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What to do when treatment doesn’t work
What to do when treatment doesn’t work
What to do when treatment doesn’t work

What to do when treatment doesn’t work

Harry O’Hayon

Professionals: $60.00 CAD +tax
Students: $48.00 CAD +tax


On June 20th 2023, Harry O’Hayon delivered a 90-minute webinar on what to do when treatment doesn’t work. This on-demand webinar is a recording of that presentation.

Workshop Outline

The starting point of psychological therapy is that the clinician and client will work together to effect positive change in the client’s life. However, a significant proportion of clients do not improve over the course of therapy. This presentation explores the research that addresses the key factors influencing non-responsiveness to therapeutic intervention. The different ways of engaging clients in a collaborative discussion on the difficult topic of why treatment is not progressing as intended will be reviewed. In addition, a range of strategies will be presented to help try to overcome treatment failures, and to help clients get back on track and make therapeutic gains.


Learning Objectives

By the end of this workshop, participants will be able to:

  • Understand what the research shows are some of the most common reasons for treatment failure in psychotherapy

  • Recognize early on in treatment the issues that are preventing progress

  • Facilitate and promote a collaborative discussion on why treatment isn’t working

  • Understand and apply strategies to reverse treatment failures

About the Presenter

Harry O’Hayon is originally from Canada and is trained in both CBT and in Counselling Sciences. He is accredited with the British Association of Behavioural and Cognitive Psychotherapies (BABCP). He is a practicing clinician with extensive experience working with mood disorders. His previous role as Clinical Lead and Head of Prevention Services in a major National Health Service (NHS) Trust in London involved leading an Improving Access to Psychological Therapies – IAPT service; a Self-Management & Behavioural Change Specialist Service for people with chronic long term physical health conditions; and a Smoking Cessation Service.

His work experience at The University of Reading with The Charlie Waller Institute for Evidence-based Psychological Treatments has given him a solid understanding, and hands on experience, of the development and dissemination of evidence-based psychological treatments, and the challenges and opportunities associated with translating research and science into clinical practice. He regularly trains mental health clinicians on how to deliver evidence-based psychological treatments using CBT approaches both in the UK and internationally. Clinically he also offers consultation, supervision, training, and advice to various NHS Trusts and private organizations on delivering evidence-based psychological treatments. His clinical specialty is the assessment and treatment of post-traumatic stress disorder (PTSD), resulting from either type 1 or 2 trauma. His previous role in a dual-diagnosis in-patient rehabilitation service for people with PTSD and substance dependency provided him with an opportunity to develop a wide repertoire of approaches to treat complex developmental trauma.

Training Modalities

This workshop will include didactic content, interactive components, polls, and Q&A.

Who should attend

This webinar is suitable for most any clinical practitioner working in a psychological context, irrespective of therapeutic orientation.

Continuing Education (CE) Credits

Bespoke Mental Health Canada is approved by the Canadian Psychological Association to offer continuing education for psychologists. Bespoke Mental Health Canada maintains responsibility for the program. 
After viewing this workshop, participants have the option to complete an evaluation form and a workshop knowledge quiz in order to be eligible to receive a certificate confirming the number of credits awarded. This certificate will be sent via email.
Participants who completed this workshop are eligible to receive 1.5 CE credits


Professionals: $60 CAD +tax
Students*: $48 CAD +tax
* Proof of student status may be required in order to qualify for a student rate.

Key References

Ahn H & Wampold B (2001). ‘Where oh where are the specific ingredients? A meta-analysis of component studies in counseling and psychotherapy’, Journal of Counseling Psychology, 48, 251–257.

Asay T & Lambert M (1999). ‘The empirical case for the common factors in therapy: Quantitative findings’, In Hubble M, Duncan B & Miller S (Eds.) The heart and soul of change: What works in therapy, (pp. 23–55), American Psychological Association.

Beck, J. S. (2005). Cognitive Therapy for Challenging Problems: what to do when the basics don't work. New York: Guilford.

Berk, M., and Parker, G. (2009). The elephant on the couch: side effects of psychotherapy. Aust. N. Z. J. Psychiatry, 43, 787–794.

Cooper M (2008). Essential Research Findings in Counselling & Psychotherapy: The Facts Are Friendly. Sage Publishing.

Lambert, M. J. (ed.). (2013). “The efficacy and effectiveness of psychotherapy”, in Handbook of Psychotherapy and Behavior Change, 6th Ed (Hoboken, NJ: John Wiley and Sons), 169–218.

Swift, J. K., and Greenberg, R. (2012). Premature discontinuation in adult psychotherapy: a meta-analysis. Journal of Consulting and Clinical Psychology, 80, 547–559.

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