 Wellbeing: a guide to happiness What's
so good about CBT?
Harry Potter author J K Rowling revealed last week that she recovered
from serious depression with the help of cognitive behavioural therapy
(CBT). This "talking therapy" is now widely used to help people with a
range of mental health problems. 
What is CBT?
It is a way of discussing how you think about yourself, other people
and the world generally (the cognitive part) and how this affects how
you feel and what you do (the behaviour bit). It can help you change
these things, which can improve your symptoms. Importantly, unlike some
other talking treatments, it focuses on "now" and how to improve the
way you're currently thinking and feeling, rather than looking back at
causes of distress in the past.
Who benefits from it?
The Royal College of Psychiatrists says CBT is "as effective as
antidepressants for many types of depression" and "one of the most
effective treatments for conditions where anxiety or depression is
the main problem". CBT can reportedly help alleviate many conditions,
including anxiety, depression, phobias, obsessive compulsive disorder,
schizophrenia and bulimia.
How does it work?
It involves breaking your thought patterns and behaviour down into
smaller bits to help you understand how they're connected. Broadly
speaking, these parts are: a situation, thoughts, emotions, physical
feelings and actions.
Give an example.
OK: you've had a bad day, so you go shopping. As you walk down the
road, you pass someone you know who, apparently, ignores you. How do
you react? There are unhelpful ways, which will tend to make you feel
worse, and helpful ways. In the first scenario, your first thought
might be: "He ignored me - he obviously doesn't like me." Then negative
emotions would follow: feelings of sadness and rejection. They might in
turn lead to physical symptoms such as feeling sick and low on energy.
All that would influence your behaviour.
You have no actual evidence that the person doesn't like you. But
you've ended up feeling bad about yourself and behaving unhelpfully.
What would be the helpful reaction?
You could start by thinking: "He looks a bit wrapped up in himself. I
wonder if something's wrong?" You would be concerned, in a friendly
way, but have no adverse physical feeling. You would continue your
shopping trip, making a mental note to get in touch to make sure your
acquaintance was OK. That in turn would give you the chance to correct
any lingering misconceptions you might have - and you'd probably feel
better about yourself.
And that's it?
Well, it's not quite as simple as that. If you're thinking negatively,
your thoughts, emotions and actions can start to reinforce each other,
and your behaviour can even prompt new situations that leave you
feeling worse. Ultimately, as the Royal College points out, "you can
start to believe quite unrealistic (and unpleasant) things about
yourself". When we are distressed, it explains, we are more likely to
jump to conclusions and interpret things in extreme and unhelpful ways.
CBT helps you see the individual parts of the process and change them.
So how is it done?
Either individually or in groups,
or even with books or a computer programme. For more information on CBT, start at www.mind.org.uk/information .
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