CBT has proved to be highly effective evidence based psychotherapy in the world in a range of conditions, from promotion of mental health to treatment of various psychiatric disorders, its education, training and practice. However, in Pakistan the use of CBT is limited, restricted and unstructured. This poses an ethical question to all mental health professionals here as to why our population has been deprived so far the availability of such a popular and efficacious intervention. This is especially true in the present scenario when the deluge of pessimism and negativism arising from incessant waves of terrorism, poverty and other stressors threatens the nation; one can’t withhold the precious life jackets of knowledge and skills, for any reason, from people sinking into depression or other psychological problems.
The situation shall parallel the ethical dilemma of not providing highly effective antibiotics or hormonal replacements to the acutely ill patients. The question of acquisition and delivery of CBT therefore, becomes an ethical compulsion and national duty to all of us. PACT thus comes in to existence by the efforts of a group of highly motivated and selfless people to not only try to cover the lost time in terms of training and services but also provide a platform for indigenous research and collaboration with national and international organizations.