Cognitive behavioural therapy (CBT)

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Therapy approach

Cognitive behavioural therapy explores how thoughts, feelings, physical sensations and actions influence one another. With a therapist, people learn to notice unhelpful thinking patterns, test assumptions and practise different behaviours between sessions. CBT is usually structured and goal-focused, with techniques tailored to the person's situation.

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What sessions may involve

Agreeing an agenda, learning a formulation, practising cognitive or behavioural techniques and trying planned tasks between sessions.

What it may suit

May suit people seeking a structured approach to a defined difficulty, with practical skills to practise.

Delivery and fit

It is often time-limited and works well online for many people, but it requires collaboration and tasks should be adapted to access needs.

Evidence and uncertainty

CBT is recommended in NICE guidance for a range of conditions, but it is not equally helpful for everyone or every problem.

Further reading

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