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How and why CBT works, most of the principles and practices of CBT probably won't surprise you.

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For example, facing our fears to overcome them is hardly a novel idea.

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As we will see, CBT is not just about what we do, but also about how we do it.

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Let's consider aspects of the CBT approach that make it so beneficial.

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Breaking it down.

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CBT breaks down big challenges into smaller, more manageable pieces.

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An overwhelming feeling of depression, for example, can be broken down into a collection of more manageable

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thoughts, feelings and behaviors.

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We can then match specific techniques to each component, such as cognitive restructuring, to address

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depressed thinking.

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CBT also breaks down tasks into a series of doable steps.

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Structured training, knowing what we need to do to feel better, is helpful, but gets gets us only

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so far, um, the systematic and structured training of CBT ensures we get an adequate dose of the techniques

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that can bring relief.

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For example, we might be aware that our angry thoughts are biased, but when we actually write down

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the thoughts we're having, we're in a better position to examine them carefully and replace them as

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needed.

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Repeated practice, most of the work in CBT happens outside the therapy office or after the training

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we do about CBT.

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It's not easy to build new habits, especially when we are extremely well practiced in doing things

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that aren't working for us.

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It takes repetition to reprogram our automatic responses to difficult situations.

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Clinical sounds from the start, CBT has been about evidence and outcomes.

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Does it work?

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How effective is it?

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Because the treatment sessions are clearly laid out.

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CBT programs can be standardized and tested against control groups.

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Based on these clinical trials, we can have an idea of the average effect a certain number of sessions

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will have on a particular condition.

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Recent studies have extended these findings to confirm that CBT can be effective even without a therapist

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attention.

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If you're suffering from severe depression, having serious thoughts of hurting yourself or experiencing

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other major mental health issues.

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Contact a psychologist or psychiatrist or other health professional.

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If you're experiencing a psychiatric or medical emergency, go to your nearest emergency room.