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CBT
Cognitive Behavioral Therapy
Changing thoughts and behaviors for the better

A person sitting comfortably in a therapist's office, engaged in conversation

What is cognitive behavioral therapy?

Cognitive behavioral therapy (CBT) is a treatment approach that helps you recognize negative or unhelpful thought and behavior patterns.

CBT aims to help you identify and explore the ways your emotions and thoughts can affect your actions. Once you notice these patterns, you can begin learning how to change your behaviors and develop new coping strategies.

CBT addresses the here and now, and focuses less on the past. For some conditions in some people, other forms of psychotherapy are equally or even more effective. The key is that there is no one size that fits all.

Read on to learn more about CBT, including:

  • core concepts

  • what it can help treat

  • what to expect during a session

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Core concepts of CBT

CBT is largely based on the idea that your thoughts, emotions, and actions are connected. In other words, the way you think and feel about something can affect what you do.

If you’re under a lot of stress at work, for example, you might see situations differently and make choices you wouldn’t ordinarily make. But another key concept of CBT is that these thought and behavior patterns can be changed.

According to the American Psychological Association, the core concepts of CBT include:

  1. psychological issues are partly based on unhelpful ways of thinking

  2. psychological issues are partly based on learned patterns of behavior

  3. those living with these issues can improve with better coping mechanisms and management to help relieve their symptoms

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Popular CBT techniques

So how does one go about reworking these patterns? CBT involves the use of many varied techniques. Your therapist will work with you to find the ones that work best for you.

Typical treatment often involves the following:

  • recognizing how inaccurate thinking can worsen problems

  • learning new problem-solving skills

  • gaining confidence and a better understanding and appreciation of your self-worth

  • learning how to face fears and challenges

  • using role play and calming techniques when faced with potentially challenging situations

The goal of these techniques is to replace unhelpful or self-defeating thoughts with more encouraging and realistic ones.

For example, “I’ll never have a lasting relationship” might become, “None of my previous relationships have lasted very long. Reconsidering what I really need from a partner could help me find someone I’ll be compatible with long term.”

These are some of the most popular techniques used in CBT:

  • SMART goals. SMART goals are specific, measurable, achievable, realistic, and time-limited.

  • Guided discovery and questioning. By questioning the assumptions you have about yourself or your current situation, your therapist can help you learn to challenge these thoughts and consider different viewpoints.

  • Journaling. You might be asked to jot down negative beliefs that come up during the week and the positive ones you can replace them with.

  • Self-talk. Your therapist may ask what you tell yourself about a certain situation or experience and challenge you to replace negative or critical self-talk with compassionate, constructive self-talk.

  • Cognitive restructuring. This involves looking at any cognitive distortions affecting your thoughts — such as black-and-white thinking, jumping to conclusions, or catastrophizing — and beginning to unravel them.

  • Thought recording. In this technique Trusted Source, you’ll record thoughts and feelings experienced during a specific situation, then come up with unbiased evidence supporting your negative belief and evidence against it. You’ll use this evidence to develop a more realistic thought.

  • Positive activities. Scheduling a rewarding activity each day can help increase overall positivity and improve your mood. Some examples might be buying yourself fresh flowers or fruit, watching your favorite movie, or taking a picnic lunch to the park.

  • Situation exposure. This involves listing situations or things that cause distress, in order of the level of distress they cause, and slowly exposing yourself to these things until they lead to fewer negative feelings. Systematic desensitization is a similar technique where you’ll learn relaxation techniques to help you cope with your feelings in a difficult situation.

Homework is another important part of CBT, regardless of the techniques you use. Just as school assignments helped you practice and develop the skills you learned in class, therapy assignments can help you become more familiar with the skills you’re developing.

This might involve more practice with skills you learn in therapy, such as replacing self-criticizing thoughts with self-compassionate ones or keeping track of unhelpful thoughts in a journal.

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This article is from the HealthLine Website, read the full article here https://www.healthline.com/health/cognitive-behavioral-therapy

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