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Lack of Consensus Regarding Single-Strand Interventions

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Although LICBT represents a single-strand approach (Turpin et al., 2010), there is little consensus between researchers, LICBT psychological therapy practitioners and HICBT therapists regarding the composition of single-strand interventions. For example, within A Recovery Programme for Depression (Lovell and Richards, 2012), the cognitive restructuring intervention comprises a ‘thought diary’ to identify unhelpful thoughts and ‘evidence table’ to challenge them. However, ‘as long as the intention is cognitive or schematic change’ (Clark, 2013: 2), interventions such as behavioural experiments have also been associated with cognitive restructuring. This approach has been adopted within a cognitive restructuring intervention (Farrand et al., 2019a). However, when using this intervention, consideration needs to be given to ways of supporting the behavioural experiment when undertaken outside the session (Chapter 6). Unlike HICBT, where in-vivo experiments are encouraged (Rouf et al., 2015), supporting interventions outside of a support session are not commonly undertaken in LICBT.

Low-intensity CBT Skills and Interventions

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