Helping the clinician understand and manage frequently encountered obstacles in treatment, including but not limited to resistance, this volume brings together leading contributors representing a range of cognitive-behavioral perspectives. Each research-based chapter addresses a specific kind of "roadblock," exploring how and why it arises and suggesting effective, practical solutions. A section on specific populations examines difficulties that occur in treating such complex disorders as psychosis, bipolar disorder, PTSD, and binge eating. Other sections cover new directions in case conceptualization; working with emotional and metacognitive processes in cognitive therapy; approaches to engaging angry patients and dealing with alliance ruptures; and ways to overcome impasses in couple and family work.

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