One grows or dies. There is no third possibility.

Oswald Spengler (1880-1936)

Cognitive Behavioural Therapy (CBT)

Cognitive behavioural therapy is a psychotherapeutic approach that deals with cognitions, assumptions, beliefs and reactions, with the aim of influencing emotions and behaviors that relate to maladaptive and dysfunctional appraisal of events. CBT is widely accepted as an evidence, and empiricism, based, cost-effective psychotherapy for many mood disorders such as depression and anxiety. The particular techniques employed vary according to the kind of problem or issue, but commonly may include keeping a diary of significant events and associated feelings, thoughts and behaviors; questioning and testing cognitions, assumptions, evaluations and beliefs that might be unhelpful and unrealistic; gradually facing activities which may have been avoided; and trying out new ways of behaving and reacting. Relaxation, mindfulness, and distraction techniques are also commonly included.

One of the objectives of CBT typically is to identify and monitor thoughts, assumptions, beliefs and behaviors (often formed in childhood) that are related and accompanied to debilitating negative emotions and to identify those which are dysfunctional, inaccurate, or simply unhelpful. This is done in an effort to in a wide array of different methodologies replace or transcend them with more realistic and self-helping ways.

Cognitive behavioral therapy generally is not an overnight process. Even after patients have learned to recognize when and where their mental processes go awry, it can take months of effort to replace a dysfunctional cognitive-affective-behavioral process or habit with a more reasonable and adaptive one. When used in conjunction with psychodynamic psychotherapy CBT allows the client to move beyond symptom reduction through a deeper understanding of likely causes and can provide more effective long term change.