Cognitive Behavioral Therapy

Cognitive-Behavioral Therapy is a form of psychotherapy that emphasizes the important role of thinking in how we feel and what we do.

1. CBT is based on the Cognitive Model of Emotional Response.

Cognitive-behavioral therapy is based on the idea that our thoughts

cause our feelings and behaviors, not external things, like people, situations,

and events. The benefit of this fact is that we can change the way we think to

feel / act better even if the situation does not change.

2. CBT is Briefer and Time-Limited.

Cognitive-behavioral therapy is considered among the most rapid in terms of

results obtained. The average number of sessions clients receive (across all

types of problems and approaches to CBT) is only 16. Other forms of

therapy, like psychoanalysis, can take years. What enables CBT to be briefer

is its highly instructive nature and the fact that it makes use of homework

assignments. CBT is time-limited in that we help clients understand at the

very beginning of the therapy process that there will be a point when the formal

therapy will end. The ending of the formal therapy is a decision made by the

therapist and client. Therefore, CBT is not an open-ended, never-ending

process.

3. A sound therapeutic relationship is necessary for effective therapy, but

not the focus.

Some forms of therapy assume that the main reason people get better in

therapy is because of the positive relationship between the therapist and

client. Cognitive-behavioral therapists believe it is important to have a good,

trusting relationship, but that is not enough. CBT therapists believe that the

clients change because they learn how to think differently and they act on that

learning. Therefore, CBT therapists focus on teaching rational self-counseling

skills.

4. CBT is a collaborative effort between the therapist and the client.

Cognitive-behavioral therapists seek to learn what their clients want out of life

(their goals) and then help their clients achieve those goals. The therapist’s

role is to listen, teach, and encourage, while the client’s roles is to express

concerns, learn, and implement that learning.

5. CBT is based on aspects of stoic philosophy.

Not all approaches to CBT emphasize stoicism. Rational Emotive

Behavior Therapy, Rational Behavior Therapy, and Rational Living

Therapy emphasize aspects of stoicism. Beck’s Cognitive Therapy is not

based on stoicism. Cognitive-behavioral therapy does not tell people how they should feel.

However, most people seeking therapy do not want to feel they way they have

been feeling. The approaches that emphasize stoicism teach the benefits of

feeling, at worst, calm when confronted with undesirable situations. They also

emphasize the fact that we have our undesirable situations whether we are

upset about them or not. If we are upset about our problems, we have two

problems — the problem, and our upset about it. Most people want to have the

fewest number of problems possible. So when we learn how to more calmly

accept a personal problem, not only do we feel better, but we usually put

ourselves in a better position to make use of our intelligence, knowledge,

energy, and resources to resolve the problem.

6. CBT uses the Socratic Method.

Cognitive-behavioral therapists want to gain a very good understanding of

their clients’ concerns. That’s why they often ask questions. They also

encourage their clients to ask questions of themselves, like, “How do I

really know that those people are laughing at me?” “Could they be laughing

about something else?”

7. CBT is structured and directive.

Cognitive-behavioral therapists have a specific agenda for each session.

Specific techniques / concepts are taught during each session. CBT

focuses on the client’s goals. We do not tell our clients what their goals

“should” be, or what they “should” tolerate. We are directive in the sense that

we show our clients how to think and behave in ways to obtain what they

want. Therefore, CBT therapists do not tell their clients what to do — rather,

they teach their clients how to do.

8. CBT is based on an educational model.

CBT is based on the scientifically supported assumption that most emotional

and behavioral reactions are learned. Therefore, the goal of therapy is to

help clients unlearn their unwanted reactions and to learn a new way of

reacting.

Therefore, CBT has nothing to do with “just talking”. People can “just talk”

with anyone.

The educational emphasis of CBT has an additional benefit — it leads to

long term results. When people understand how and why they are doing

well, they know what to do to continue doing well.

9. CBT theory and techniques rely on the Inductive Method.

A central aspect of Rational thinking is that it is based on fact. Often, we

upset ourselves about things when, in fact, the situation isn’t like we think it

is. If we knew that, we would not waste our time upsetting ourselves.

Therefore, the inductive method encourages us to look at our thoughts as

being hypotheses or guesses that can be questioned and tested. If we find

that our hypotheses are incorrect (because we have new information), then we

can change our thinking to be in line with how the situation really is.

10. Homework is a central feature of CBT.

If when you attempted to learn your multiplication tables you spent only one

hour per week studying them, you might still be wondering what 5 X 5

equals. You very likely spent a great deal of time at home studying your

multiplication tables, maybe with flashcards.

The same is the case with psychotherapy. Goal achievement (if obtained)

could take a very long time if all a person were only to think about the

techniques and topics taught was for one hour per week. That’s why CBT

therapists assign reading assignments and encourage their clients to

practice the techniques learned.