Abstract
The occurrence of early changes, presumably before cognitive behavior therapy (CUT) has had a chance to take hold, is a significant finding and raises theoretical problems. In addition, however, we need to recognize and explain delayed-onset therapeutic changes. It is argued that CBT sessions commonly initiate a process that then unfolds after and between sessions—the evidence of change emerges after a delay. The need to study timing and sequencing of CBT changes is endorsed, and it is suggested that the best and quickest results will come from investigating the action of CBT on anxiety disorders.

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