Cognitive-behavioral therapy (CBT) is a common type of psychological therapy often used to treat anxiety disorders as well as depression that may be present in your daily life. According to scientific research studies, cognitive behavioral therapy is as effective in the treatment of depression as antidepressants and psychiatric medications.
An optimal treatment plan for many conditions is often psychiatric medication in conjunction with cognitive behavioral therapy, including online therapy. However, this is context-dependent. If a person is living with anxiety and feels that they don't need medication, CBT counseling is a great place for that individual to start and may result in changes in behavioral patterns over a relatively short period of time.
Understanding cognitive behavioral therapy (CBT): A short, structured therapy approach to mitigate therapeutic risks
Cognitive-behavioral therapy (CBT), like cognitive processing therapy, is a type of psychological therapy that teaches people or a person about distortions and thought patterns. Often, clinical practice clients are unaware of these unhealthy patterns of thinking until they learn about how they impact their lives in a negative way, and at that point, they can change the way they think about things through online therapy CBT with licensed CBT therapists.
Benefits of cognitive behavioral therapy (CBT)
The benefits of cognitive behavioral therapy (CBT) include new coping skills, relaxation techniques, problem-solving skills, stress management, emotional control, and improvement of symptoms from mental health disorders. Cognitive behavioral therapy (CBT) can lead to both short-term and long-term benefits for mental health. Cognitive behavioral therapy (CBT) can help people manage mental health challenges effectively.
What mental health conditions can cognitive behavioral therapy (CBT) treat?
CBT treatments can help individuals manage the following conditions and disorders, and in some cases, may complement other approaches like psychosexual therapy.
- panic disorder
- bipolar disorder
- obsessive-compulsive disorder
- post-traumatic stress disorder
- personality disorders
- eating disorders
- substance use disorder
- anxiety disorders
- certain physical health challenges, such as irritable bowel syndrome and insomnia
- other mental illness can benefit from cognitive behavioral therapy
Beyond these examples, CBT may also help reduce ADHD symptoms and symptoms of mood disorders, such as depression and bipolar disorder. People struggling with everyday challenges and life transitions, such as marriage, parenthood, grief, relocation, and work challenges may also benefit from CBT.
How does CBT therapy work? A medical understanding
In your first cognitive behavioral therapy session with a CBT-licensed mental health professional or therapist, you will learn that cognitive behavior therapy has several core principles and works by addressing unhelpful behavior and thinking patterns that may contribute to negative emotions and worsen the symptoms of mental illness.
When they practice CBT, your therapist helps you to identify these unhelpful patterns and replace them with more helpful ones. This strategy, combined with constructive coping mechanisms, can help create lasting behavioral change, make stressful situations easier to manage, and reduce the symptoms of multiple mental health conditions.
One of the thinking patterns that cognitive behavioral therapy (CBT) and talk therapy aims to manage is cognitive distortions. Read further to see if you personally experience some of the other forms of distortions and could benefit from psychological treatment using cognitive therapy:
Filtering: Impact of cognitive distortions
"Black and white" thinking: Connection to anxiety disorders, depression, stress, and more
Behavioral techniques and interventions used in CBT
A CBT therapist helps patients recognize and overcome distortions like the ones listed above, practice positive behaviors, and build problem-solving skills they can apply in their daily lives. Over the course of cognitive behavior therapy treatment, they may use various mental and behavioral interventions, such as
Reframing: Reframing involves changing negative thoughts to more constructive ones. For example, instead of telling yourself, “My last relationship ended so I’ll never find love,” you might tell yourself, “That relationship may not have been the right fit, but the right person for me is out there.”Behavioral activation: This technique involves having patients do activities they enjoy, even when they lack motivation, based on the idea that just initiating the activity may help make it enjoyable. Behavioral activation may be especially helpful for managing symptoms of depression.
Journaling: CBT often involves “homework” in the form of worksheets or journaling prompts. These are intended to help patients build a deeper understanding of their thoughts, feelings, and responses to stressful situations. Building this awareness may help patients recognize distortions in their everyday thinking.The role of mindfulness in CBT
Some therapists may also incorporate mindfulness meditation training into their cognitive behavioral therapy practice. Mindfulness involves passively observing experiences, thoughts, and feelings as they arise, without judgment, while attempting to stay present in the moment. Mindfulness may help improve stress management, reduce negative emotions, promote symptom reduction in conditions like anxiety and depression, and improve patients’ emotional regulation.
How CBT works in different settings
CBT may be practiced in either individual therapy sessions or group therapy sessions. From a clinical perspective, group CBT works similarly to individual CBT, in that mental healthcare providers help participants identify and shift unhelpful thought patterns. There may be less one-on-one guidance in group settings. Participants may be encouraged to practice techniques as a group, discuss their experiences with one another, and offer support and encouragement to one another.
Studies show positive clinical implications of group CBT. For instance, in a 2025 study, researchers found that brief CBT in a group setting effectively reduced symptoms of depression and anxiety while improving self-esteem and mental health.Benefits of cognitive behavioral therapy
Learning cognitive behavioral therapy techniques during sessions with your therapist in treatment, including cognitive distortions and thought records is extraordinarily helpful for people with anxiety, depression, eating disorders, or other types of mental illness. Cognitive behavioral therapy is a treatment-based solution that provides insight and understanding into our emotional challenges and can better our lives with the development of coping skills, positive behaviors, problem-solving skills, and pathways to healthier thinking. Beyond their mental health applications, the behavior management techniques patients develop in cognitive-behavioral therapy may also be applied to everyday challenges, such as stressful situations at work and conflicts in relationships.
What to expect from cognitive behavioral therapy (CBT) sessions: Emotional care with a therapist and cognitive therapy techniques to treat behavioral challenges
A cognitive behavioral therapist helps patients using cognitive behavior therapy. However, even if they primarily practice CBT, they may combine it with other forms of treatments like exposure therapy or dialectical behavior therapy, to address psychological problems in therapy sessions. They may also give you additional tools for behavior management, coping skills for managing stressors, and suggestions on how to implement their advice in your daily life. Depending on the therapist, this sometimes involves homework, such as journaling, to help you build emotional awareness and practice shifting unhelpful thoughts.
When you have your first therapy session, your therapist will likely start by asking you about your life, background, current concerns, and whether there are any specific mental health concerns you hope to address. They may also help you identify individualized treatmentgoals to work toward. Understanding your unique needs can help your therapist find the right combination of treatments for your situation.
one or more self care & clinical tools
How CBT therapy can help treat anxiety, obsessive-compulsive disorder, and other mental health conditions
Cognitive-behavioral therapy has a wide range of clinical implications. The clinical practice of many therapists is used to treat post-traumatic stress disorder, eating disorders, obsessive-compulsive disorder, and an array of other psychological problems. CBT techniques may even help reduce symptoms of chronic pain by helping to regulate the central nervous system. CBT sessions use clinical psychology-approved cognitive therapy techniques to teach coping mechanisms to people learning to manage a mental illness. Through cognitive behavioral therapy examples, a psychologist may prescribe medications to enhance treatment in rare cases.Clinical trials and studies have found that CBT can lead to a significant improvement in mental health symptoms. A systematic review from 2024 found that CBT led to significant symptom reduction in individuals with depression, while another analysis from 2020 found that CBT led to improved outcomes for patients with anxiety disorders. A 2018 study of patients with PTSD and depression found that CBT led to increased brain activity in multiple brain regions involved in attention, planning, and goal-setting.
CBT and coexisting conditions
Cognitive-behavior therapy may also have clinical implications for people with multiple mental health conditions at once. Because certain mental illnesses often co-occur—for instance, depression and anxiety disorders—treating one with CBT may sometimes help reduce symptoms of the other, and may provide coping skills that can be applied to both.
That said, this can depend on the exact combination of conditions. Furthermore, certain other psychiatric disorders, including some personality disorders, may respond better to other types of therapy. For instance, although borderline personality disorder (BPD) can often co-occur with depression, BPD may be best treated with dialectical behavior therapy, or DBT.
Online cognitive behavioral therapy
Benefits of online cognitive behavioral (CBT) therapy for mental health: Managing substance use disorder and addiction, bipolar and eating disorders, mindfulness, and more
There are many cognitive behavioral therapists at BetterHelp who can teach you valuable skills in recognizing your own cognitive distortions and how to change them through online therapy sessions. Even if you don’t have health insurance, talk therapy can be affordable and may help you deal with behavioral responses that impact your mental health.
Online CBT support for OCD, substance use disorders, prevention and help with addiction treatments, and other mental health conditions
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Choosing the right CBT approach for your mental health needs
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“Kelsey is warm, responsive, and flexible in working with her clients' needs. I'm primarily doing cognitive behavioral therapy with her to change some distressing behaviors, and her support and concrete actions have guided me well.”
“Jackie consistently guides and supports my progress, while creatively challenging my cognitive distortions. I feel super fortunate to have Jackie as an intelligent and compassionate counselor who lifts my eyes up and into focus.”