Problems in Cognitive-Behavioral Supervision: Theoretical Background and Clinical Application

Jan Prasko (Coresponding Author), Marija Abeltina, Ilona Krone, Julija Gecaite-Stonciene, Jakub Vanek, Julius Burkauskas, Roman Liska, Tomas Sollar, Alicja Juskiene, Milos Slepecky, Lina Bagdonaviciene, Marie Ociskova

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Cognitive-behavioural therapists and trainees are encouraged to undergo supervision when offering therapy to troubled clients and to process personal attitudes and events likely to affect their therapeutic work. We discuss common problems in cognitive behavioural therapy (CBT) supervision, which may arise at the client, supervisee, or supervisor level. These issues include difficulties with case formulation, therapeutic strategies, and the therapeutic relationship. A supervisor can help their supervisee deal with clients with multifaceted or particularly challenging problems, such as difficulties with compliance, complex psychosocial problems, or chronic mental disorders. We also discuss matters related to the supervision process, the supervisor's role, different supervisory styles, and issues affecting a supervisee's feelings of vulnerability and shame. Furthermore, we analyze distinct supervision styles and potential problems arising from the supervision of experienced CBT therapists.

Original languageEnglish
Pages (from-to)234-255
Number of pages22
JournalNeuro endocrinology letters
Issue number4
Publication statusPublished - 5 Jul 2023


  • cognitive behavioural therapy
  • Schema therapy
  • problematic situation
  • therapeutic relationship
  • Supervisory relationship
  • supervision

Field of Science*

  • 5.1 Psychology
  • 3.1 Basic medicine

Publication Type*

  • 1.3. Anonymously reviewed scientific article published in a journal with an international editorial board and is available in another indexed database


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