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Course: Improve Your Therapeutic Effectiveness
by Barry Duncan, PhD

CE Credit Hours: 3
Fee: $15

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In these four articles, Barry Duncan continues his passionate work in promoting professional growth and increasing the efficacy of treatment.

The first article: On Becoming a Better Therapist, explores how clinicians can recall their original aspirations, continue to develop as therapists, and achieve better results more often with a wider variety of clients.

In the second article, When I'm Good, I'm Very Good, But When I'm Bad I'm Better: a New Mantra for Psychotherapists, he provides case examples demonstrating how practitioners can increase their therapeutic effectiveness. This focuses on accurately identifying clients who are not responding, and addressing the lack of change in a way that keeps clients engaged in treatment and forges new directions.

What Therapists Want: It's certainly Not Money or Fame! This article speaks to the basic desire of clinicians to connect deeply with clients and to help them improve. It also talks about the basic drive amongst therapists to continue their professional growth.

In the fourth article, Opening the Path: From What Is To What Can Be, Dr. Duncan uses a case study to illustrate that even when sessions are not going well, positive outcomes are still very possible if clinicians stay with the process.

Educational Objectives

Upon completion of this course, the clinician will be able to:

  • Enumerate the factors that contribute to improved outcomes in therapy
  • Use practical measures for identifying clients who are not responding positively to therapy
  • Articulate the advantages of a client driven feedback system for guiding therapy
  • Turn what appears to be failures with clients into successes for the clients and themselves
  • Track and effect their own career development using scores from the Outcome Rating Scale

Syllabus / Course Instructions

  • This course is appropriate for CE for beginning, intermediate and advanced level clinicians and addiction professionals.
  • The Course consists of reading the PDF Improve Your Therapeutic Effectiveness, successfully completing an online posttest and filling out a course evaluation.
  • Purchasing your course will give you access to both a printable copy of the test and an online version. We suggest printing the test to use as a companion as you read the PDF and answer the questions.
  • You cannot exit the online test once you begin, so have your answers ready.
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Bio: Barry L. Duncan, PsyD

Barry L. Duncan, PsyD, is a therapist, researcher and trainer. He is the director of the Heart and Soul of Change Project (, a practice-driven training and research initiative that focuses on what works in therapy, and more important, on how to deliver it on the front lines via client-based outcome feedback.

He has over 100 publications as well as 15 books, including The Heroic Client, Brief Intervention for School Problems, and the second edition of The Heart and Soul of Change. He is the codeveloper of the Outcome Rating Scale (ORS), Session Rating Scale (SRS), and Child SRS, which are measures designed to give clients the voice they deserve, as well as to provide clients, clinicians, administrators, and payers with feedback about the clients response to services, thus enabling more effective care tailored to client preferences.

Because of his self-help books, Dr. Duncan has appeared on The Oprah Winfrey Show, The View, and other national TV programs. His latest self-help book, Whats Right With You, demonstrates how to rally natural resources and resiliencies to overcome life challenges. He conducts seminars internationally in hopes of inciting insurrection against practices that diminish clients and encouraging therapists to establish their own identity. He can be reached at,, and