Which of the following is NOT commonly cited as a limitation of CBT?

• A. Access and affordability
• B. Cultural fit
• C. Limited duration of treatment
• D. Reliance on homework completion

Answer: (C)

The concept being tested is recognizing which practical and cultural factors are commonly viewed as limitations of CBT, versus something that isn’t typically seen as a limitation. CBT is designed to be structured and time-limited, with a focus on teaching skills and practicing them between sessions. Because of that design, the duration itself is usually considered a strength rather than a limitation.

Access and affordability are common concerns because therapy requires trained clinicians, sessions, and often ongoing costs, which can limit who can get started or stay in treatment. Cultural fit is another frequent limitation: CBT’s emphasis on individual cognition and present-mocused thinking may not align with all cultural values or communication styles, necessitating adaptation for different populations. Reliance on homework completion is also a known limitation, since progress depends on patients consistently practicing skills outside of sessions, which can be challenging for various reasons.

Since CBT’s time-limited, skill-building format is a deliberate feature, limited duration is not typically cited as a limitation.