CBT has strong research behind it, but does that mean it’s the right approach for every client? And what should therapists do when progress stalls?

In this episode of Psyched to Practice, Paul Wagner and Dr. Ray Christner explore the limits of cognitive behavioral therapy and why effective treatment sometimes requires a different perspective. They discuss how case conceptualization, supervision, and the client’s environment can shape treatment outcomes, along with the risks of labeling someone as treatment resistant.

You’ll also hear how therapists can integrate psychodynamic, existential, and somatic approaches into their work without abandoning their primary therapeutic framework. From understanding the role of shame and guilt to recognizing when a client’s environment needs to change, this conversation challenges clinicians to look beyond symptoms and consider the full picture.

If you’ve ever struggled to understand why a client isn’t responding to treatment as expected, this episode offers practical ways to rethink your approach, recognize when something isn’t working, and find a better path forward.

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