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The Hope Street Centre
10 Hope Street, Sandbach, Cheshire, CW11 1BA.  Tel: 01270 764003

Cognitive Behaviour Therapy
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Site updated: 15thMarch 2008

Cognitive Behaviour Therapy (CBT) is a form of therapy which is...

short term
problem orientated
structured
pro-active
scientific
based on psychological methods

CBT is actually a combination of two forms of therapy - cognitive and behavioural. Cognitive therapy focuses on the role of thinking (cognition) in determining how we feel and what we do. Therefore if we have unwanted feelings and behaviours, CBT explains these in terms of unhelpful thinking patterns, sometimes called Negative Automatic Thoughts (NATs).

Behaviour therapy is the second component of CBT, and is based on theories of learning derived from research on classical conditioning carried out by Ivan Pavlov and others, and from the work of such American behaviourists as John B. Watson and B.F. Skinner. Behaviour therapy brings about change by focusing mainly on the problem behaviour itself.

CBT is based on a scientific approach to therapy, drawing in various theories about how the brain learns, stores and processes information. Although this sounds complex, ultimately it comes down to the fact that we have thoughts, feelings and behaviours, and that these interact with each other in ways which can be more or less functional. When the way the thoughts, feelings and behaviours interact get seriously out of kilter we get dysfunctional patterns or disorders.

To illustrate this, think of an anxiety disorder such as fear of cats. When we fear something (feelings) we avoid it (behaviour). The act of avoiding cats reinforces our belief that they are dangerous (thoughts), which in turn increases fear. We may spend increasing amounts of time worrying about the possibility of encountering a cat (thoughts) and have to take ever more drastic measures to avoid them (behaviour).

To take a different example from depression, this is often associated with negative thoughts, such as "I'm useless", "nothing I do will ever succeed". Thoughts like this directly affect our body chemistry, making us feel down (feelings), and because we are down we tend to do less, avoiding activities that could help us to feel better (behaviour). The reduced activity has a negative impact on both thoughts and feelings, setting up a "vicious circle" or downward spiral.

 

Because of it's scientific approach CBT may not appeal to everyone, but it has proven valuable in dealing with a range of common problems such as the ones listed opposite.

It can also form an important part of the treatment of other disorders such as depression, post-traumatic stress disorder, eating disorders, addictions, stress and relationship difficulties

Conditions treated by CBT

  • Phobias and fears
  • Agoraphobia
  • Animal phobias
  • Panic attacks
  • Social phobia
  • Anger management
  • Obsessive-compulsive disorder
  • Generalised anxiety disorder
  • Habit disorders

Other articles on CBT

Articles on specific problem areas

 

The Hope Street Centre
is an independent centre dedicated to counselling, psychotherapy, holistic and complementary therapies. It is located in the attractive rural market town of Sandbach in South Cheshire, with easy access to the M6 motorway and the railway network at Crewe. The centre is home to over ten qualified professional therapists, who offer a range of high-quality therapies and services. We can work with individuals, couples, families, groups, businesses and organisations.The centre is readily accessible from the neighbouring towns of Congleton, Alsager, Middlewich, Holmes Chapel, Knutsford, Crewe, Kidsgrove, Winsford, Northwich, Warrington and Stoke on Trent.