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What is CBT

Cognitive and behavioural psychotherapies are a range of therapies based on concepts and principles derived from psychological models of human emotion and behaviour. Cognitive Behaviour Therapy (CBT) is a talking therapy that helps people who are experiencing a wide range of mental health difficulties.

Cognitive Behavioural Therapy (CBT) is recognised by the National Centre for Clinical Excellence (NICE) and the NHS as the most effective therapy for a range of mental health problems.

Theoretical Perspective & Terminology

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The term ‘Cognitive-Behavioural Therapy’ (CBT) is variously used to refer to

behaviour therapy, cognitive therapy, and to therapy based on the pragmatic

combination of principles of behavioural and cognitive theories. CBT is dynamic in that its interventions are continually updated with developments in the academic discipline of psychology in areas such as attention, perception, reasoning, decision making etc.

How does CBT work?

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According to CBT, what people think can affect how they feel and how they behave.  When they are distressed, people think differently about themselves and what happens to them. Thoughts can become extreme and unhelpful which can worsen how a person feels. They may then behave in a way that prolongs their distress.  As shown, below all of these factors are interlinked, creating a vicious cycle which maintains the problem:

CBT practitioners help their clients to identify and change maladaptive thinking and behavioursr. The result is often a major improvement in not only how a person feels emotionally, but their quality of life overall.

CBT is based on scientific principles which research has shown to be effective for a wide range of problems. Clients and therapists work together to identify and understand problems. The approach usually focuses on difficulties in the here and now and includes identifying therapy goals and strategies which are continually monitored and evaluated.

CBT treatment is inherently empowering in nature, the outcome being to focus on specific psychological and practical skills (e.g. in reflecting on and exploring the meaning attributed to events and situations and re-evaluation of those meanings) aimed at enabling the client to tackle their problems using their own resources. The acquisition and utilisation of such skills is seen as the main goal, and the active component in promoting change with an emphasis on putting what has been learned into practice between sessions (“homework”). Thus the overall aim is for the individual to attribute improvement in their problems to their own efforts, in collaboration with the psychotherapist.

Who can benefit

Cognitive and/or behavioural psychotherapists work with individuals, families and groups. The approaches can be used to help anyone irrespective of age, ability, culture, race, gender or sexual preference. Cognitive and/or behavioural psychotherapies can be used on their own or in conjunction with medication, depending on the severity or nature of each client’s problem.

What can CBT be used for?

  • Anxiety (Generalised anxiety disorder)
  • Social Anxiety
  • Health Anxiety
  • Depression
  • Stress
  • Anger management issues
  • Self esteem issues
  • Obsessive compulsive disorder (OCD)
  • Panic disorder
    Post-traumatic stress disorder (PTSD)
  • Phobias (e.g. agoraphobia)
  • Eating disorders, such as anorexia and bulimia
  • Sleep problems, such as insomnia
  • Addiction problems (e.g. alcohol misuse and gambling)

What to expect from a typical CBT session?

CBT explores the way you think as well as the way that you behave, and the link between the two and how this applies to you is frequently explored and demonstrated. A typical CBT session involves breaking down recent life events that have caused you distress. Together we will take a closer look at the way in which your thoughts, feelings, physical sensations and behaviours have been triggered and work out what is no longer helpful for you. The goal of CBT is to break the cycle that negative thinking creates and work on more adaptive and positive ways of thinking and behaving.