Cognitive Behavioural Therapy (CBT) is a structured, goal-oriented form of psychotherapy that focuses on the relationship between thoughts, emotions, and behaviours. This type of therapy is used to treat a range of mental health concerns, including anxiety disorders, depression, phobias, and stress-related issues.

What is CBT?

Cognitive behavioural therapy is a form of psychotherapy that addresses the way we think and act when faced with problems. It is a practical, evidence-based approach that identifies unhelpful patterns and offers new ways to respond to specific challenges in an individual’s life. Because CBT is focused on the present, it enables the development of practical coping strategies and the building of healthier thinking patterns through collaborative therapeutic work.

CBT can be used for the treatment of

CBT concentrates on ‘here and now’ life challenges. The therapist helps you to further understand yourself by talking and recording relevant experiences in a diary.

Core Components of CBT

Every approach is based on certain characteristics that allow therapists to determine which of them could be most valuable for each client. The core components of cognitive behavioural therapy are:

  • Cognitive interventions: Identify and understand negative or distorted thinking patterns, while challenging unhelpful thoughts to develop more balanced, realistic ways of thinking.
  • Behavioural interventions: Test and change behaviours through behavioural experiments, exposure to feared situations, skill building, and habit changes. 
  • Emotional awareness: Recognise emotions and learn how they connect to thoughts and behaviours.
  • Skill practice: Develop practical skills which can be applied outside therapy sessions to support long-term change.

Structure of Therapy

CBT is usually delivered in a structured format, with previously agreed objectives and regular progress reviews. Sessions follow a clear framework and may include exercises, reflection, and between-session practice to reinforce learning and support real-world application.

The duration of cognitive behavioural therapy varies depending on individual needs and presenting concerns, and may be offered as a short- to medium-term intervention. Depending on the client’s preferences and the clinician’s professional opinion, you can have one-on-one sessions or group meetings. 

Benefits of Cognitive Behavioural Therapy

Once an individual undergoes cognitive behavioural therapy, they can expect to see certain benefits, such as awareness of unhelpful thoughts and behaviour patterns, improved emotional regulation and coping strategies, more confidence in managing challenges independently, access to practice tools for building long-term resilience, and well-being. 

That said, the process and duration are very unique to each person. Working closely with a therapist on achieving previously set goals for the therapy is crucial for treatment success.

Cognitive Behavioural Therapy (CBT) FAQ

What is Cognitive Behavioural Therapy (CBT)?

Cognitive Behavioural Therapy (CBT) is a type of psychotherapy that focuses on how our thoughts and behaviours influence our emotions and actions. CBT is structured, goal-oriented, and works on addressing current life challenges. It helps individuals understand and change unhelpful thinking and behaviour patterns.

What conditions can Cognitive Behavioural Therapy (CBT) treat?

CBT is used to treat a wide range of mental and physical health issues, including anxiety, depression, panic disorders, PTSD, OCD, eating disorders, phobias, persistent pain, anger issues, stress, sleep problems, relationship difficulties, sexual issues, and psychotic disorders like schizophrenia and bipolar disorder.

How does CBT work?

CBT helps you become aware of how your thoughts influence your behaviours. It involves identifying unhelpful thinking patterns, recording experiences, and using diary work. Therapists guide you through exercises that encourage real-time behavioural changes, aiming to improve how you respond to similar situations in the future.

How effective is Cognitive Behavioural Therapy (CBT)?

According to NICE guidelines and Cochrane reviews, CBT is highly effective for conditions such as depression, generalised anxiety disorder, social phobia, OCD, panic disorder, and PTSD. It shows moderate results for chronic pain, anger, substance use, and marital issues. In more complex cases like schizophrenia or eating disorders, CBT is often combined with medication.

What can I expect during a Cognitive Behavioural Therapy (CBT) session?

During CBT sessions, you’ll work with a therapist to explore your thoughts and behaviours related to current issues. You’ll keep track of your experiences, complete homework assignments, and learn practical strategies to change your responses. The aim is to gain better control over how you feel and react in challenging situations.

What are CBT tools for anxiety?

CBT offers a range of valuable tools for those struggling with anxiety. One of the most effective ones is to journal to identify negative thoughts and the connection between certain thoughts and symptoms or emotions. Setting goals is also a tool taught in CBT, along with cognitive restructuring, exposure therapy, and activity scheduling.

Who is CBT not suitable for?

Although CBT is a very efficient type of therapy, not everyone will benefit from it. CBT might not be suitable for elderly people, those suffering from dementia, certain types of psychotic disorders and brain injuries.

What is involved in cognitive behavioural therapy?

Cognitive behavioural therapy involves working with a therapist to identify and change negative or undesired thought patterns and behaviours. A CBT therapist focuses on current issues an individual has and suggests practical coping skills.