What is Cognitive Behavioral Therapy (CBT)?

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Last updated: March 30, 2025View editorial policy

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From the Guidelines

Cognitive behavioral therapy (CBT) is a structured, goal-oriented form of psychotherapy that helps people identify and change negative thought patterns and behaviors that contribute to their psychological distress, with strong scientific support for treating many conditions including depression, anxiety disorders, PTSD, OCD, substance abuse, and eating disorders, as evidenced by recent studies 1.

Key Components of CBT

  • Focuses on the connection between thoughts, feelings, and behaviors
  • Teaches patients practical strategies to recognize distorted thinking and develop healthier coping mechanisms
  • Typically lasts 12-20 weekly sessions, though this varies based on individual needs
  • Can be administered as individual or group therapy, with individual therapy prioritized due to its superiority in terms of clinical and health-related economic effectiveness 1

Mechanism of Action

  • Helps people understand how their interpretation of situations affects their emotional responses and behaviors
  • Allows patients to break negative cycles and develop more balanced perspectives
  • Provides long-lasting tools that patients can continue using after therapy ends

Applications of CBT

  • Effective in treating social anxiety disorder, with a suggested administration of CBT developed specifically for this condition 1
  • Can be used in conjunction with pharmacotherapy or as a mono-therapy for social anxiety disorder in adults
  • Has been successfully used in various populations, including patients with digestive disorders, cancer, and other chronic illnesses 1

From the Research

Definition of Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a type of psychotherapy that focuses on changing negative thought patterns and behaviors to improve mental health outcomes.

Key Components of CBT

  • Identifying and challenging negative thoughts and beliefs
  • Learning new skills and behaviors to manage symptoms
  • Practicing relaxation techniques and stress management
  • Improving problem-solving and communication skills

Effectiveness of CBT

Studies have shown that CBT is an effective treatment for a range of mental health conditions, including:

  • Post-traumatic stress disorder (PTSD) 2, 3, 4, 5
  • Depression 6
  • Anxiety disorders 6, 5
  • Borderline personality disorder 2

Delivery of CBT

CBT can be delivered in various formats, including:

  • Face-to-face therapy sessions 2, 6, 4
  • Internet-based cognitive and behavioral therapies (I-C/BT) 5
  • Group therapy sessions

Benefits of CBT

  • Improved symptoms and functioning
  • Increased self-esteem and confidence
  • Better coping skills and stress management
  • Enhanced quality of life

Comparison with Other Therapies

Studies have compared CBT with other therapies, such as:

  • Psychodynamic psychotherapy (PDT) 4
  • Selective serotonin reuptake inhibitors (SSRIs) 6
  • Wait list control 5
  • Face-to-face non-CBT 5

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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