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Low-intensity CBT Skills and Interventions

Low-intensity CBT Skills and Interventions
a practitioner's manual

Second Edition (Updated Edition)
Edited by:
Additional resources:

November 2024 | 400 pages | SAGE Publications Ltd

This book takes you step-by-step through the Low-intensity CBT interventions, competencies and clinical procedures. It provides a comprehensive manual for trainee and qualified Psychological Wellbeing Practitioners within NHS Talking Therapies anxiety and depression services or for other roles that support Low-intensity CBT. 

New to this edition:

  • Updated research and references
  • Updated further reading and resources
  • New chapters covering the different modalities available for remote LI-CBT and their benefits and drawbacks: telephone, email, and video
  • New chapter on CBT Self-help in Groups
  • New chapter on Working with People from Ethnic Minority Backgrounds
  • New chapter on Working with Long-term Health Conditions
  • Updated chapter on patient Assessment
  • Updated chapter on Clinical Decision-Making
  • Revised chapter on Using Behaviour Change Models
  • Updated to reflect changes in the new LI-CBT National Curriculum 
Paul Farrand
1. Low-Intensity Cognitive Behavioural Therapy Revolution Not Evolution
PART I ‘Low-Intensity Clinical Method’
Dona-Marie Anderson and Sarah Monk
2. Assessment
Joshua E.J. Buckman, Rob Saunders and Stephen Pilling
3. Diagnoses and Problem Descriptors
Siobhan Gilliam and Liz Kell
4. Severe Mental Illness
Jeffrey McDonnell, Nicola Kirkland-Davis and Rachel Newman
5. Clinical Decision-Making
Zoe Symons
6. Common and Specific Factors
Katie Lockwood
7. Supporting Interventions
Paul Chadwick
8. Behaviour Change Models
Judith Gellatly, Cintia Faija, Mia Bennion, Michael Barkham, Paul Drew and Penny Bee
9. Telephone Support
Hiba Choueiri, Michaela Newton and Paul Farrand
10. E-mail Support
Eve Bampton-Wilton
11. Video-Working
Faye Small and Megan Whitworth
12. Supervision
Rachel Miller, Alje van Hoorn, Paul Farrand and Chris Dickens
13. Medication for Common Mental Health Problems
PART II: Low-Intensity Interventions
Paul Farrand
14. Behavioural Activation
Simon Grist
15. Cognitive Interventions
Mark Papworth
16. Graded Exposure Therapy
Judith Gellatly, Rebecca Pedley, Penny Bee and Karina Lovell
17. Exposure Therapy and Response Prevention for Obsessive-Compulsive Disorder
Faye Small and Katie Lockwood
18. Worry Management
Georgina Miles
19. Problem-Solving
Elaine Norton
20. Sleep Management
Chris Williams and Theresa Kelly
21. CBT Groups
PART III: ‘Adapting Low-Intensity CBT’
22. People from Ethnic Minority Backgrounds
23. Older People
24. Low-intensity CBT for People Living with Long-Term Conditions


Click for Online Resources


  • Student Resources (Free to access)

1. Worksheet templates and short exercises for a patient to work through independently or a practitioner and patient to work through together are available at


7.1 Example of a relapse prevention worksheet

12.1 Reflection record for use in clinical skills supervision

14.1 Behavioural activation schedule

14.2 Example of a classifying activity worksheet

14.3 Example of an activity grading worksheet

15.1 Thought diary

15.2 Evidence recording and revised thought

15.3 Behavioural experiments plan

15.4 Behavioural experiments review

17.1 Exposure goal diary

18.1 Jordan’s areas of my life that are really important to me

18.2 Jordan’s worry worksheet

18.3 Jordan’s my types of worry

18.4 Jordan’s my worry time

18.5 My worry time review 1

19.1 Example of an LICBT problem-solving worksheet

19.2 Jamie’s problem list

19.3 Jamie’s problem selection and potential solutions – in book but missing from worksheets

19.4 Advantages and disadvantages analysis

20.1 Sleep diary

20.2 Stimulus control worksheet

20.3 Stimulus restriction worksheet

24.1 Physical symptom diary


2. Workbooks and resources that Psychological Wellbeing Practitioners (PWP) can use in low-intensity training and practice with patients. They cover topics such as ‘Managing Your Worry’, ‘Unhelpful Thoughts’, ‘Facing Your Fears’ and support the specific interventions described in the chapters. Available at



5.1 The Improving Access to Psychological Therapies Manual

5.2 Common Mental Health Disorders: Identification and Pathways to Care

12.1 IAPT Supervision Guidance

14.1 Get Active, Feel Good Workbook

14.2 Get Active, Feel Good: Helping Yourself to Get on Top of Low Mood Workbook

14.3 Case study: Jane

14.4 Case study: Mark 12.1 Unhelpful Thoughts: Challenging and Testing Them Out Workbook

15.1 Unhelpful Thoughts: Challenging and Testing Them Out Workbook 

16.1 Facing Your Fears Workbook

17.1 Obsessive Compulsive Disorder: A Self-Help Book 

18.1 Managing Your Worries Workbook

19.1 From Problems to Solutions Workbook


3. Obsessive Compulsive Disorder: A Self-Help Book (Lovell and Gega, 2011) is from the University of Manchester:


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