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Within HICBT the optimal dose of therapy is typically in excess of ten weekly 60-minute treatment sessions recommended by NICE for the appropriate common mental health problem. However, following an assessment in the region of 40 minutes, an average of five to eight briefer support sessions is typically received with LICBT (Bennett-Levy et al., 2010), thereby making better use of scarce resources (van Straten et al., 2015). Using NICE guidelines (National Collaborating Centre for Mental Health, 2018) to inform delivery of different doses of CBT, LICBT represents a way to achieve high-volume working that helps to improve access and democratise CBT (Bennett-Levy et al., 2010). Although treatment dose directly provided by the practitioner is lower in LICBT, it is likely that patients themselves spend similar amounts of time engaging with the interventions as with HICBT (van Straten et al., 2015). This possibility arises as a result of the increased emphasis on patients to engage with self-help interventions between sessions; engagement with HICBT is often limited to completing homework set.