This chapter reviews issues related to the dissemination of cognitive behavioral therapy (CBT), including barriers and potential solutions. Survey of psychologists who treat eating disorders found that 39% endorsed CBT as their primary treatment approach, while a majority of the sample indicated that they used CBT techniques “always” or “often”. Another investigation found that fewer than 20% of psychologists reported using exposure therapy for post-traumatic stress disorder (PTSD), and supportive counseling was cited as the therapy most often used for PTSD in a separate study. Standard CBT for anxiety and mood disorders typically requires a certain level of effort from patients and a willingness on their part to confront distressing thoughts and situations. Homework often involves completing worksheets or conducting different exercises. Developing and evaluating novel methods of treatment delivery may also help increase access to evidence-based care.