoiraghi, A. & Sambhi, R. (2010). Early termination of cognitive-behavioural interventions: literature review. The Psychiatrist, 34(12), pp. 529-532.

Westbrook, D., Kennerley, H. & Kirk, J. (2011). An introduction to cognitive behaviour therapy: Skills and applications. Sage.

About the presenter

Taf Kunorubwe is a BABCP Accredited CBT Therapist, Supervisor and Trainer. He has experience of working and supervision within IAPT services as a PWP and High-Intensity Therapist. He currently works part-time in private practice, with a special interest in improving access and outcomes for clients from diverse backgrounds. As well as being a guest lecturer at a variety of Post Graduate courses for CBT and Low Intensity CBT across the UK (IAPT & Non-IAPT).

Who should attend

This event is designed for practitioners delivering time limited CBT and/ or Low Intensity CBT including CBT Therapists, Psychological Wellbeing Practitioners, Enhanced Psychological Practitioners, and Psychologists delivering brief CBT interventions.

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

Please click below if you are interested in contributing to the survey.


The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

View Survey

This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS England Talking Therapies National PWP Leads Network

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