Understanding Cognitive Behavioral Therapy (CBT)

What is Cognitive Behavioral Therapy?

Cognitive Behavioral Therapy (CBT) is an evidence-based psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. It is based on the core principles that psychological problems are based, in part, on faulty or unhelpful ways of thinking, and learned patterns of unhelpful behavior.

How Does CBT Work?

CBT involves efforts to change thinking patterns. These strategies might include learning to recognize one's distortions in thinking that are creating problems, and then to reevaluate them in light of reality. It also involves gaining a better understanding of the behavior and motivation of others, and using problem-solving skills to cope with difficult situations.

What to Expect During Sessions

CBT is highly structured and goal-oriented. Unlike some other therapies, CBT sessions are not just about talking freely; they involve active collaboration between the therapist and the patient to identify specific problems and work out strategies to address them. You will often be given "homework" — practical exercises to do between sessions.

Conditions Benefiting from CBT

CBT has a strong evidence base for treating anxiety disorders, depression, OCD, PTSD, and eating disorders. It can also be adapted to help individuals cope with chronic pain and sleep disorders.