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:
- 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.
- 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.
- Acceptance and commitment therapy (ACT)
- 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.
- 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.
- 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.
- Schema therapy
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Motivational interviewing (MI)
- 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.
- 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.
- 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.
- Cognitive behavioral analysis system of psychotherapy (CBASP)
- 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.
- 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.
- 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.