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Let's Talk about CBT- Practice Matters

Let's Talk about CBT- Practice Matters

By: Rachel Handley for BABCP
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The podcast for therapists using Cognitive Behavioural Therapy to help shape and inform their practice.2024 Hygiene & Healthy Living Psychology Psychology & Mental Health
Episodes
  • Adapting CBT for Autistic Clients with Prof Ailsa Russell

    Adapting CBT for Autistic Clients with Prof Ailsa Russell
    Sep 29 2026
    In this episode of Practice Matters, Rachel Handley is joined by Professor Ailsa Russell to explore how CBT can be adapted to meet the needs of autistic clients. They unpack common myths, including the idea that CBT is unsuitable for autistic people or that encouraging behaviour change simply means asking clients to mask, and discuss where a neuro-affirmative stance fits into formulation and treatment. Ailsa talks through practical adaptations therapists can make from using plain, concrete language instead of metaphor, to allowing more time for foundational work and generalising skills beyond the session. She also shares what the evidence base tells us about CBT's effectiveness with autistic people, why service structures often fall short, and what she has learned from her own autistic clients over the years. Further resources: Find out more about Ailsa's work here OCD and Autism: A Clinician's Guide to Adapting CBT can be bought from Jessica Kingsley Publishers here Russell, A., Gaunt, D. M., Cooper, K., Barton, S., Horwood, J., Kessler, D., Metcalfe, C., Ensum, I., Ingham, B., Parr, J. R., Rai, D., & Wiles, N. (2020). The feasibility of low-intensity psychological therapy for depression co-occurring with autism in adults: The Autism Depression Trial (ADEPT) – a pilot randomised controlled trial. Autism, 24(6), 1360-1372. https://doi.org/10.1177/1362361319889272 Stay Connected: Follow us on BlueSky and Instagram: @BABCPpodcasts Send us your questions and suggestions: podcasts@babcp.com Subscribe and leave a review – and don't forget to share this episode with your colleagues! If you enjoyed this episode, check out our sister podcasts, Let's Talk About CBT and Let's Talk About CBT – Research Matters for more discussions on evidence-based therapy. Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This podcast was edited by Steph Curnow
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    1 hr and 6 mins
  • Using CBT to Support Adults with ADHD with Dr Antonia Dittner

    Using CBT to Support Adults with ADHD with Dr Antonia Dittner
    Aug 31 2026

    In this episode of Practice Matters, Rachel Handley is joined by Dr Antonia Dittner, consultant clinical psychologist and lead author of "A Therapist's Guide to CBT to Support Adults with ADHD," to explore what CBT has to offer this often misunderstood client group. Together they unpack the diagnostic picture, the overlap with anxiety and depression, and why a formulation driven, transdiagnostic approach can help therapists feel more confident with this client group.

    Antonia walks through the four core elements of therapy: behavioural work on routines and habits, thinking patterns, managing emotions and impulses (including how procrastination often develops as a way of avoiding difficult feelings), and longer standing beliefs and coping. She also shares practical tips for structuring sessions, addressing shame and self-criticism with compassion, and what services can do to support access for neurodivergent clients.

    Further resources:
    A Therapist's Guide to CBT to Support Adults with ADHD by Antonia Dittner and colleagues

    Find out more about training and support from NAAAPS (National Adult ADHD and Autism Psychology Service)

    Stay Connected:

    • Follow us on BlueSky and Instagram: @BABCPpodcasts
    • Send us your questions and suggestions: podcasts@babcp.com
    • Subscribe and leave a review, and don't forget to share this episode with your colleagues!

    If you enjoyed this episode, check out our sister podcasts, Let's Talk About CBT and Let's Talk About CBT – Research Matters for more discussions on evidence-based therapy.

    Credits:
    Music is Autmn Coffee by Bosnow from Uppbeat
    Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee
    License code: 3F32NRBYH67P5MIF
    This podcast was edited by Steph Curnow
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    1 hr and 15 mins
  • Thinking with our clients, not thinking for them…Dr Scott Waltman on Socratic dialogue

    Thinking with our clients, not thinking for them…Dr Scott Waltman on Socratic dialogue
    Jul 30 2026

    In this episode of Practice Matters, Rachel Handley is joined by Dr Scott Waltman, president-elect of the US Academy of Cognitive and Behavioural Therapies, to explore what Socratic questioning really is and why it matters. Scott describes it as thinking with our clients rather than for them, comparing it to Socrates' own idea of being a midwife for thought.

    They discuss the evidence behind Socratic questioning, the difference between guided and provided discovery, and how Scott's research reshaped Padesky's well known four step model. Scott also shares practical advice on focusing questions, and on working with a client's own definitions to shift stuck beliefs.

    Further resources:

    Find out more about Scott's work here Socratic Questioning for Therapists and Counselors can be bought from Routledge here

    Stay Connected:

    • Follow us on BlueSky and Instagram: @BABCPpodcasts
    • Send us your questions and suggestions: podcasts@babcp.com
    • Subscribe and leave a review – and don't forget to share this episode with your colleagues!

    If you enjoyed this episode, check out our sister podcasts, Let's Talk About CBT and Let's Talk About CBT – Research Matters for more discussions on evidence-based therapy.

    Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This podcast was edited by Steph Curnow
    Show More Show Less
    1 hr and 12 mins
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