At its core, CBT is based on the principle that our thoughts, feelings, and behaviors are interconnected. When negative or distorted thoughts dominate, they can trigger emotional distress and lead to unhelpful behaviors. CBT therapists work collaboratively with clients to identify these negative thinking patterns (often called “cognitive distortions”) and replace them with more realistic, balanced thoughts.
Unlike some forms of therapy that focus heavily on exploring the past, CBT emphasizes present challenges and problem-solving. CBT treatment is typically highly structured, measurable, and time-limited, making it an efficient approach that provides clients with actionable skills to navigate daily life. Clients engage in CBT exercises both during sessions and between sessions (homework) to reinforce the tools they learn.
A CBT psychologist or CBT counselor acts as a coach and teacher, guiding clients through specific skills such as cognitive restructuring, behavioral experiments, relaxation techniques, and mindfulness practices.