How can clinicians make homework an integral part of CBT when clinical complexity creates barriers to engagement? This volume offers an evidence-based, practical framework for designing and using between-session homework with complex cases.

Edited by Truls Ryum, the book moves beyond adherence and non-adherence to a collaborative, process-based understanding of engagement. Drawing on research and treatment literature, contributors examine how homework can activate and strengthen therapeutic mechanisms across contexts and throughout therapy. Clinical examples, case vignettes, common pitfalls, and practical solutions illustrate how to tailor meaningful homework to individual formulations and goals.

For developing and experienced clinicians, this volume connects the science of homework with its skilful application in everyday CBT practice.

Dr. Truls Ryum is an professor in clinical psychology at the Department of Psychology, NTNU, where he is also director for the adult outpatient clinic. He is a licensed clinical psychologist and specialist in adult clinical psychology, and has been working with various client populations in diverse clinical settings. His research interests cover a range of topics across cognitive-behavioral therapy and short-term dynamic psychotherapy, including process and outcome research on the treatment of depression, anxiety, pain, fatigue and personality disorders, with numerous scientific papers and book chapters published in the field of clinical psychology. He has also been active in research seeking to identify effective components in clinical training of therapists, which may help improve evidence-based training in clinical psychology. Dr. Ryum received his PhD in 2012 from the Norwegian University of Science and Technology.