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<jats:p><jats:bold>Background:</jats:bold> This paper looks at attrition in relation to deprivation and type of therapy – CBT or person-centred counselling. <jats:bold>Method:</jats:bold> Case notes of all those referred in a 4-month period (<jats:italic>n</jats:italic> = 497) were assessed for those who failed to opt-in; those who opted-in but failed to attend first appointment and those who attended first appointment but subsequently dropped-out. <jats:bold>Results:</jats:bold> Significant numbers failed to opt-in, attend first appointment or dropped out during therapy. There were no differences between CBT and PCT. Those from the most deprived areas were less likely to opt-in. <jats:bold>Conclusions:</jats:bold> We need to develop better approaches to attracting and maintaining contact with individuals complaining of common mental health problems.</jats:p>

Original publication




Journal article


Behavioural and Cognitive Psychotherapy


Cambridge University Press (CUP)

Publication Date





245 - 249