
Cognitive Behavioural Therapy
Cognitive Behavioural Therapy (CBT)
🌿 What is it?
Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach that helps people become aware of unhelpful thinking patterns and shift them in a practical, empowering way. The core idea behind CBT is that our thoughts, emotions, and behaviours are all interconnected and when we change the way we think and act, we can change how we feel.
Rather than focusing heavily on the past, CBT works with the present moment teaching simple, powerful tools that help people break cycles of anxiety, low mood, stress, avoidance, and self-criticism.
🔍 How does it work?
CBT teaches you to spot automatic, often unconscious thoughts that fuel negative emotions or self-defeating behaviours. These thoughts are gently questioned, challenged, and reframed. Alongside this cognitive work, CBT includes behavioural strategies such as facing fears, scheduling uplifting activities, or breaking avoidance habits so that change happens both internally and externally.
The process is active and collaborative: you and your therapist work together to understand patterns and build new skills. Homework exercises are often used between sessions to help you apply what you’re learning in real life.
🧪 Why it works (The Science Behind It)
CBT is one of the most extensively researched therapies in the world. Decades of clinical studies including brain scans, show it’s effective in changing how the brain processes fear, mood, and emotional regulation.
Because it addresses both how we think and what we do, CBT breaks the feedback loops that keep anxiety, depression, and stress in motion. That dual focus on thoughts and actions creates powerful, lasting change.
🌱 What it’s good for
CBT is especially helpful for people who want to:
◇ Break free from unhelpful thought cycles
◇ Feel more in control of emotions
◇ Reduce avoidance and take meaningful action
◇ Shift harsh self-talk and build self-compassion
◇ Strengthen resilience, structure, and healthy habits
◇ Develop clarity, problem-solving, and inner balance
It’s a great fit for those who enjoy clear steps, logical tools, and practical techniques they can use outside of therapy.
👥 Who uses this approach
CBT is commonly used by:
◇ Clinical psychologists
◇ Counsellors and therapists
◇ Mental health social workers
◇ Behavioural therapists in school, health, and disability settings
◇ Some trauma-informed coaches and wellness professionals
It’s delivered in a range of settings including private sessions, group programs, hospitals, telehealth platforms, and even digital self-help apps.
✅ Most Commonly Used For
CBT is a go-to treatment for a wide variety of conditions and concerns, including:
Generalised Anxiety Disorder (GAD)
Panic Disorder
Social Anxiety & Specific Phobias
Depression & low mood
Obsessive Compulsive Disorder (OCD)
Post-Traumatic Stress Disorder (PTSD)
Eating disorders (especially Bulimia and Binge Eating)
Sleep difficulties and insomnia (CBT-I)
Health anxiety & chronic illness management
Low self-worth, perfectionism, anger or burnout
It’s often the first recommended therapy in many clinical guidelines due to its robust evidence base and real-world results.
🧰 Tools & Techniques
CBT includes a range of practical, action-based tools. These may include:
Thought Records – journaling and exploring automatic thoughts
Cognitive Restructuring – identifying and shifting distorted thinking
Behavioural Experiments – testing out new responses in real life
Behavioural Activation – increasing uplifting or meaningful activity
Exposure Therapy – gently facing fears or triggers over time
Problem-Solving Models
Grounding and Relaxation Exercises
Mood or trigger tracking tools
Goal-setting frameworks
These techniques help clients build awareness, practice new responses, and stay engaged between sessions.
🌻 How to apply it in everyday life
Even outside of formal therapy, CBT principles can support your mental and emotional wellbeing. Try:
Catch the thought: When you notice an emotional shift, pause and ask, “What did I just think?”
Challenge it: Ask yourself, “Is this 100% true? What would I say to a friend?”
Change the action: Choose a small, values-aligned step even if motivation is low.
Track patterns: Use a journal or app to spot thinking loops and mood triggers.
The goal isn’t to think positively it’s to think more helpfully and realistically.
🤝 Combine it with
CBT pairs well with:
Mindfulness or meditation practices
ACT (Acceptance & Commitment Therapy)
DBT (Dialectical Behaviour Therapy)
Medication support (when prescribed)
Coaching, especially for goal-setting and values work
Lifestyle shifts like sleep routines, movement, or healthy habits
Journaling, gratitude, and grounding exercises
Therapists often blend CBT with complementary tools tailored to your needs.
💬 Try this (Mini Practice Prompt)
Thought Reframe Exercise:
Think of a recent situation that left you feeling upset.
✏️ Write the thought that came up.
❓ Ask yourself:
– Is this thought helpful?
– What’s the evidence for and against it?
– What would I tell a friend in the same situation?
💡 Now, reframe the thought into something more supportive and realistic.
This mini-practice builds the core CBT skill of shifting perspective and emotional impact.
🧡 Final Thought
CBT is about more than fixing problems it’s about building insight, resilience, and emotional freedom. It reminds us that we are not our thoughts, and that with awareness, practice, and support, we can rewrite our inner dialogue and reclaim our peace of mind.
With small steps and a bit of curiosity, CBT helps us become calmer, clearer, and more connected to the life we want to live.