Low Intensity CBT: The issues, the myths, the legend

Odusote, Faithful, Mhonda, Rutendo, Ruth, Liz, Myles-Hooton, Pam and Kunorubwe, Taf ORCID: https://orcid.org/0000-0002-5624-5299 2025. Low Intensity CBT: The issues, the myths, the legend. Presented at: European Association for Behavioural and Cognitive Therapies (EABCT), Glasgow, UK, 06 September 2025.

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Abstract

Low-Intensity Cognitive Behavioural Therapy (LICBT) plays a crucial role in improving access to evidence-based psychological interventions globally. However, misconceptions persist regarding its effectiveness, implementation, and scope. This panel will explore these issues, clarify LICBT’s role in mental healthcare, and discuss solutions for improving practice across various contexts. The panel will address common myths, such as the belief that LICBT is inferior to traditional CBT. Research shows LICBT is effective for mild-to-moderate depression and anxiety when delivered with fidelity to its core principles (Bennett-Levy et al., 2010; Bower et al., 2013). Panellists will discuss evidence supporting LICBT’s efficacy and its place within mental health systems. Next, we will examine challenges in LICBT implementation globally. Unlike the stepped-care delivery model used in the UK and many Western nations (Hronis, 2025), many countries lack standardised training, supervision, and implementation frameworks, as well as the professional specialisation that has emerged in England (Singla et al., 2017). The panel will highlight lessons from different national approaches, identifying best practices while respecting the need for local adaptation. Cultural adaptations are fundamental to LICBT. These interventions are often developed in low- and middle-income countries, where demand is high but resources are limited. The Friendship Bench by Dixon Chibanda exemplifies successful adaptation in Zimbabwe. Powell et al. (2021) conducted research in Hong Kong demonstrating that LICBT can be effective in diverse cultural contexts when appropriately adapted. LICBT is culturally agile and responsive to local needs. Panellists will share insights into adapting LICBT for different cultural and linguistic groups (Rahman et al., 2008; Naslund et al., 2019). Session structure also varies globally. Some countries follow brief intervention models, while others extend session length or frequency. Panellists will compare these approaches and discuss evidence on the optimal parameters for LICBT delivery (Farrand et al., 2020). Finally, the panel will explore the future of LICBT, including its sustainability within stepped-care and other healthcare models amid workforce shortages and funding constraints. Terminology surrounding the role will also be discussed, particularly the WHO’s (World Health Organisation, 2024) use of ‘non-specialists’ versus the strong professional identity of Wellbeing Practitioners in England. The potential of digital LICBT and blended care approaches will be explored as strategies to enhance accessibility while maintaining quality (Andersson et al., 2019). This interactive session will invite audience contributions on country-specific experiences and challenges. Attendees will gain insights into addressing LICBT misconceptions, implementing best practices, and ensuring equitable access to mental healthcare across Europe.

Item Type:	Conference or Workshop Item (Lecture)
Status:	Unpublished
Schools:	Schools > Psychology
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Date of First Compliant Deposit:	12 September 2025
Last Modified:	22 Sep 2025 14:46
URI:	https://orca.cardiff.ac.uk/id/eprint/181055

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