Despite their relative recency, Cognitive-Behavioural therapies have   been applied to a wide range of  adult outpatient problems. To date,   the most extensive documentation of their efficacy rests in the areas  of anxiety disorders and depression, although considerable work is now underway in such areas as obesity, creativity, impulsivity,  gerontological problems, and psychotic patterns. Overall, this research suggests that the cognitive behavioural interface may well represent a  promising and progressive problem shift in clinical science. There are, of course, the enthusiastic claims that usually accompany new arrivals in the arena of psychotherapy,but a more cautious optimism would      seem preferable. Whether these  clinical hybrids will survive the test  of critical empirical scrutiny remains to  be seen, but it seems clear at  this point that they have at least demonstrated the need and potential   promise of  that scrutiny.

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