Anne-Marie Shepherd holds the status of one of the best performing therapists with Ieso Digital Health who she has worked with both full time as a clinical supervisor and also as a clinical affiliate since 20014. Ieso is an NHS provider of online CBT treatments in England. The ‘high performing’ category is awarded to therapists whose treatment sessions are randomly reviewed by the clinical team using a CBT competency measure, and whose use of disorder specific protocols, patient engagement and clinical outcomes are appraised.