This book focuses on methods to improve outcomes for those individuals who do not readily obtain maximum benefit from cognitive-behavioral interventions. The authors of each chapter offer techniques that build on standard Cognitive Behavior Therapy (CBT) approaches to assist more difficult clients in making important and lasting changes in their lives. This book includes chapters on treating anxiety, mood, thought, eating, and substance abuse disorders as well as couple distress.A unique feature of this book is that the chapter authors' extensive practice wisdom is effectively combined with up-to-date research evidence about factors influencing CBT outcomes with each of the disorders addressed. Each chapter begins with an overview of the evidence supporting the CBT approach to the targeted disorder, followed by a discussion of what research efforts have gleaned about factors influencing CBT outcomes for individuals suffering from the disorder. The chapter authors then describe a CBT innovation, including its theoretical rationale and technical application, followed by a case example. The authors' discussion of the case examples includes very forthright assessments of additional intervention techniques that could have been applied in the case as well as what worked, and such candor should be applauded.This book has many strengths, and two are remarkable for this review. The chapter authors always use up-to-date research evidence about factors influencing CBT outcomes to derive the rationale for their recommended techniques. Additionally, these evidence-based techniques are described with language that any practitioner who is familiar with CBT can easily comprehend, thus making the techniques readily understandable and applicable. This book represents a skillful joining of research and practice. Readers who have some basic familiarity with the theory and practice of CBT may benefit more readily from this book than novice CBT practitioners, unless such novice practitioners are in active CBT training and supervision.Appropriate audiences for this book include direct providers of clinical mental health services and graduate students who are in clinical training programs that emphasize CBT and evidence-based practice. This book affords practicing clinicians a set of techniques that synthesize a large body of research evidence in their derivation. Students and others in CBT training will enjoy a substantial advantage afforded by this straightforward application of evidence-based practice. This book also should be read by researchers who are interested in an exemplar for joining CBT research and practice.