On this episode of “Sanity” Dr. Jason Duncan and Dr. Scott Waltman discuss some of the pitfalls mental health professionals make when implementing cognitive-behavioral therapy (CBT). The most common pitfalls identified in research completed by Dr. Waltman included socratic questioning and guided discovery. Dr. Waltman and Dr. Duncan discuss socratic questioning, its origin with the Greek philosopher Socrates, and how it can be an effective tool in therapy. They provide numerous benefits to this intervention, including helping clients “become their own therapists.” Dr. Waltman discloses the framework for honing the skill of socratic questioning from his new book, Socratic Questioning for Therapists and Counselors: Learn How to Think and Intervene Like a Cognitive Behavior Therapist. Dr. Waltman also identifies a number of other pitfalls therapists make when implementing CBT, such as setting an agenda, pacing the session, receiving feedback from clients, reviewing and developing individualized homework, trouble selecting when to implement interventions and deciding where to intervene. He describes his own therapeutic techniques and how to combat some of these pitfalls. Dr. Duncan and Dr. Waltman both emphasize the importance and difficulty of learning these important skills. They described numerous resources for therapists interested in learning more about CBT, including websites, research studies, books, trainings, and certificates.
Dr. Waltman is a clinical psychologist, international trainer, and practice-based researcher. His interests include evidence-based psychotherapy practice, training, and implementation in systems that provide care to underserved populations. He is certified as a qualified Cognitive Therapist and Trainer/Consultant by the Academy of Cognitive & Behavioral Therapies and is board certified in Behavioral and Cognitive Psychology from the American Board of Professional Psychology. He is a board member for the International Association of Cognitive Psychotherapy. More recently, he worked as a CBT trainer for one of Dr. Aaron Beck’s CBT implementation teams in the Philadelphia public mental health system. He is the first author of the book Socratic Questioning for Therapists and Counselors: Learn How to Think and Intervene like a Cognitive Behavior Therapist.
CBT Competence and Fidelity Measure - The Cognitive Behavior Rating Scale (Beck and Young, 1980): https://www.yu.edu/sites/default/files/inline-files/Cognitive%20Therapy%20Rating%20Scale%20%28CTRS%29.pdf
CBT Express: Effective 15-Minute Techniques for Treating Children and Adolescents by Jessica M McClure, Robert D. Friedberg, Micaela A. Thordarson, and Marisa Keller: https://www.amazon.com/CBT-Express-Effective-Techniques-Adolescents/dp/1462540317
Socratic Questioning for Therapists and Counselors by Scott H. Waltman, Trent Codd, III, Lynn M. McFarr, and Bret A. Moore: https://www.amazon.com/Socratic-Questioning-Therapists-Counselors-Psychology-ebook/dp/B08CXN96PS
Instagram @socraticmethod CBT
Listserv: https://www.newyorkcbt.com/
To be certified in CBT: https://www.abct.org/
Academy of Cognitive Therapy: https://www.academyofct.org/
Beck Institute: https://beckinstitute.org/