Cognitive behaviour therapy has been shown to be extremely effective with a wide variety of problems and issues.
One of the most effective and common uses of CBT is for anxiety related disorders. This includes panic attacks, generalised anxiety and specific phobias or social phobias.
The basic treatment is to engage the thinking skills of the client, so that you begin thinking about what is making you anxious and why. Relaxation methods are strongly recommended and in anxiety provoking situations, using relaxing thoughts to counter anxiety is part of the CBT treatment. With enough experiences with transforming anxiety into relaxation, the symptoms of the anxiety disorder resolve.
Another common disorder that cognitive treatment is used with is mood disorders like depression. An example of how CBT treatment would work for depression would include the following steps:
1. Keep track of depression symptoms during the week (sleepiness, down mood, poor concentration, etc)
2. Note what thoughts were being experienced when depression symptoms were strongest (I can’t believe I lost my job, this will never get better, I’m a loser, etc)
3. Learn to assign counter-thoughts for negative thoughts (I’m a loser/I’m a winner, I can’t believe I lost my job/I will find another wonderful job).
4. Learn to assign activities to encourage healthier mood (sit outside for 1 hour each day when weather allows to encourage serotonin production, talk a walk every day, go to social activity once a week).
5. Assign activities to encourage positive reinforcement (apply for 5 jobs every week, research alternative career paths, etc).
6. Assign positive self statements or more realistic self statements (I am a worthwhile person, I do have transferable skills, I am an outgoing personable individual, My friends like me and enjoy my company etc).
7. Review negative feelings/thoughts versus positive feelings/thoughts.
Generally, speaking cognitive behaviour therapy seeks to address negative thoughts and feelings that have become a pattern and transform them into positive and more productive thoughts and feelings about the situation.
Some clients and therapists may decide to combine CBT with mood stabilising antidepressant or anti-anxiety medication, which is the most effective combination of treatments. Taking Medication is not a requirement of participating in CBT.