Introduction

Treatment manuals assist in providing structure and guidelines for many types of cognitive and behavioral therapies. However, clinical experience suggests that there are a variety of obstacles to each type of treatment that manuals do not fully address. We have asked clinicians experienced with manualized treatments for panic disorder, obsessive-compulsive disorder, posttraumatic stress disorder, depression, and bulimia nervosa to make recommendations that may help clinicians in most service settings to employ manualized therapy protocols more effectively.