Aaron Beck’s theory of CBT is an evidence-based approach that follows the principle and understanding that people can be understood and treated through the examination of how they understand the world, how they think, the influences as to why they think in a particular way, their physical reactions, and behaviours (Josefowitz & Myran, 2021). Patterns of thinking and behaviour are thought to maintain one’s presentation, thus keeping people stuck in a psychological loop. Cognitive restructuring, challenging one’s core beliefs, engaging in behavioural activation, exposure therapy, and increasing socialization are strategies in CBT treatment that can decrease symptomology (Kennerley et al., 2017). CBT is considered one of the most consistent and effective evidence-based treatments for depression, anxiety, including obsessive compulsive disorder (OCD), phobias, and trauma symptoms such as post-traumatic stress disorder (PTSD) (APA, 2017; Kennerley et al., 2017).
CBT can help to challenge your core beliefs (ie. I am unloveable, I am bad), examine cognitive distortions, catastrophic thinking, black or white thinking, and install new beliefs about yourself, others, and the world. It can also help to make macro or micro changes in your behaviour, which can influence a different thought process. Sometimes in order to influence a change, the body and your behaviours are the first place to start. Go for a walk, sit in nature, exercise, do a calming breath exercise, cold plunge, clean your room, eat, have a shower… all of these things can alter mood, which can then help to change thoughts.
Acceptance and Commitment Therapy is a third wave modality developed by psychologist Steven Hayes, that stems from Beck’s traditional CBT approach. ACT helps people to stop avoiding, denying or struggling with their emotions and accepting what is there. Learning to exist with difficult emotions and situations can often ease your distress.
While CBT is referred to as the Gold Standard by the American Psychiatric Association, Melissa of Sojourn Psychotherapy believes that it is essential to take a holistic mind-body-spirit approach to therapy, that includes the bio-psycho-social-spiritual lens. CBT is integrated when it is needed, but it is never the sole modality.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Josefowitz, N., and Myran, D. (2021). CBT Made Simple: A Clinician’s Guide to Practicing
Cognitive Behavioral Therapy. Second Ed. Oakland, CA: New Harbinger Publications.
Kennerley, H., Kirk, J., & Westbrook, D. (2017). An introduction to cognitive behaviour
therapy – Skills and applications (3rd ed.). Sage Publications.