Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy (CBT) is one of the most extensively researched and evidence-based forms of psychotherapy, widely used in the treatment of various mental health difficulties. CBT focuses on the connection between our thoughts, emotions, and behaviours, and how understanding these relationships can contribute to improved wellbeing and positive changes in everyday life. (Estonian CBT Association)

CBT is based on the understanding that the way we think influences how we perceive situations, how we feel, and how we respond. During therapy, individuals learn to recognise automatic thoughts and behavioural patterns that may maintain difficulties or prevent desired changes. Together with the therapist, practical ways are explored to modify these patterns and develop more supportive coping skills.

Who can benefit from CBT?

Cognitive Behavioural Therapy is commonly used for:

  • anxiety disorders and excessive worry;
  • depression and low mood;
  • panic attacks;
  • obsessive thoughts and compulsive behaviours (OCD);
  • sleep difficulties;
  • managing stress and burnout;
  • challenges related to life changes, relationships, or self-esteem.

CBT methods can be adapted to each person’s individual needs and are used both in individual therapy and group therapy settings. (Estonian CBT Association)

How does CBT therapy work?

CBT is a structured and goal-oriented form of therapy. The first sessions usually focus on gaining a better understanding of the person’s concerns, goals, and current situation. Together with the therapist, an individualised plan is then developed to support progress towards meaningful change.

During therapy, a person may learn to:

  • recognise and evaluate their thoughts in a more balanced and realistic way;
  • cope more effectively with difficult emotions;
  • change unhelpful habitual behavioural patterns;
  • use practical techniques in everyday situations;
  • develop skills that help prevent difficulties from returning.

An important part of CBT involves practising skills between therapy sessions, as applying what is learned in therapy to everyday life supports longer-lasting changes. (Estonian CBT Association)

An evidence-based approach

The effectiveness of CBT has been extensively researched, and CBT-based treatment programmes are used for a wide range of psychological and behavioural difficulties. The aim of therapy is not only to reduce symptoms but also to strengthen a person’s skills, resilience, and ability to cope more effectively with challenging situations in the future.