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Purpose

The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice.

Design/methodology/approach

This paper is based upon the experiences, ideas and clinical practice of the authors.

Findings

The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy.

Originality/value

An alternative framework based on revitalising CBT as a client centred, problem-based and formulation driven form of therapy is put forward.

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