Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a form of talking therapy which can be used to treat

people with a wide range of mental health problems. CBT is based on the idea that

• How we think (cognition)

• How we feel (emotion)

• How we act (behavior)

all interact together.

The diagram depicts how emotions, thoughts, and


behaviors all influence each other.

Specifically, our thoughts determine our feelings and our behavior. Therefore, negative and

unrealistic thoughts can cause us distress and result in problems. When a person suffers with

psychological distress, the way in which they interpret situations becomes skewed, which in turn

has a negative impact on the actions they take.

CBT aims; to help people become aware of when they make negative interpretations, and of

behavioral patterns which reinforce the distorted thinking. Cognitive therapy helps people to

develop alternative ways of thinking and behaving which aims to reduce their psychological

distress.
Cognitive Behavioral Therapy Basics

The underlying concept behind CBT is that our thoughts and feelings play a fundamental role in

our behavior. For example, a person who spends a lot of time thinking about plane crashes,

runway accidents and other air disasters may find themselves avoiding air travel.

Goal of cognitive behavior therapy is to teach patients that while they cannot control every

aspect of the world around them, they can take control of how they interpret and deal with things

in their environment.

The Process of Cognitive Behavior Therapy

 During the process of CBT, the therapist tends to take a very active role.

 CBT is highly goal-oriented and focused, and the client and therapist work together as

collaborators toward the mutually established goals.

 The therapist will typically explain the process in detail and the client will often be given

homework to complete between sessions.

 Cognitive-behavior therapy can be effectively used as a short-term treatment centered on

helping the client deal with a very specific problem.

Components of Cognitive Behavior Therapy

People often experience thoughts or feelings that reinforce or compound faulty beliefs. Such

beliefs can result in problematic behaviors that can affect numerous life areas, including family,

romantic relationships, work, and academics.


For example, a person suffering from low self-esteem might experience negative thoughts about

his or her own abilities or appearance. As a result of these negative thinking patterns, the

individual might start avoiding social situations or pass up opportunities for advancement at

work or at school.

CBT Assumptions/Principles

 Behavioral principles: Basic assumption of behavioral theories is that maladaptive

behaviors are learned and can be unlearned, and that new, more adaptive behaviors can

be learned.

 Cognitive principles: Basic assumption of cognitive theories is that maladaptive

behavior result from irrational or distorted way of thinking, emphasis is on internal

thought processes.

 “Here and now” principles: It is usually more fruitful to focus on current processes

rather than the past.

 Interacting-systems principle: it is helpful to look at problems as interactions between

thoughts, emotions, behavior and physiology and the environment in which the person

operates.

 Empirical principle: it is important to evaluate both our theories and our therapy

empirically.

 Change mood states by using cognitive and behavioral strategies:

i. Identifying/modifying Automatic Negative Thoughts: One of the main focuses

of cognitive-behavioral therapy is on changing the automatic negative thoughts

that can contribute to and exacerbate emotional difficulties, depression, and

anxiety.
ii. Core beliefs; These represent person’s basic rules or values. Typical rules are “I

should be perfect,” “I should be liked by everyone,” “My worth depends on

others’ approval,” “I need to be certain,” and “My partner should understand and

meet my needs without my having to tell him.” These underlying assumptions and

core beliefs structure a person’s automatic thinking.

(Roll no#17)
Reference

Maurya, A. K. (2015, July 01). Basic Assumptions & Principles of Cognitive Behavior Therapy.

Retrieved from https://www.slideshare.net/AsitKumarMaurya/basic-assumptions-

principles-of-cognitive-behavi

Cherry, K. (2019, March 20). Cognitive Behavior Therapy and How It Works. Retrieved from

https://www.verywellmind.com/what-is-cognitive-behavior-therapy-2795747

Saldanha, D., Bhattacharya, L., Chaudari, B., & Menon, P. (2013). Cognitive behavior therapy.

Medical Journal of Dr. D.Y. Patil University, 6(2), 132. doi:10.4103/0975-2870.110294

(Roll no#17)

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