Aspire Counseling

View Original

What Does Cognitive Behavioral Therapy Do?

In the journey of life, we often encounter moments of uncertainty, stress, anxiety, depression, and emotional turmoil. During these challenging times, having the right tools and support can make all the difference. This is where Cognitive Behavioral Therapy (CBT) shines through and offers invaluable insights and helps individuals with skills to manage their thoughts, emotions, and behaviors. Follow us as we discuss counseling near Blue Springs, MO, and the amazing aspects of Cognitive Behavioral Therapy such as what it is, the CBT triangle, how CBT works, and what Cognitive behavioral therapy deals with. 

What is Cognitive Behavioral Therapy? 

Cognitive Behavioral Therapy, often referred to as CBT, is a flexible and effective type of therapy designed to empower individuals to change how they think, feel, and behave in specific situations. At its core, CBT operates on the basic principles that our thoughts, feelings, and actions are interconnected, meaning that one component can lead to changes in the others. This evidence-based approach encompasses many therapeutic techniques tailored to address a wide range of mental health issues such as anxiety, depression, trauma, and more. 

From traditional CBT methods to specialized modalities like Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT), CBT offers a diverse toolkit to help clients individuals navigate challenges and foster positive growth. Whether it’s challenging negative thought patterns, managing overwhelming emotions, or developing effective coping strategies, CBT helps individuals with the skills needed to thrive in their mental health journey. If you’re seeking cognitive behavioral therapy near you, explore the options available to find the support you need for your mental health and well-being.

The CBT Triangle

The CBT Triangle is like a map that helps us understand how our thoughts, feelings, and actions are all connected. Imagine you’re in the middle of this triangle, and each corner represents one of these important parts of you. Your thoughts are what you think about, like when you tell yourself, “I’m not good enough.” These thoughts can make you feel sad, scared, or even angry. And when you feel these emotions, they can affect what you do, like avoiding a social event because you’re feeling anxious or overwhelmed. 

It’s important to recognize that the CBT triangle isn’t just about changing your thoughts. It’s about understanding how your thoughts, feelings, and actions all work together. Sometimes, we might have thoughts that aren’t very helpful or kind to ourselves. But, it’s ok to feel that way, and it’s totally okay to to have those thoughts. The key important thing is learning how to challenge those thoughts and find more helpful and healthy ways of thinking. 

By understanding the CBT triangle, you can learn to take control of how you think, feel, and act. Instead of letting the negative thoughts rule your life, you can learn to challenge them, and replace them with more positive thoughts. This isn’t always easy, and it definitely takes practice and time, but it’s a powerful tool for improving your mental health and well-being.

How the CBT Triangle Works with Anxiety: An Example

Photo by Clifford on Unsplash downloaded 4/18/24

Let’s take a closer look at how the CBT Triangle works in a real-life scenario involving anxiety. Imagine someone with social anxiety decides to reach out to a friend, and asks the friend to grab a coffee together next week at their favorite local coffee shop. However, by the following day, the friend had not responded. 

Scenario 1: Negative Interpretation

In this scenario, the individual with social anxiety might think to themselves, “My friend hasn’t responded because they don’t like me. They probably find me annoying, and that’s why they don’t want to get coffee with me, or be around me”. This thought leads to feelings of sadness, rejection, and loneliness. As a result, the person with social anxiety might avoid reaching out to their friend again, fearing more rejection or humiliation. 

Scenario 2: Neutral Interpretation

On the other hand, the individual with social anxiety could consider a more neutral interpretation of the situation. They might instead think, “My friend hasn’t responded yet. Maybe they are busy or haven’t seen the message.” This thought causes less intense emotions, such as patience or curiosity. As a result, they may choose to wait a bit longer before following up with the friend or simply move on with their day without dwelling on it too much. 

By understanding how their thoughts influence their feelings and behaviors, individuals undergoing CBT can learn to recognize and challenge negative thought patterns associated with anxiety. Through this process, they gain greater control over their emotions and actions, empowering them to respond to challenging situations more healthily and constructively. 

How Does CBT Work?

Cognitive Behavioral Therapy (CBT) operates on the idea that our thoughts, feelings, and behaviors are interconnected. It generally starts with your CBT therapist working with you to see how these three things (thoughts, feelings & behaviors) are connected. You’ll learn about their relationship, how they impact each other and most importantly start to see their connections in your own life. Let’s take a little closer look at these three components from a CBT perspective:

Understanding Thoughts: 

CBT encourages individuals to become aware of their thoughts, especially those that add to negative emotions and behaviors. By recognizing and challenging these negative thoughts patterns, individuals can replace them with more positive and realistic thoughts This process involves looking at evidence for and against their thoughts, and reframing the negative thoughts and beliefs. 

Managing Emotions: 

Once individuals gain insight into their thought patterns, they learn strategies to manage their emotions effectively. This may involve relaxation techniques, mindfulness practices, and emotion regulation skills. By developing coping skills, individuals can reduce the intensity and length of negative emotions, leading to improved emotional well-being. 

Changing Behaviors: 

CBT also focuses on changing behaviors that contribute to distress or dysfunction. Through testing different behaviors and weighing their effectiveness in achieving more desired outcomes. By applying positive changes in their actions, individuals can break free from unhelpful patterns, and develop healthier habits and thoughts. 

Practice and Repetition: 

Like any skills, CBT techniques require practice and reputation. Therapists guide clients through structure exercises and homework assignments to reinforce learning and promote using skills to real-life situations. With consistent practice, those using CBT can incorporate CBT principles into their daily lives, leading to improvement in mental health. 

By address the connection between thoughts, feelings, and behaviors, CBT helps individuals with practical tools and strategies to overcome challenges, build resilience, and enhance their overall well-being. 

Cognitive Behavioral Therapy as an Evidence-Based Approach

Cognitive Behavioral Therapy (CBT) is one of the first evidence based methodologies of counseling that became available. Don’t get us wrong, there were a LOT of theories about personality and psychology out there before. But CBT was one of the first to be really studied. Therefore, CBT and the many variations of it have been studied extensively by mental health researchers for years. 

Pure Cognitive Behavioral Therapy has been found to be effective for a wide range of mental health conditions (discussed below). However, it’s also important to note that at this time, there are many variations of CBT as well. At Aspire Counseling, we see CBT as essentially being a big umbrella that encompasses many different more specific types of therapy that are still there targeting that inherrent connection between thoughts, feelings and behaviors. 

What Does Cognitive Behavioral Therapy Deal With? 

Photo by Joice Kelly on Unsplash downloaded 4/18/24

In short, CBT is a flexible approach that research shows can effective treat a wide range of mental health concerns. From anxiety disorders and depression to phobias and obsessive-compulsive disorder (OCD), CBT offers tailored interventions to meet individuals' specific needs.

CBT is very effective in treating various anxiety disorders, including generalized anxiety disorder (GAD), social anxiety disorder, panic disorder, and specific phobias. By identifying and challenging anxious thoughts, individuals learn to manage their anxiety symptoms more successfully and regain a sense of control over their lives. CBT for anxiety often involves exposure therapy, thinking restructuring, and relaxation techniques to ease anxiety-related distress.

CBT is also widely used in the treatment of depression. By targeting negative thought patterns and behavioral patterns associated with depression, individuals can experience significant improvements in mood and functioning. CBT helps individuals develop coping strategies to counteract depressive symptoms, challenge self-defeating beliefs, and increase engagement in rewarding activities. Through problem-solving, individuals can break free from the cycle of depression and foster a more positive outlook on life.

CBT is highly effective in managing symptoms of OCD, including intrusive thoughts and compulsive behaviors. Through exposure and response prevention (ERP) techniques, individuals gradually confront feared situations or triggers while refraining from engaging in compulsive rituals. This process helps individuals reduce the frequency and intensity of obsessive thoughts and compulsions, leading to improved functioning and quality of life.

In addition to anxiety disorders, depression, and OCD, CBT can be beneficial for addressing various other mental health issues, such as post-traumatic stress disorder (PTSD), eating disorders, and insomnia. By targeting dysfunctional thought patterns and behaviors associated with these conditions, CBT empowers individuals to overcome obstacles, build resilience, and achieve their treatment goals.

Whether individuals are struggling with anxiety, depression, or other mental health challenges, CBT provides a structured and evidence-based approach to help them regain control over their lives and foster lasting positive change, including in the case of cognitive behavioral therapy for anxiety.

What are the Goals of Cognitive Behavioral Therapy? 

Cognitive behavioral therapy aims to help individuals identify and challenge negative thought patterns, develop healthier coping skills, and make positive changes in their behavior. Through a collaborative process between therapist and the individuals, the goals of CBT may include reducing symptoms of anxiety, depression, and other mental health concerns, improving problem-solving skills, improve self-esteem, and promote overall well-being. By working towards these goals, clients can experience lasting improvements in their mental health and quality of life. Additionally, CBT often involves practicing specific cognitive behavioral therapy exercises designed to reinforce learning and continue progress outside of therapy sessions. These exercises may include keeping thought records, engaging in exposure exercises, practicing relaxation techniques, and to test new ways of thinking and behaving.


What is the Difference Between a Therapist Doing CBT Versus Using CBT Strategies? 

While many therapists incorporate cognitive behavioral therapy strategies into their practice, there is a difference between therapists who specialize in CBT and those who use CBT techniques as part of their broader approach. Therapists trained in CBT complete extensive education, and supervised practice to master the principles and techniques of comprehensive CBT. They also adhere to the structured framework of CBT, and focus on identify and modifying to achieve therapeutic goals. On the other hand, therapists who use CBT strategies into their practice may use certain techniques or principles from CBT concepts with a more flexible therapeutic approach. While they may draw from CBT concepts, their treatment approach may not be as structured compared to a CBT specialist.



CBT Strategies in More Specialized CBT Protocols

Also, it’s important to note that some therapists may use CBT, but may not call themselves a “CBT therapist” or consider themselves a CBT purist, because they actually tend to use more specialized forms of CBT. In general, this is probably the best the best way to describe the therapists at Aspire Counseling.

Theoretically, all of our therapists might be able to be called “CBT therapists” because we all have training in CBT methods and use techniques that address the interconnectedness of these three things. However, that description doesn’t feel right to most of us. We wouldn’t consider most of our clinicians “CBT purists.” Our clinicians generally go a step further and will use a specific protocol that has been further developed to help with a more specific issue.

For example, if you’re struggling with insomnia, we might use CBTi which is absolutely CBT but it’s developed to be more specific to focus in completely on insomnia and uses techniques and approaches under the bigger “CBT” umbrella that will be particularly helpful with insomnia.  

Or, if you’re struggling with trauma, we are very likely to use CPT, or Cognitive Processing Therapy which is a specialized protocol that many of our therapists are trained in to specifically look at your thoughts, feelings and reactions related to the trauma you experienced.  While basic CBT might be helpful following a trauma, the more specialized Cognitive Processing Therapy (CPT) protocol is going to help you heal faster from PTSD.

How Do I Practice CBT by Myself? 

The goal of a CBT therapist, and honestly of most therapists, is to work ourselves out of a job.  A CBT therapist will be working from day one to help you apply the techniques you learn in counseling sessions in your everyday life. The goal of using CBT is to become an expert at using these strategies freely, allowing you to navigate various challenges and regulate your thoughts, emotions, and behaviors effectively. So, the idea is that for years after you stop therapy you’ll still be able to identify when you’re falling into unhelpful patterns, use the techniques you’ve learned and move toward healthier thoughts/feelings/behaviors.


However, going on a journey of self-guided CBT requires a solid foundation, which is best set up through collaboration with a skilled therapist. Working closely with a therapist provides you with the necessary guidance and support to learn and use CBT techniques that fits with your unique needs and circumstances. By first mastering these techniques under the guidance of a therapist, you not only enhance their effectiveness, but also avoid the risk of encountering difficulties or setbacks along the way. This approach ensures that you fully understand what Cognitive Behavioral Therapy does, and allows you to benefit more.  

Counseling Near Blue Springs Missouri

At Aspire Counseling, our clinicians offer compassionate and effective therapy services for teens and adults experiencing a wide range of challenges, including anxiety, trauma, depression, OCD, grief, and more. Our experienced therapists utilize evidence-based practices such as EMDR, CBT, ERP and more to tailor treatment plans to your unique needs and goals. 

Whether you’re seeking support for yourself, your teen, or a loved one, we’re here to help. With in-person services available at our Lee’s Summit location or Columbia MO location, as well as virtual therapy options accessible to anyone in the state of Missouri, we make it convenient for you to prioritize your mental health. 

Don’t wait any longer to start your journey towards relief, healing, and growth. Reach out and contact us today to schedule a free consultation and take the first steps toward prioritizing your mental health.