Cognitive Behavioural Therapy
Cognitive Behavioural Therapy
Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach that helps individuals understand the connection between their thoughts, feelings, and behaviours. CBT stresses that while we cannot always control our circumstances, we can learn to change the way we interpret and respond to them. By identifying unhelpful thinking patterns and replacing them with more realistic alternatives, people often find that their emotional experiences become more manageable, and their actions more aligned with the life they want to lead. As thinking becomes more flexible, people tend to feel more satisfied, grateful, and in control. They begin to respond rather than react, which often creates a calmer internal world and a more peaceful environment around them.
For many people – including Dr Esther Cole, Dr Joy Wong and their families – the benefits accumulate over time. Skills such as cognitive reframing, behavioural activation, and problem-solving become part of our daily habits. This leads to an increased sense of stability, resilience, and emotional clarity. Over the years, practising CBT has helped us feel more grounded and confident when facing stress, disappointment, or uncertainty.
Exposure and Response Prevention (ERP)
1.Gradually face the thoughts, situations, or bodily sensations that trigger fear or anxiety (the exposure), and
2. Stop yourself from doing the usual behaviours—mental or physical actions —that reduce the anxiety in the moment, but actually make the anxiety worse (the response prevention).
This allows your brain to learn that the feared situation is actually safe (i.e. a fear of contamination of others in OCD), and that anxiety naturally peaks and then falls without you having to avoid your feared situation or wash your hands excessively.
You start by building a fear/trigger hierarchy using a worksheet like this.
You and your therapist list feared situations from the least to most distressing.
You then gradually exposure yourself to the fear.
Start with the easiest goals on your fear Ladder. Give yourself or your child rewards as they go up their fear ladder. The key is prolonged, repeated exposure until anxiety drops on its own. Set up an experiment to test a belief you have about tackling your fear, and bring your worksheet to the first session.
Resources
Please listen to how Kate has managed to change her life with CBT. Kate used to think rather negatively which had impacted her sleep, work and social life. Since she started her CBT sessions, she has been thinking more flexibly instead of being upset easily by black-and-white thinking. Instead of responding to the pouring rain with ‘Oh no!! My newly planted roses are all going to be dead….’ She would now say, ‘Oh great! I won’t need to water my roses tomorrow!’
Today, Kate feels much lighter and she is able to sleep and enjoy her life more fully with her husband.