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Course: On Becoming a Better Therapist: Evidence-Based Practice One Client at a Time (2nd Edition)
by Barry L. Duncan

CE Credit Hours: 10
Fee: $45

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How can therapists become better at doing what they love, avoid burnout, and prevent client dropout? Respected therapist, trainer, and researcher Barry Duncan asserts that getting better at this work requires therapists to dedicate themselves to two key tasks: obtaining systematic client feedback and taking charge of their own development as a therapist.

This 2nd edition updates and further describes his Partners for Change Outcome Management System (PCOMS), an evidence-based method that provides systematic feedback from clients, thereby enabling therapists to identify and target clients who aren't responding to traditional treatment before they drop out. Duncan examines the common factors inherent to all successful therapies and details the importance of the therapeutic alliance as the foundation of effective therapy. He encourages therapists to expand their theoretical breadth, think deeply about the lessons they learn from their clients, and integrate these lessons into their performance. His highly readable book details a five-step plan to take charge of personal and professional development, stave off disenchantment, and remain a vital force for change in clients lives.

Educational Objectives

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

  • Identify the common factors inherent in all successful therapies.
  • Integrate a simple, five-step method of integrating honest, client-based outcome feedback with therapists' long-term professional development into a coherent whole.
  • Use The Outcome Rating Scale (ORS) as a tool to provide real-time feedback to both clients and providers to improve effectiveness of services and as a way to measure outcome.
  • Detail the importance of the therapeutic alliance as a foundation of effective therapy and incorporate the Session Rating Scale (SRS) to measure the alliance.
  • Identify clients who are not benefiting from therapy, brainstorm with clients about can be done differently, and release clients to other options when therapy does not turn around.
  • Understand the three sources of healing involvement, chart your cumulative career development, and implement strategies to improve your effectiveness as a therapist.
  • Acquire skills for an approach to therapy that is client-directed, outcome-informed, alliance-focused, and discovery-oriented.

Syllabus / Course Instructions

  • The Course consists of reading the selected book, successfully completing an online posttest and filling out a course evaluation.
  • The book is not included. It must be purchased separately. We have supplied a link to for your convenience.
  • Purchasing your course will give you access to both a printable copy of the test and an online version. Print the test to use as a companion as you read the book and answer the questions.
  • You cannot exit the online test once you begin, so have your answers available.
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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