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  • Writer's pictureEugene Roginsky

HOW CAN EVIDENCE-BASED THERAPY HELP - Cognitive Behavioral Therapy


HOW CAN EVIDENCE-BASED THERAPY HELP: A Guide to Cognitive Behavioral Therapy (CBT) by Eugene Roginsky, LCSW

As a Licensed Clinical Social Worker, I have witnessed firsthand the profound impact that Cognitive Behavioral Therapy (CBT) can have on individuals struggling with a wide range of mental health challenges. CBT is a highly effective and evidence-based approach that empowers individuals to identify and challenge negative thought patterns, change harmful behaviors, and cultivate healthier coping strategies.

In this article, we'll dive deeper into the principles of CBT, including cognitive restructuring, behavioral activation, and exposure therapy, and explore practical techniques for applying these strategies in everyday life.

Understanding Cognitive Restructuring:

At the heart of CBT lies the principle of cognitive restructuring, which involves identifying and challenging distorted or irrational thoughts that contribute to negative emotions and behaviors. This process begins with increasing awareness of one's thoughts through techniques such as journaling or keeping thought records. Once identified, individuals learn to question the accuracy and validity of these thoughts, replacing them with more balanced and rational alternatives. For example, a person struggling with social anxiety may challenge the thought, "Everyone is judging me," by considering evidence to the contrary and adopting a more realistic perspective, such as, "Some people may notice me, but most are focused on themselves."

Embracing Behavioral Activation:

Behavioral activation is another key component of CBT that focuses on increasing engagement in rewarding and meaningful activities to counteract depression and low mood. This involves identifying activities that bring a sense of pleasure, accomplishment, or connection, and scheduling them into one's daily routine. By breaking the cycle of avoidance and withdrawal, individuals can experience a gradual improvement in mood and motivation. For instance, someone struggling with depression may commit to going for a nature walk, meeting a friend for coffee, or pursuing a hobby they once enjoyed, despite initial feelings of lethargy or disinterest.

Confronting Fear with Exposure Therapy:

Exposure therapy is a powerful technique used to treat anxiety disorders by gradually confronting feared situations or stimuli in a controlled and systematic manner. The goal is to desensitize the individual to their fears, reduce avoidance behaviors, and build confidence in their ability to cope with anxiety-provoking situations. This can be done through mental exposure (mentally rehearsing feared scenarios), interoceptive exposure (experiencing bodily sensations associated with anxiety), or in vivo exposure (directly confronting feared situations or objects). For example, someone with a phobia of flying may gradually expose themselves to airplanes by first looking at pictures, then visiting an airport, and eventually taking short flights with the support of a therapist.

Integrating Practical Examples for Application:

Let's consider a hypothetical scenario to illustrate how these CBT techniques can be applied in real life. Sarah, a 35-year-old professional, struggles with chronic worry and perfectionism, which often leaves her feeling overwhelmed and exhausted. Through cognitive restructuring, Sarah learns to challenge her catastrophic thinking patterns by asking herself, "What's the evidence for and against my anxious thoughts? Are there more balanced explanations for what I'm experiencing?" She begins to replace her self-critical inner dialogue with more compassionate and realistic self-talk, such as, "I'm doing the best I can, and it's okay to make mistakes."

Additionally, Sarah incorporates behavioral activation into her daily routine by scheduling enjoyable activities, such as practicing yoga, spending time with loved ones, and pursuing creative hobbies. By prioritizing self-care and pleasure, she notices a gradual improvement in her mood and overall well-being. Finally, Sarah confronts her fear of public speaking through exposure therapy, starting with small speaking engagements in supportive environments and gradually working her way up to larger audiences. With each successful exposure, Sarah gains confidence in her ability to manage her anxiety and deliver presentations effectively.


In conclusion, Cognitive Behavioral Therapy (CBT) offers a practical and empowering framework for addressing a wide range of mental health concerns. By understanding and applying techniques such as cognitive restructuring, behavioral activation, and exposure therapy, individuals can gain greater insight into their thoughts and behaviors, develop healthier coping strategies, and ultimately lead more fulfilling lives. If you're struggling with persistent emotional difficulties, consider reaching out to a qualified mental health professional who can guide you on your journey toward healing and growth. Remember, change is possible, and you deserve support every step of the way.



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