- Cognitive Behavioral Therapy (CBT) is a widely used and evidence-based psychotherapeutic approach aimed at helping individuals identify and change problematic thoughts, emotions, and behaviors.
It is based on the premise that our thoughts, feelings, and behaviors are interconnected, and that changing one can lead to changes in the others.Here are some key components and principles of CBT:
- Collaborative approach: CBT is a collaborative process between the therapist and the individual seeking treatment. They work together to set goals, identify problems, and develop strategies for change.
- Identification of cognitive distortions: CBT helps individuals recognize and challenge cognitive distortions, or irrational and negative thought patterns, such as all-or-nothing thinking,
catastrophizing, and mind reading.
- Behavioural activation: CBT often includes behavioural techniques aimed at increasing engagement in positive and rewarding activities, even when one doesn’t feel like it. This helps to counteract feelings of depression and low motivation.
- Exposure therapy: For anxiety disorders, CBT often involves exposure techniques where individuals gradually confront feared situations or stimuli in a controlled and supportive
environment to reduce anxiety and avoidance behaviors.
- Cognitive restructuring: This involves identifying and challenging negative thought patterns and replacing them with more realistic and balanced ones. Techniques such as thought records and
Socratic questioning are commonly used in this process.
- Skill-building: CBT teaches practical skills and strategies for coping with stress, managing emotions, and improving interpersonal relationships. These skills may include relaxation
techniques, assertiveness training, and problem-solving skills.
- Homework assignments: Between therapy sessions, individuals are often given homework assignments to practice newly learned skills and apply therapeutic techniques in real-life situations.
- Empirical validation:
CBT is grounded in empirical research and has a strong evidence base supporting its effectiveness across a range of mental health conditions, including depression, anxiety disorders, post-traumatic stress disorder (PTSD), and eating disorders.
CBT is typically short-term and goal-oriented, with sessions typically lasting for a few months,although the duration can vary depending on the individual and the specific goals of therapy. It can be delivered in individual therapy, group therapy, or self-help formats, and it has been adapted for use with children, adolescents, adults, couples, and families.