BMJ 2002;324:288-294 ( 2 February )

Education and debate

    All you need is cognitive behaviour therapy?
    Commentary: Benevolent scepticism is just what the doctor ordered
    Commentary: Yes, cognitive behaviour therapy may well be all you need
    Commentary: Symptoms or relationships
    Commentary: The "evidence" is weaker than claimed

All you need is cognitive behaviour therapy?

Jeremy Holmes, consultant psychiatrist in psychotherapy. 

Department of Mental Health, University of Exeter, North Devon District Hospital, Barnstaple EX31 4JB

j.a.holmes@btinternet.com

The first 150 words of the full text of this article appear below.

Psychotherapy, traditionally psychiatry's Cinderella treatment, has finally reached the consciousness of mental health policy makers. The trend started with the 1996 NHS Strategic Review, Psychotherapy Services in England.¹ This set out a programme for coordinated, evidence based, comprehensive, safe, and equitable provision of psychotherapyand pointed to the gap between these ideals and current reality. A sister publication, What Works for Whom? summarised the evidence for psychotherapy "best buys" in all the major psychiatric diagnoses.² Then came the Mental Health National Service Framework and the National Plan, which emphasised psychological therapies as equal players alongside physical and social measures in the management and prevention of mental illness. ^{3 4} Most recently, the Department of Health's Treatment Choice in Psychological Therapies and Counselling provides an evidence based guideline to help family doctors and psychotherapists allocate common mental disorders to appropriate psychological therapies.⁵

Table Removed (Available Only in the Full Text)

	Cognitive behaviour therapy as treatment of choice?

In each of these publications due homage is paid . . . [Full text of this article]

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This article has been cited by other articles:

• Biegler, P. (2008). Autonomy, stress, and treatment of depression. BMJ 336: 1046-1048 [Full text]  
• Ellis, P. M (2003). Review: cognitive therapy may be no more effective than other bona fide psychological therapies for depression. Evid. Based Ment. Health 6: 25-25 [Full text]  
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