What is CBT?

The National Institute for Clinical Excellence (N.I.C.E.) recommends CBT as a treatment for Anxiety, Depression, Obsessive Compulsive Disorder, Phobias, Acute Stress and Post Traumatic Stress.


CBT is based on a model with 5 factors.  There is the Environment in which you live and this includes all your circumstances.  Within this Environment there are your Thoughts, Feelings, Behaviour and Physiology.  These factors are all connected with each other, and so if you change any one of them  then this  will have an  effect on the others.  If you are thinking  'I am hopeless.  No one likes me'  then you are likely to feel 'down' 'lonely' and 'sad.'  You may  then stop going out and not meet your friends or you might stay in the house and drink or eat too much (Behaviour). Then you might  feel tired and sleep at lot (Physiology). Most people appear to come to counselling and psychotherapy with feelings that they don't like or behaviour that is time consuming or unhelpful.  It can be useful for them to examine the thinking that leads to and maintains these feelings and to develop and follow a plan to change them.  You may come to counselling and psychotherapy for many reasons: because of a crisis, to achieve greater clarity on a particular issue, to change patterns of behaving, thinking and feeling, self development or to understand complicated personal issues.  You may have been encouraged to seek counselling and psychotherapy by friends, family members or colleagues.


CBT sessions are usually  time-limited and concentrate on the here and now.  Sometimes it is helpful to have some information about events in your past but only because of  how it  may affect how you feel now.