What to expect from cognitive therapy

Cognitive therapy is a structured, evidence-based approach to mental health treatment.

Here’s what you can expect:

  1. Goal-oriented approach
    Illustration of the word "goal" written in red letters with the letter "o" being a bullseye with a black dart in the middle of it.
    • It’s practical and solution-focused.
    • Your therapist will help you set clear, achievable goals, such as reducing anxiety, overcoming pessimistic thinking, or improving coping strategies.
  1. Identifying negative thought patterns
    • A key part of CBT is recognizing automatic negative thoughts that contribute to distress.
    • Your therapist will help you become aware of these ideas and assess their accuracy.
  1. Learning to combat and reframe thoughts
    • You’ll practice replacing irrational or unhelpful thoughts with more rational ones.
    • For example, instead of thinking, “I’ll never succeed,” you might learn to say, “I’ve faced challenges before and managed to get through them.”
  1. Behavioral strategies
    Two people are walking up the stairs with the stairs reading "step by step".
    • CBT isn’t just about thoughts since it also addresses behaviors. You may work on:
      • Behavioral activation (for depression).
      • Exposure therapy (for phobias and anxiety).
      • Relaxation techniques (for stress management).
  1. Homework and practice
    • CBT is interactive, and most therapists assign homework.
    • This might include journaling thoughts, practicing relaxation exercises, or gradually exposing yourself to fearful situations.
  1. Short-term but effective
    • Most CBT programs last 10 to 20 sessions, though this varies based on individual needs.
    • Many people notice improvements within a few sessions.
  1. Focus on the present
    A man standing outside with his eyes closed.
    • Unlike some forms of therapy that dig deeply into past experiences, CBT emphasizes the here and now.
    • This aids in developing skills to manage current problems.
  1. Evidence-based and useful
    • CBT is widely supported by research for treating conditions like:
      • Depression.
      • Anxiety disorders.
      • PTSD.
      • OCD.
      • Eating disorders.
      • Insomnia.
  1. Requires active participation
    • Cognitive therapy works best if you’re engaged and willing to apply what you learn in real life.
    • Simply attending sessions without practicing outside of therapy may limit progress.
  1. Long-term benefits
    • Even after therapy ends, the skills you learn can help you prevent relapses and manage future stressors.

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