Different types of cognitive therapy

Cognitive therapy contains several approaches, with each having unique methods to help individuals modify unhelpful thinking patterns.

These are some widely used types of cognitive therapy:

  1. Cognitive behavioral therapy (CBT)
    • CBT is one of the most well-known forms of cognitive therapy that combines cognitive restructuring with behavioral techniques.
    • It targets negative thinking patterns and behaviors that add to depression, anxiety, and other mental health issues.
    • CBT promotes healthier thought processes and actions by finding, challenging, and replacing negative thoughts.
  2. Dialectical behavior therapy (DBT)
    • DBT was originally developed for borderline personality disorders and combines cognitive and behavioral techniques with mindfulness.
    • It teaches skills in four key areas: distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness.
    • DBT is very useful for people who experience intense emotional swings and need strategies to manage their emotions.
  3. Acceptance and commitment therapy (ACT)
    A counselor supporting a man by putting her hand on her shoulder.

    • ACT chains mindfulness with cognitive strategies, focusing on accepting rather than avoiding difficult thoughts and emotions.
    • The goal is to align actions with personal values, even in the presence of discomfort.
    • ACT is especially helpful for chronic depression, anxiety, and other conditions where acceptance and value-driven behaviors are essential for well-being.
  4. Rational emotive behavior therapy (REBT)
    • REBT concentrates on detecting and disputing irrational beliefs, such as “I must be perfect” or “I’m worthless if I fail.”
    • It promotes replacing these beliefs with rational, inspiring thoughts to lower emotional distress.
    • It’s effective for overcoming self-criticism and unrealistic expectations.
  5. Mindfulness-based cognitive therapy (MBCT)
    • MBCT links mindfulness techniques with cognitive therapy and is mostly convenient for preventing relapses in individuals with recurrent depression.
    • MBCT helps people recognize early signs of negative thought patterns by increasing present-moment awareness and disengaging from them before they escalate into full-blown depressive episodes.
  6. Schema therapy
    A therapist writing on a note.

    • Schema therapy mixes cognitive, behavioral, and psychodynamic approaches to deal with deeply ingrained negative beliefs (schemas) formed in early life.
    • It’s often used for complex mental health issues like personality disorders and chronic depression, as it targets core beliefs about relationships and the world.
  7. Cognitive processing therapy (CPT)
    • CPT is developed specifically for trauma survivors and assists in processing traumatic experiences by addressing the maladaptive beliefs and “stuck points” that arise from shock.
    • This coordinated form of therapy aims to reduce post-traumatic stress disorder (PTSD) symptoms and improve overall mental health.
  8. Metacognitive therapy (MCT)
    • MCT focuses on understanding how people reason about thinking.
    • Rather than targeting specific thoughts, MCT attends to problematic thinking processes, like rumination and worry.
    • MCT decreases symptoms of depression and anxiety by modifying these metacognitive processes.
  9. Cognitive remediation therapy (CRT)
    • CRT is primarily used for people with cognitive impairments due to depression, schizophrenia, or neurological conditions, and concentrates on improving cognitive skills such as attention, memory, and executive function.
    • That can indirectly improve mood and quality of life due to increasing cognitive abilities.
  10. Self-compassion-based cognitive therapy

    • This approach incorporates self-compassion principles into traditional cognitive therapy.
    • It focuses on reducing self-criticism and promoting self-kindness.
  11. Functional analytic psychotherapy (FAP)
    • FAP is a relationally directed rehabilitation that chains cognitive principles with an emphasis on improving interpersonal relationships.
    • It works by aiding people to develop more effective ways of relating to others, thereby improving mental health by identifying patterns that impact personal interactions.
  12. Trauma-focused cognitive behavioral therapy (TF-CBT)
    • TF-CBT is designed for trauma survivors, particularly children and adolescents.
    • It combines traditional cognitive-behavioral techniques with trauma-sensitive approaches to help process traumatic memories and develop coping strategies for managing related emotions.
  13. Integrative cognitive therapy (ICT)
    • Integrative cognitive therapy incorporates aspects from different therapeutic approaches, such as psychodynamic or humanistic therapy, alongside cognitive therapy techniques.
    • This approach tailors the therapy to each individual and deals with both conscious and unconscious factors that influence thought patterns and emotions.
  14. Compassion-focused therapy (CFT)
    • While it’s similar to self-compassion-based cognitive therapy, CFT goes further in addressing shame and self-criticism.
    • It integrates evolutionary psychology with cognitive techniques to promote self-compassion and reduce self-judgment, which is helpful for those struggling with high levels of shame or self-criticism.
  15. Motivational interviewing (MI)
    A counselor giving a thumbs up to his client through the laptop screen.

    • Motivational interviewing is a counseling technique that promotes motivation to change unhelpful behaviors.
    • While it’s not strictly a cognitive therapy, it shares cognitive principles by exploring indecision about change and helping individuals reframe their reflections to encourage positive change.
    • It’s commonly used for conditions like depression, substance abuse, and other behavioral issues.
  16. Cognitive restructuring therapy
    • Cognitive restructuring is regularly considered a component of broader cognitive approaches and works by specifically targeting negative thinking patterns and aims to replace them with more balanced, adaptive thoughts.
    • This technique is foundational in CBT but can also be used as a standalone approach to treat mood disorders and low self-esteem.
  17. Cognitive enhancement therapy (CET)
    • CET is designed to enhance cognitive functioning in individuals with mental health conditions that impact cognitive abilities, such as schizophrenia or bipolar disorder.
    • That includes exercises and strategies to improve memory, attention, and problem-solving, adding to better social functioning and quality of life.
  18. Cognitive behavioral analysis system of psychotherapy (CBASP)
    A person explaining his problems to a counselor.

    • CBASP was developed for chronic depression and combines cognitive, behavioral, and interpersonal techniques to understand how beliefs and actions impact their relationships and daily lives.
    • CBASP aims to break the patterns that maintain chronic depression.
  19. Relapse prevention therapy (RPT)
    • RPT is a cognitive-behavioral approach often used in addiction treatment, but may also help prevent depression relapses.
    • It teaches to recognize triggers and high-risk situations and to develop coping strategies that help prevent a return to maladaptive thought and behavior patterns.
  20. Cognitive experiential therapy
    • Concentrates on balancing cognitive techniques with emotional processing, recognizing that views and feelings are closely linked.
    • It integrates experiential exercises to help process unresolved emotions and reduce cognitive distortions that affect mental health.

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