Christoph Flückiger, Prof. Dr.

Head of Division

Head of outpatient clinic for generalized anxiety disorders

Address: Binzmühlestr. 14, Box 4, 8050 Zürich, BIN 5.E.18

Room number: BIN 5.E.18 (5.floor at the BIN; elevator on the right side)

Curriculum Vitae

When? What? Where?

1998 - 2003

Studies of Psychology (lic.phil.) University of Bern
2003 - 2006 Doctorate (PhD) University of Bern
2004 - 2009 Psychotherapy training (MAS) University of Bern
2006 - 2012 Post-doctorate University of Bern
2006 - 2009 Certificate of Didactics in Higher Education UniApplSc Bern
2009 - 2011 Post-doc for advanced researchers

University of

Wisconsin, USA

2009 - 2020 Alliance in Adult Psychotherapy - A series of meta-analytic summaries APA Task force
2011 - 2015 Ambizione Fellowship University of Zurich
2015 - 2016 Lecturer University of Bern
2016 - 2022 SNSF Professorship University of Zurich

since 2006

Instructor in psychotherapy training programms


Germany, USA

since 2014     

Psychotherapy Supervisor Switzerland,Germany

2019 - 2024

Editor-In-Chief (peer-reviewed, scientific journal) Psychotherapy Research


Selected publications


Schilling, V. N. L. S., Boyle, K. S., Rubel, J. A., Flückiger, C., Zimmermann, D., & Lutz, W. (2020). Patients’ and therapists’ actions on the precipice of change: Session processes before sudden gains and sudden losses. Journal of Psychotherapy Integration. Advance online publication.

Flückiger, C., Del Re, A. C., Horvath, A. O., Solomonov, N. & Wampold, B. E. (2020). Assessing the alliance-outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons. Journal of Counseling Psychology. doi:

Flückiger, C., Wampold, B. E., Delgadillo, J., Rubel, J., Vîslă, A. & Lutz, W. (2020). Is there an evidence-based number of sessions in outpatient psychotherapy? A comparison of naturalistic conditions across countries. Psychotherapy & Psychosomatics. doi: (open access)

Wolfer, C., Vîslă, A., Held, J., Hilpert, P. & Flückiger, C. (2020). Assessing interpersonal skills – A comparison of trainee therapists’ and students’ interpersonal skills assessing with two established assessments for interpersonal skills. Clinical Psychology and Psychotherapy.

Flückiger, C., Rubel, J., Del Re, A. C., ..., Barber, J. (2020). The reciprocal relationship between alliance and early treatment symptoms: A two-stage individual participant data meta-analysis. Journal of Consulting and Clinical Psychology. doi:10.1037/ccp594

Schilling, V. N. L. S., Boyle, K. S., Rubel, J. A., Flückiger, C., Zimmermann, D., & Lutz, W. (2020). Patients’ and therapists’ actions on the precipice of change: Session processes before sudden gains and sudden losses. Journal of Psychotherapy Integration. Advance online publication.

Solomonov, N., Bress, J. N., Sirey, J. A., Flückiger, C., …, Alexopoulos, G. (2020). Modifiable predictors of non-response to a community intervention for late-life depression with executive dysfunction: A machine learning approach. Molecular Psychiatry.

Held, J., Vîslă, A., Wolfer, C., Zinbarg, R. E., & Flückiger, C. (2020). How do worry and clinical status impact working memory performance? An experimental investigation. BMC Psychiatry, 20, 317.

Hilpert, P., Brick, T., Flückiger, C., Kuppens, P., Ceulman, E. & Sels, L. & Vowels, M. (2020). Examining self-report emotional co-regulation in face-to-face interaction - What can be learned from dyadic systems. Journal of Counseling Psychology. doi:

Gumz, A., Reuter, L., Flückiger, C., Marx, C., Rugenstein, K., …, Munder, T. (2020). Imgang mit Spannungen und Krisen in der therapeutischen Beziehung: Erste Erfahrungen mit einem handlungsorientierten Ausbildungs- und Supervisionskonzept. Psychotherapie, Psychosomatik & Medizinische Psychologie, 70, 122-129. doi:

Flückiger, C., Del Re, A. C., Horvath, A. O., Solomonov, N. & Wampold, B. E. (2020). Assessing the alliance-outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons. Journal of Counseling Psychology, doi: 10.1037/cou0000424

Penedo-Gomez, J. M., Babl, A., Krieger, T., Heinonen, E., Flückiger, C. & grosse Holtforth, M. (2020). Interpersonal agency and communion as predictors of the within-patient alliance effects on depression severity: A three-level hybrid random effects model. Journal of Consulting and Clinical Psychology. 88(4), 338-349. doi:

Rubel, J., Hilpert, P., Wolfer, C., Held, J. Vîslă, A. & Flückiger, C. (2019). The working alliance in manualized CBT for generalized anxiety disorder: Does it lead to change and does the effect vary depending on manual implementation flexibility. Journal of Consulting and Clinical Psychology. doi:10.1037/ccp0000433

Probst, G. H., Berger, T. & Flückiger, C. (2019). Alliance predicts outcome in internet-based therapy – A correlational meta-analysis (English and German versions). Verhaltenstherapie. 29, 182-195, doi: 10.1159/000501565 and

Podina, I. R., Visla, A. Fodor, L. A., & Flückiger, C. (2019). Is there a sleeper effect of exposure-based vs. cognitive-only intervention for anxiety disorder? A longitudinal multilevel meta-analysis. Clinical Psychology Review. doi: 10.1016/j.cpr.2019.101774

Flückiger, C., Hilpert, P., Goldberg, S., Caspar, F., Wolfer, C., Held, J., Visla, A., (2019). Investigating the impact of aggregated early alliance on predicting distress versus subjective change at post treatment. Journal of Counseling Psychology. doi: 10.1037/cou0000336

Flückiger, C., Del Re, A.C., Horvath, A. O. & Wampold, B. E. (2018). The Alliance in Adult Psychotherapy: A Meta-Analytic Synthesis [APA Task force]. Psychotherapy. doi: 10.1037/pst0000172

Flückiger, C., Del Re, A.C., Barth, J., Hoyt, W., Levitt, H., … ,  Wampold. B. E. (2018). How to conduct meta analyses in psychological interventions (MAP-24). Psychotherapy Research. doi: 10.1080/10503307.2018.1430390

Flückiger, C., Wolfer, C., Held, J., Allemand, M., Rubel, J., Hilpert, P., Zinbarg, R. E., & Visla, A. (2018). How to customize a bona fide psychotherapy for generalized anxiety disorder?  A two-arms, patient blinded, ABAB crossed-therapist randomized clinical implementation trial design  [IMPLEMENT 2.0]. BMC-Psychiatry. 10.1186/s12888-018-1666-2

Schöttke, H., Flückiger, C., Goldberg, S., Eversmann, J. & Lange, J. (2017). Predicting psychotherapy outcome based on therapist skill: A five-year longitudinal study of a therapist group assessment. Psychotherapy Research doi: 10.1080/10503307.2015.1125546

Wampold, B. E., Flückiger, C., Del Re, A. C., Yulish, N. E., Frost, N. D., et al., (2017). In Pursuit of Truth:
 A Critical Examination of Meta-Analyses of Cognitive Behavior Therapy. Psychotherapy Research. 27, 14-32. doi: 10.1080/10503307.2016.1249433

Flückiger, C., Forrer, L., Schnider, B., Bättig, I., Bodenmann, G. & Zinbarg R. E. (2016). A single-blinded, randomized clinical trial of how to implement an evidence-based cognitive-behavioural therapy for generalised anxiety disorder [IMPLEMENT] – Effects of three different strategies of implementation. EBioMedicine, 3, 163-171. doi: 10.1016/j.ebiom.2015.11.049

Visla, A., Flückiger, C., Grosse Holtforth, M. & David, D. (2016). Irrational beliefs and psychological distress: A meta-analysis. Psychotherapy and Psychosomatics.doi: 10.1159/000441231

Flückiger, C., Del Re, A. C., & Wampold, B. E. (2015). The sleeper effect: Artifact or phenomenon – A brief comment on are the parts as good as the whole? A meta-analysis of component treatment studies (Bell, Marcus & Goodlad, 2013). Journal of Consulting and Clinical Psychology. 83, 438-442. doi: 10.1037/a0037220

Flückiger, C., Del Re, A. C., Munder, T., Heer, S. & Wampold, B. E. (2014). Enduring effects of evidence-based psychotherapies in acute depression and anxiety versus treatment as usual at follow-up – A longitudinal meta-analysis.Clinical Psychology Review, 34, 367-375. doi: 10.1016/j.cpr.2014.05.001

Flückiger, C., Zinbarg, R. E., Znoj, H.J. & Ackert, M. (2014). Resource activation in generalized anxiety disorder: An observer-based microprocess analysis of in-session outcomes. Psychotherapy, 51, 535-545. doi: 0.1037/a0034119

Flückiger, C., Del Re, A.C., Horvath, A. O., Symonds, D., Ackert, M. & Wampold, B. E. (2013). Substance use disorders and racial/ethnic minorities matter: A meta-analytic examination of the relation between alliance and outcome. Journal of Counseling Psychology, 60, 610-616. doi: 10.1037/a0033161

Flückiger, C., Grosse Holtforth, M., Znoj, H. J., Caspar, F. & Wampold, B. E. (2013). Is the relation between early post-session reports and treatment outcome an epiphenomenon of intake distress and early response? A multi-predictor analysis in outpatient psychotherapy. Psychotherapy Research. 23, 1-13, doi:10.1080/10503307.2012.693773

Flückiger, C., Del Re, A.C., Wampold, B. E., Symonds, D. & Horvath, A. O. (2012). How central is the alliance in psychotherapy? - A multilevel longitudinal meta-analysis. Journal of Counseling Psychology. 59(1), 10-17. doi: 10.1037/a0025749

Flückiger, C., Del Re, A.C., Wampold, B. E., Znoj, H.-J., Caspar, F. & Jörg, U. (2012). Valuing clients’ perspective and the effects on the therapeutic alliance – A randomized controlled adjunctive instruction. Journal of Counseling Psychology.59(1), 18-26. doi: 10.1037/a0023648

Del Re, A.C., Flückiger, C., Horvath, A. O., Symonds, D. & Wampold, B. E. (2012). Therapist effects in the therapeutic alliance-outcome relationship: A restricted-maximum likelihood meta-analysis. Clinical Psychology Review. 32,642–649, doi: 10.1016/j.cpr.2012.07.002

Flückiger, C. & Grosse Holtforth, M. (2008). Focusing the therapist's attention on the patient's strengths - A preliminary study to foster a mechanism of change in outpatient psychotherapy. Journal of Clinical Psychology. 64, 876-890.