Whether or not clients want to get off of medication, diet and exercise can be important. Certainly, if an individual is not eating a reasonably balanced diet, getting regular exercise, getting enough sleep, participating in rewarding relationships, and engaging in enjoyable activities, they are at increased risk for a variety of problems. Books on CT often don't emphasize this because authors assume it should be obvious and because it applies to all approaches to therapy, not just CT or CBT. This doesn't mean that CT doesn't address these issues, we address them routinely. For example, see judy Beck's recent books on diet.

Yesterday I had a session with a client complaining of tension, anxiety, and insomnia. He also mentioned drinking 40 oz/day of caffeinated soda. This obviously is something we need to address.