Cognitive-behavioural therapists and trainees are encouraged to undergo supervision when offering therapy to troubled clients and to process personal attitudes and events likely to affect their therapeutic work. We discuss common problems in cognitive behavioural therapy (CBT) supervision, which may arise at the client, supervisee, or supervisor level. These issues include difficulties with case formulation, therapeutic strategies, and the therapeutic relationship. A supervisor can help their supervisee deal with clients with multifaceted or particularly challenging problems, such as difficulties with compliance, complex psychosocial problems, or chronic mental disorders. We also discuss matters related to the supervision process, the supervisor's role, different supervisory styles, and issues affecting a supervisee's feelings of vulnerability and shame. Furthermore, we analyze distinct supervision styles and potential problems arising from the supervision of experienced CBT therapists.

Department of Andragogy and Education Management Faculty of Education Charles University in Prague Czech Republic

Department of Health Psychology Faculty of Public Health Lithuanian University of Health Sciences Palanga Lithuania

Department of Psychiatry Faculty of Medicine and Dentistry Palacky University in Olomouc Czech Republic

Department of Psychological Sciences Faculty of Social Sciences and Health Care Constantine the Philosopher University in Nitra Slovak Republic

Department of Psychotherapy Institute for Postgraduate Training in Health Care Prague Czech Republic

Jessenia Inc Rehabilitation Hospital Beroun Akeso Holding MINDWELL s r o Czech Republic

Laboratory of Behavioral Medicine Neuroscience Institute Lithuanian University of Health Sciences Kaunas Lithuania

Latvian Association of CBT Riga Latvia

MB Psichologija Panevezys Lithuania

Riga's Stradins University Department of Health Psychology and Pedagogy Riga Latvia