The evidence-based practice of psychotherapy: facing the challenges that lie ahead

Clin Psychol Rev. 2013 Nov;33(7):813-24. doi: 10.1016/j.cpr.2013.04.004. Epub 2013 May 2.


What does the future hold for psychotherapy research and practice? We review some key influences, including declining psychotherapy utilization, increasing impact of evidence-based medical practices, over-medicalizing of mental health problems, and changing priorities from grant funding agencies. These factors hold potential opportunities but also major pitfalls that will need to be carefully navigated related to implementation/dissemination issues, interdisciplinary collaborations, and psychosocial versus biomedical perspectives related to the nature and treatment of psychopathology. In addition, we review and comment on the other articles contained in this special issue pertaining to the future of evidence-based psychotherapy.

Keywords: Diagnosis; Dissemination; Empirically supported treatment; Evidence-based practice; Medicalization; Psychotropic medication.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Comparative Effectiveness Research
  • Evidence-Based Medicine / trends*
  • Medicalization / trends
  • Mental Health Services / economics
  • Mental Health Services / statistics & numerical data*
  • Practice Guidelines as Topic
  • Psychotherapy / methods
  • Psychotherapy / trends*
  • Psychotropic Drugs / economics
  • Psychotropic Drugs / therapeutic use*
  • Research Support as Topic


  • Psychotropic Drugs