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Typically delivered over 16–24 weeks weekly, it offers a collaborative way to work with thinking, feeling, acting, and earlier events and relationships that sustain current difficulties. CAT was developed for inclusive NHS delivery, can address multiple problems in one process, and supports both individual and relational contexts.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cognitive-analytic-therapy-frequently-asked-questions-for-commissioners/502172/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cognitive-analytic-therapy-frequently-asked-questions-for-commissioners/502172.png","ImageObject",300,407,{"name":92,"@type":93},"Eliana","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is CAT and how long does treatment usually take?","Question",{"text":112,"@type":113},"CAT is a focused, time-limited psychological therapy for NHS patients. Patients are usually seen between 16 and 24 weeks (once a week for an hour), with briefer interventions also available in primary care.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why was CAT developed specifically for the NHS?",{"text":117,"@type":113},"Dr Anthony Ryle developed CAT from the 1980s to respond to high demand for mental healthcare in an ethnically diverse, busy inner London area. The model is inclusive, non-elitist, non-stigmatising, and designed for short-term focused therapy within limited NHS resources.",{"name":119,"@type":110,"acceptedAnswer":120},"Who can be helped by CAT?",{"text":121,"@type":113},"CAT can address multiple symptoms or problems through an active, collaborative process, with a flexible approach across many healthcare presentations. It can be used for adult mental health problems, anxiety or depression linked to abuse or neglect, neurotic and personality disorders, suicidality or repeated self-harm, relationship difficulties, lifespan issues, and some learning disabilities or forensic settings.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},502172,1791384010,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","Cognitive Analytic Therapy:  \nFrequently Asked Questions for Commissioners  \nWhat is CAT?  \nCognitive Analytic Therapy, or CAT, is a focussed, timelimited psychological therapy designed for NHS patients suffering from a wide range of mental health problems, as well as patients with disabilities and physical health problems. Patients are usually seen for between 16 and 24 weeks (once a week for an hour), and briefer CAT interventions can be used in primary care. CAT offers a collaborative way of working with the problematic ways a person thinks, feels and acts, and the events and relationships (often from childhood or earlier in life) that underlie their experiences and maintain their current problems. It is tailored to a person’s individual needs and to his or her own manageable goals for change and is widely available across the NHS (as well as privately and overseas) . CAT is also used in consultancy for managing patients’ challenging behaviours.  \nWhy was CAT developed for the NHS?  \nDr Anthony Ryle (Guy’s and St Thomas’ Hospital, London) developed CAT from the 1980’s onwards in order to respond to the high demand for mental healthcare for a deprived and ethnically diverse busy inner London area. CAT recognises the social origins of distress and deprivation, and the need to offer short-term focused therapy for the NHS with its limited resources. It offers a model of therapy which is inclusive, nonelitist and non-stigmatising, and equality and diversity are at the heart of its model. CAT integrates the best of different therapeutic approaches (including the cognitive psychotherapies and psychoanalytic approaches) into one integrated, user-friendly and effective therapy which is constantly being refined and is researchable.  \nWho can be helped by CAT?  \nCAT’s unique feature is that it treats multiple symptoms or problems in one therapy via an active, focussed and collaborative process. CAT treatment is flexible so it can be used with a wide range of healthcare presentations, and is also personalised to the individual patient. CAT’s strongly relational focus means that it deals as a matter of course with difficulties with motivation, engagement and potential disruptions within the therapy relationship which can lead to drop out or premature termination of therapy, and it can be used with groups and couples as well as with individuals.  \nCAT can be used to treat patients with:  \n• Adult mental health problems in primary, secondary and tertiary care settings, with few exclusion criteria (mainly severe substance misuse) .  \n• Many people presenting with anxiety or depression to primary care services have a history of abuse, trauma or neglect underlying their symptoms. CAT offers a safe and clinically effective therapy intervention, compatible with the stepped care model and complementary to the existing IAPT interventions, for people who wish to work through these underlying issues rather than focus on the symptoms.  \n• Neurotic problems (including depression, anxiety and eating disorders), personality disorders (particularly borderline personality disorder), and some psychotic diagnoses (e.g. bipolar); suicidality or repeated selfharm;  \n A  C  A  T ACAT Ltd, PO Box 6793, Dorchester, DT1 9DL  \nTel: 0844 800 9496 Email: [admin@acat. me.uk](admin@acat. me.uk) [www.acat.me.uk](www.acat.me.uk) Registered Charity No 1141793  \n• Difficulties in relationships, including problems of anger control, sexual difficulties, bereavement, loss and chronic trauma/abuse;  \n• Lifespan issues: [e.g. in](e.g. in) older adults; adolescent mental health difficulties; parenting issues re children seen in CAMHS;  \n• Physical heath difficulties, including problems of adaptation; non-compliance with medical treatment, especially in primary care (e.g. diabetes, asthma);  \n• Learning disabilities, and in forensic settings.  \nIndirectly, CAT is widely used in secondary care for case management, i.e. as a consultative or team training tool working with the co","cbCairenpefhfTtn","https://ap.wps.com/l/cbCairenpefhfTtn","pdf",254442,"English","# What is CAT?\n# Why was CAT developed for the NHS?\n# Who can be helped by CAT?\n# What about CAT and NICE Guidelines?","[{\"question\":\"What is CAT and how long does treatment usually take?\",\"answer\":\"CAT is a focused, time-limited psychological therapy for NHS patients. Patients are usually seen between 16 and 24 weeks (once a week for an hour), with briefer interventions also available in primary care.\"},{\"question\":\"Why was CAT developed specifically for the NHS?\",\"answer\":\"Dr Anthony Ryle developed CAT from the 1980s to respond to high demand for mental healthcare in an ethnically diverse, busy inner London area. The model is inclusive, non-elitist, non-stigmatising, and designed for short-term focused therapy within limited NHS resources.\"},{\"question\":\"Who can be helped by CAT?\",\"answer\":\"CAT can address multiple symptoms or problems through an active, collaborative process, with a flexible approach across many healthcare presentations. It can be used for adult mental health problems, anxiety or depression linked to abuse or neglect, neurotic and personality disorders, suicidality or repeated self-harm, relationship difficulties, lifespan issues, and some learning disabilities or forensic settings.\"}]","Cognitive Analytic Therapy - Frequently Asked Questions for Commissioners | PDF",1791030072]