Clinical Round Table 1 - New Developments in CBT: How Do Clinicians Decide What to Choose and When?

A vast number of rigorous experimental trials conducted over the last four to five decades have successfully demonstrated the efficacy of cognitive and behavioral therapies (CBT) in treating a wide range of psychological conditions. Studies using first- and second-generation treatments have accumulated the great amount of evidence with third generation treatments advancing over the last few decades. These treatments are also successful when administered to patients in routine clinical settings using the classical approach of using idiographic analyses to conceptualize and treat a multitude of presenting concerns. CBT can be effectively delivered to individuals, groups, couples, couples, parents, and families across all ages and across a wide range of settings such as medical centers, universities, schools, private practices, community clinics, agencies, businesses, residences forensic, in field settings, and via telehealth. 
Innovations continue to enhance and extend outcomes for those who do not respond, do not respond sufficiently, or those who relapse, and those who historically lack access and/or are unwilling or unable to seek treatment. Several recent trends hold great promise to enhance the effectiveness of CBT including greater integration with motivational interviewing, cognitive neuroscience, strengths-based and biological approaches. Unified theoretical models and transdiagnostic approaches have become popular over the years to understand and address the complex needs of individuals who typically present with more than one condition and who may not respond as well to approaches intended for single symptom presentations. The study of mechanisms of treatment and different dosages to augment effects has made steady progress over the years. Prevention interventions are making tremendous gains to arrest, delay and reduce the incidence of illnesses. Finally, cutting-edge technological approaches, including telehealth medicine, online CBT, app-based treatments, virtual reality, and more, are also at the forefront to enhance gains. The four panelists will discuss these new developments in CBT and discuss when and what to use among the dizzying array of options available to clinicians today in treating patients.