CBT can help you make sense of overwhelming problems by breaking them down into component parts which are connected and enable you to look at how they can affect you.
A typical example might be; As you walk down the road, you see someone you know who seemingly appears to ignore you.
This situation starts a cascade of worry.
Thoughts- He/She ignored me-they don’t like me
Feeling- Low-rejected and sad
Physical- Stomach cramps-muscle tension-low energy
Behaviour- Go home and ignore and avoid them
The thoughts from that example has led to a number of uncomfortable feelings and behaviour which can make you feel worse.
CBT can help you break this vicious cycle by making you aware of the unhelpful thinking styles and give you the tools to challenge and alter your thinking, feelings and behaviours and so change the way they work.
My approach to working with clients is collaborative, non-judgemental and client centred. By working together its often possible to break each problem down into separate parts. To capture this information I often encourage clients to keep a diary. This can help to identify individual patterns of thoughts, emotions and behaviour and together we can work out if they are unrealistic, or unhelpful and how they affect each other and you!
At this stage we can begin to work on how to change unhelpful thoughts and behaviour and work out how to practice putting change in to affect which is often in the form of homework which will be discussed and agreed and reviewed at each session.
CBT aims for the client to get to the point where they are able to use their tools to be able to challenge themselves and help themselves independently by the end of treatment.