Navigating the adaptation of CBT for persons with disabilities in South Africa: An autoethnographic perspective

Background: Cognitive behavioural therapy (CBT), a western-developed therapy, may offer benefits to persons with disabilities. However, its applicability in South Africa, where stigma and limited resources significantly impact mental health, is uncertain. Objectives: This autoethnography explores the first author’s personal experiences in adapting CBT for persons with disabilities in South Africa, focusing on culturally sensitive interventions and innovative delivery methods. Method: Spanning a year, data collection included personal journaling, field notes and reflexive memos. Rooted in constructivist epistemology, the study employed thematic analysis to integrate the first author’s personal narrative with the broader cultural context. Results: The study chronicles the discovery of innovative delivery methods, such as telehealth, and emphasises the critical importance of training local health professionals. Key findings address the evidence base for CBT, the successes and failures of adaptations, the knowledge gaps identified and promising directions for a more inclusive future. Conclusion: This autoethnography reflects on the path towards a mental health care system that effectively addresses the unique needs of persons with disabilities in South Africa. Contribution: The study provides insights into the adaptation of CBT for a specific cultural context, highlighting the importance of culturally sensitive interventions and innovative delivery methods to improve mental health care for persons with disabilities in resource-constrained settings.