# Clinicians' Experiences of Delivering Cognitive Behaviour Therapy Ten (CBT‐T): A Qualitative Investigation

## TL;DR

This study explores how clinicians feel about delivering a new therapy called CBT-T for eating disorders, finding mostly positive experiences but also some challenges.

## Contribution

The study provides new insights into clinicians' experiences with CBT-T, highlighting factors that could improve its implementation and effectiveness.

## Key findings

- Clinicians generally had positive experiences delivering CBT-T.
- Challenges in treatment delivery were identified, such as adapting to the manualized approach.
- Experiences and challenges evolved over time as clinicians gained more experience with CBT-T.

## Abstract

Cognitive Behaviour Therapy Ten (CBT‐T) is a relatively new manualised treatment for non‐underweight patients with eating disorders. It has been found to be an effective treatment and to be rated highly by patients. However, it is also important to consider clinicians' perspectives in the implementation and development of new interventions, because clinician perspectives can impact treatment delivery, leading to issues such as therapist drift. Using a qualitative approach, this research aimed to examine clinician experiences of delivering CBT‐T.

The sample consisted of 13 clinicians currently delivering CBT‐T, with at least six months experience of delivering this treatment. Semi‐structured interviews were conducted via Microsoft Teams, using thematic analysis to identify themes from the interview transcripts.

Three themes and 10 subthemes were identified. The main themes were: positive experiences of delivering CBT‐T, changing experience over time, and challenges in delivery.

Clinicians reported an overall largely positive experience of delivering CBT‐T, with some challenges related to treatment delivery identified. Findings are discussed in relation to wider research literature, with recommendations given about how clinicians can be supported with their delivery of CBT‐T, and for future research and CBT‐T development.