CBT: the therapy that changes thought patterns
Brief, structured, and effective.
Dr. Émile Garnier
Psychiatrist

In simple terms
Cognitive-behavioral therapy is the most studied psychological treatment. How it works and for which disorders.
What you need to remember
- Fundamental principles — Collaboration**: the therapist and patient work together, on an equal footing
- Techniques used — Cognitive restructuring**: identifying and questioning negative automatic thoughts
- Proven effectiveness — CBT has the highest level of evidence for:
Cognitive-behavioral therapy (CBT) is based on a simple principle: our thoughts influence our emotions, which influence our behaviors. By modifying dysfunctional thought patterns, we can act on the vicious circle.
Fundamental principles
- Collaboration: the therapist and patient work together, on an equal footing
- Problem-oriented: focus on current difficulties, not distant past
- Exercises between sessions: CBT involves active patient work
- Limited duration: generally 12 to 20 sessions
Techniques used
- Cognitive restructuring: identifying and questioning negative automatic thoughts
- Progressive exposure: gradually confronting anxiety-provoking situations
- Behavioral activation: resuming pleasant activities (used in depression)
- Relaxation and mindfulness: stress management techniques
Proven effectiveness
CBT has the highest level of evidence for:
- Anxiety disorders (generalized anxiety, phobias, panic disorder)
- Mild to moderate depression
- Obsessive-compulsive disorder (OCD)
- Post-traumatic stress disorder (PTSD)
- Chronic insomnia
- Eating disorders
CBT is not a "surface" therapy. It durably modifies cognitive patterns when properly conducted.
The words explained
Medical terms used above, in everyday language.
- Chronic
- A problem that lasts a long time, usually more than three months, and often comes back.
- Cognitive
- Related to thinking: memory, attention, learning and decision-making.
- Anxiety
- Ongoing worry or fear that is strong enough to affect daily life.
When should you see a doctor?
- Your symptoms last more than a few weeks or keep coming back.
- They get worse quickly, or stop you doing everyday things.
- You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
- You already take medication and want to change anything about it.
This article explains general health information. It does not replace advice from your own doctor.
Frequently asked questions
- What is CBT: the therapy that changes thought patterns?
- Cognitive-behavioral therapy is the most studied psychological treatment. How it works and for which disorders.
- What are the main symptoms or signs of CBT: the therapy that changes thought patterns?
- Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
- When should you see a doctor for CBT: the therapy that changes thought patterns?
- See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.
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