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Cognitive Therapy Rating Scale (CTRS). Page 2. For each time, assess the therapist on a scale from 0 to 6, and record the rating on Scale Rating Manual. Directions: For each time, assess the therapist on a scale from 0 to 6, and record the rating on the line next to the item number. The scale assesses core general therapeutic and CBT-specific skills required to appropriately deliver individual cognitive-behavioural therapy to adultsIntroduction This is a scale for measuring therapist competence in Cognitive Therapy and is based on the original Cognitive Therapy Scales (CTS, Young & Beck,