Improving the Efficiency and Scalability of Cognitive Behavioral Therapies

Mallory L. Dobias, Jessica L. Schleider, Thomas H. Ollendick

Research output: Chapter in Book/Report/Conference proceedingChapter


A majority of those in need of mental health care do not access it. Of those who initially access care, many attend only a handful of sessions before terminating care. Cognitive behavioral therapies (CBT)—while effective in treating a wide range of psychopathology—are often designed to last longer than the handful of sessions that individuals often receive outside of clinical trials. Further, CBT programs are typically designed to be delivered by highly-trained mental health professionals in traditional clinical settings. Efficient cognitive behavioral therapies, therapies explicitly designed to increase the accessibility of mental health treatments, are one avenue to reducing psychopathology at scale. Existing evidence suggests these therapies can reduce symptoms for a wide variety of patient populations, using a variety of efficient strategies: (1) brief or condensed treatment formats, (2) lay providers, and (3) non-traditional treatment modalities outside of brick-and-mortar clinics. This article overviews the evidence surrounding these efficient CBT programs and details specific directions for future research.

Original languageEnglish (US)
Title of host publicationComprehensive Clinical Psychology, Second Edition
Number of pages12
ISBN (Electronic)9780128186978
StatePublished - Jan 1 2022


  • Cognitive-behavioral therapy
  • Efficient CBT
  • Mental health treatment access

ASJC Scopus subject areas

  • General Psychology


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