Cognitive behavioural Therapy (CBT)

A Cognitive Behavioral Therapy (CBT) is a psychotherapy model based on understanding and changing thoughts and behaviors.  The aim is to positively influence emotions leading to a reduction or elimination of negative symptoms.

CBT has been shown by research to be very successful in treating a range of psychological issues. Results in treating depression are particularly encouraging.

CBT is an umbrella term describing a basic approach.  The methods used from therapist to therapist may vary.  Therapists may also vary their own approach on a per client basis to offer a more individualised treatment programme based on the unique situation of each client.

Although the approach may vary, most CBT treatments include:

• keeping a diary of trigger events and any associated feelings, thoughts and behaviours
• challenging and testing unwanted or unhelpful assumptions, perceptions, habits or thoughts
• facing activities which may have been previously avoided (the approach in CBT is generally a gradual build-up)
• exploring and trying out new ways of behaving and responding to trigger events or situations

Relaxation plays a key part in CBT therapies and the use of distraction techniques is common. CBT is widely accepted as an evidence-based (supported by verifiable research) and cost-effective psychotherapy for many disorders. Cost effective because beneficial results generally happen much quicker than with older, more traditional therapy approaches.

CBT is suitable for use in a group setting.  However an experienced group facilitator is required. 

The underlying theory

CBT is based on the idea that how we think (cognition), how we feel (emotion) and how we act (behavior) all interact together. Specifically, the way we think influences the way we feel and the way that we behave. Following this model negative or unrealistic thoughts can cause distress and result in problems  By helping clients to understand and change their underlying thought patterns the CBT therapists helps bring about beneficial change and elimination of symptoms.

Points to consider:

CBT is a generic term covering many different approaches but any CBT therapy offered should be recogniseable from the information offered on this page.  Claims made for the effectiveness of CBT therapies are evidence based, i.e. based on the result of research, particularly in relation to helping overcome depression. Make sure that your chosen therapist has a good understanding of CBT therapy and demonstrates a good understanding of the problems that you are consulting them about.

Staff writer