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Understanding Cognitive Behavioral Therapy (CBT) and Its Practical Use in Counseling Sessions

Writer: Desta TherapyDesta Therapy


Cognitive Behavioral Therapy (CBT) is a well-researched and widely used form of psychotherapy that focuses on the connection between thoughts, feelings, and behaviors. The core idea behind CBT is that negative or distorted thinking patterns can contribute to emotional distress and unhealthy behaviors. By identifying and challenging these thoughts, individuals can create healthier ways of thinking, feeling, and behaving.


How CBT Works in a Counseling Session

In a counseling session, CBT is often structured, goal-oriented, and collaborative. The therapist works with the client to identify negative thought patterns and behaviors that are contributing to their struggles. Through various techniques, the therapist helps the client reframe these thoughts and develop more adaptive ways of responding to situations.


Example of CBT in Practice

Let’s consider a client dealing with social anxiety. The client may have the belief, “If I go to this party, people will think I’m awkward and won’t like me.” This belief might lead to avoidance of social situations, reinforcing feelings of isolation and anxiety.


In a CBT session, the therapist might help the client:

  1. Identify Distorted Thinking: The therapist would first help the client recognize the distorted thought (e.g., catastrophizing—expecting the worst possible outcome).

  2. Challenge the Thought: The therapist would ask, “What evidence do you have that people will think you’re awkward?” or “Have you had experiences where people enjoyed your company despite feeling nervous?”

  3. Cognitive Restructuring: The therapist would work with the client to replace the negative thought with a more balanced one. For example, the client might reframe it to, “I might feel nervous at first, but most people will be focused on having a good time, not judging me.”

  4. Behavioral Experiment: The therapist might suggest attending a small gathering to test whether the feared outcome comes true, encouraging the client to engage in social situations to gather real-world evidence and challenge their fear. By practicing these techniques, clients can gain a clearer understanding of how their thoughts affect their emotions and behaviors, leading to healthier coping strategies and a reduction in anxiety. Through this process, CBT can effectively empower individuals to take control of their mental health and improve their quality of life.


If you or someone you know could benefit from Cognitive Behavioral Therapy, Desta Therapy is here to help. Our experienced therapists offer personalized CBT sessions tailored to your needs, helping you overcome challenges and build a brighter future. Reach out today to start your journey toward mental wellness.

 
 
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