Hayes, Benjamin; Redburn, james; (2024) Using a Workbook to Support Cognitive Behavioural Therapy with Young People: A Survey of Psychological Practitioners. The Cognitive Behaviour Therapist (In press).

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Abstract

Practitioners have mixed views about the value of cognitive behavioural therapy (CBT) manuals, with some preferring to work based on professional judgment. The workbook represents a compromise, providing guidance and resources without prescribing standardised procedures. Workbooks have not previously been widely addressed in the CBT literature. This exploratory study analysed how practitioners use a CBT workbook (Think Good – Feel Good, TGFG) to support therapeutic work with young people (YP). Practitioners (n = 238) completed an online survey about how TGFG is used and how it supports CBT. A convergent mixed-methods design was pursued. Qualitative and quantitative data were analysed using content analysis, descriptive statistics, and chi-square tests before themes were defined to summarise the dataset. When deciding whether to use TGFG, practitioners consider YP’s presenting difficulty, level of understanding, motivation, and availability of systemic support. Practitioners use TGFG inside and outside the therapeutic space to plan sessions, revise CBT concepts, and complete worksheets (particularly those with a cognitive focus). Practitioners use TGFG flexibly and pragmatically (combining it with other therapeutic approaches), and they adapt resources to suit YP’s understanding and interests. TGFG appears to be a widely-used resource for practitioners across the range of experience.

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