Cognitive Behavioural Therapy CBT’s primary objective is to improve functioning and emotional well-being by identifying the beliefs, feelings, and behaviour associated with an individual’s complex traumatic history. These beliefs, feelings, and behaviours are revised during the course of therapy to meet the client’s desired outcome and positive life goals. Emphasis is on identifying and reducing symptoms, developing a strong therapist-client relationship, strengthening interpersonal relationship skills and process each traumatic memory.
Key Concepts in Cognitive-Behavioural Therapy (CBT)
The cognitive component in the cognitive-behavioural psychotherapies refers to how people think about and create meaning
about situations, symptoms and events in their lives and develop beliefs about themselves, others and the world. Cognitive therapy uses techniques to help people become more aware of how they reason, and the kinds of automatic thought that spring to mind and give meaning to things.
Cognitive interventions use a style of questioning to probe for peoples' meanings and use this to stimulate alternative viewpoints or ideas. This is called 'guided discovery', and involves exploring and reflecting on the style of reasoning and thinking, and possibilities to think differently and more helpfully. On the basis of these alternatives people carry out behavioural experiments to test out the accuracy of these alternatives, and thus adopt new ways of perceiving and acting. Overall the intention is to move away from more extreme and unhelpful ways of seeing things to more helpful and balanced conclusions.
The behavioural component in the cognitive-behavioural psychotherapies refers to the way in which people respond when distressed. Responses such as avoidance, reduced activity and unhelpful behaviours can act to keep the problems going or worsen how the person feels. CBT practitioners aim to help the person feel safe enough to gradually test out their assumptions and fears and change their behaviours. For example this might include helping people to gradually face feared or avoided situations as a means to reducing anxiety and learning new behavioural skills to tackle problems.
Importantly the cognitive and behavioural psychotherapies aim to directly target distressing symptoms, reduce distress, re-evaluate thinking and promote helpful behavioural responses by offering problem-focused skills-based treatment interventions.