Which of the following is a common practical limitation of CBT related to homework?

• A. Access and affordability
• B. Immediate symptom relief
• C. Excessive therapy length
• D. Universal applicability

Answer: (A)

Access and affordability often limit CBT when homework is part of treatment because these tasks rely on clients having time, resources, and access to tools outside of sessions. If someone can't afford regular therapy, transportation, or cost of homework supplies or apps, they may struggle to complete between-session assignments or to maintain consistent practice. This reduces opportunities to rehearse and reinforce cognitive and behavioral skills and to receive timely feedback, which are essential for CBT to translate into real-life change. While the other options describe aspects of therapy, they don’t map as directly onto the practical hurdles that homework completion faces, such as financial and logistical barriers that impede regular, active practice.