How Do Couples Therapists Use Cognitive Behavioral Therapy?
Cognitive behavioral therapy (CBT) is a well-known therapeutic method for creating change in an individual's thoughts, feelings, and behaviors. While many people are aware of its uses in individual therapy, some may be surprised to learn that CBT can be effectively used in couples therapy as well. Some couples therapists may use this modality to help partners in a relationship identify flawed ways of thinking and interacting and give them the tools to learn to move them in a healthier direction. Read on to learn more about the application of this type of therapy in the context of couples counseling.
What Is Cognitive Behavioral Therapy?
One reason for this is that it’s been proven by extensive research to be an effective method for treating many different kinds of mental health conditions and behavioral concerns. The core tenet of CBT is that thoughts are what cause feelings and behaviors. That’s why its aim is to target flawed, unhealthy, or otherwise unhelpful patterns of thinking, because in doing so, an individual’s feelings and behavioral patterns may change as well. A key component of CBT is developing a sense of mindfulness so that the individual can recognize when these thought patterns are occurring and consciously shift them in a healthier direction.
How CBT Works In Couples Counseling
In the context of individual therapy, it’s easy to see how CBT could be helpful. Take an individual who has an anxiety disorder, for example. Helping them recognize when they’re experiencing anxious thoughts that are unlikely to be true or to come to fruition can be the first step toward adjusting them to include a more realistic perspective. By practicing this process repeatedly over time—both during therapy and outside of sessions—the individual can gradually reshape some instinctive thought patterns that can cause distress.
CBT can work in much the same way in couples counseling. A therapist can help each individual learn to identify any flawed patterns of thinking they may have regarding their relationship, vulnerability, communication, or similar topics and learn to challenge them so they cause problematic feelings or behaviors less often. Some ways a therapist may use CBT in the context of couples counseling may include the following.
Recognizing And Handling Triggers
It’s not uncommon for old wounds, past trauma, or insecurities to come to the forefront in a romantic relationship. Feeling triggered—or having a strong emotional reaction that’s based on a past negative experience and is typically out of proportion to the situation at hand—is common. With CBT, a therapist can help you and your partner identify situations that commonly make one or both of you feel triggered and explore why. Then, they may be able to help you recognize when it’s happening and shift your perspective in the moment to result in calmer conversations.
Challenging Automatic Thoughts
One of the basic tenets of cognitive behavioral therapy is that everyone has automatic thoughts, or snap judgments or conclusions that arise instantly in our minds. When these thoughts are flawed or overly negative, they can result in distressing feelings and behaviors. A cognitive behavioral therapist can help couples learn to recognize the automatic thoughts they may both have in relation to one another and practice challenging them.
For instance, one person may automatically assume that any time their partner is tired, stressed, or in a sour mood it has to do with them and something they did. A cognitive behavioral therapist may help them learn to recognize and challenge the validity of that thought, which may include considering other explanations or using verbal communication to inquire about the root of their loved one’s mood.
Identifying Core Beliefs
Another central theory of CBT is that our thoughts are shaped by our core beliefs. These deep-seated beliefs are often formed in childhood, and many people aren’t consciously aware of them before undergoing CBT. Since core beliefs can have such a significant impact on our thoughts, feelings, and behaviors, identifying them can be helpful in the context of a relationship. Flawed core beliefs—such as a fundamental feeling of unworthiness or the view that emotions are a sign of weakness, for instance—can be a source of conflict between couples. Again, becoming aware of them and consciously working to transform them can help a pair improve their relationship.
Setting Goals For Change
Once the individuals in a couple have become more aware of the relationship between their thoughts, feelings, and behaviors and what beliefs may be causing them, they can begin to work toward change. Goal setting in the context of therapy can be a powerful tool in helping “individuals to identify specific behaviors to change and how to go about doing so”. For instance, a therapist might help a couple devise a goal for more connected, calm conflict resolution, or for more frequent emotional check-ins and communication.
What CBT For Couples Is Not
The idea of changing core beliefs, thoughts, feelings, and behaviors may sound intimidating to some. After all, these elements make up most of who we are. However, it can be helpful to remember that the intention of a cognitive behavioral therapist is not to change who you are. Their job isn’t to tell you what to think or who to be. Instead, you can think of them as an objective observer who can help you get in touch with what your core beliefs, thoughts, feelings, and behaviors are, since it’s common to operate on autopilot without ever stepping back to recognize why we do the things we do. They’re simply there to shine a light on these parts of ourselves we may not otherwise see, and to give us the tools to evaluate and transform them if we choose to.
It’s also important to remember that the job of a couples counselor of any type is not to pick sides or make judgments about who was right or wrong in a particular situation. Again, they’re simply facilitators who can help you communicate more openly with your partner so you can both come to see the perspective of the other. While some may be nervous about discussing the details of their relationship with a neutral party, it can be helpful to recall that therapists are specifically trained to offer a nonjudgmental safe space where clients can express their feelings honestly and constructively.
How To Find A Couples Therapist
If you and your partner would prefer to meet with a couples therapist in person, you can do an online search for providers in your area. Since CBT is such a popular methodology, you’re likely to find that many providers practice it. You can learn about a particular provider’s preferred methodologies on their website, or by asking them directly on the phone or during a consultation. Or, if you’d prefer to meet with someone from the comfort of your own home, virtual couples therapy is an option as well. One study suggests that couples who receive therapy via video call may feel “safer and less judged” than those who received in-person treatment and that they were more comfortable forming a connection with their therapist which enabled effective treatment.
Online therapy may also be a convenient option for long-distance couples who can’t meet together in a therapist’s office regularly, or for those who can’t find the time due to busy schedules. With a virtual couples counseling platform like Regain, you and your partner can get matched with a licensed, experienced couples therapist who you can meet with via phone, video call, and/or in-app messaging to address any challenges you may be facing in your relationship. Since you, your partner and your provider can all attend virtual sessions from different physical locations, many people find this medium to be available and convenient.
While cognitive behavioral therapy is commonly associated with individual therapy, it may also be used to benefit two people in a relationship in the context of couples therapy. CBT is based on the idea that core beliefs cause thoughts which cause feelings and behaviors, and that learning to recognize and shift problematic thought patterns can benefit both an individual and their partner. You can seek cognitive behavioral couples therapy with your significant other online or in person, depending on your preferences.
Frequently Asked Questions (FAQs)
What does cognitive behavioral therapy involve?
Cognitive behavioral therapy involves learning to identify beliefs that cause thoughts, feelings, and behaviors. If one’s beliefs and automatic thought patterns are flawed, they can cause distressing emotions and problematic actions. CBT is based on the concept of developing awareness when it comes to how one’s own mind tends to function and working toward making changes over time if needed.
What is an example of cognitive behavioral therapy?
Imagine an individual with an anxiety disorder who has a tendency to catastrophize, or to assume the worst when faced with the unknown. For example, if they’re meeting a friend for lunch and that person is ten minutes late, the individual might automatically worry that something terrible has happened. Through cognitive behavioral therapy, a counselor can help the individual recognize the fact that their mind automatically makes assumptions like these. Next, they can teach them to question the validity of such thoughts. Eventually, the individual may be able to do this process on their own: acknowledging an unhelpful or flawed thought pattern and not identifying with it to the point that it causes distress.
Can you do CBT on yourself?
Cognitive behavioral therapy should be done by a licensed professional for best results. However, outside of therapy sessions, it can be helpful for an individual to learn more about CBT techniques and practice implementing them. Books written by professionals and supported by clinical evidence can be one source of in-depth knowledge about CBT principles. Your therapist can be another valuable source of this knowledge, and practicing the CBT strategies you learn from them outside of your sessions can help you make progress.
What are three of the goals of cognitive behavioral therapy?
CBT is a goal-oriented therapy modality. Therapy goals will vary from person to person, but there are three main areas that cognitive behavioral therapy typically works to improve. They are: to modify thoughts to make them more productive, to develop and implement coping skills or strategies, and to reach a healthier mental and/or emotional state with decreased symptoms.
What types of disorders are best treated by CBT?
Cognitive behavioral therapy can be highly effective for a wide range of mental health disorders, including panic disorder, obsessive compulsive disorder (OCD), eating disorders, post-traumatic stress disorder (PTSD), and mood disorders such as bipolar disorder and depression. The American Psychological Association also asserts that CBT can benefit those with other concerns, from substance use disorder to marital problems.
How long does it take for cognitive behavioral therapy to work?
Since CBT is generally intended to be a shorter-term form of treatment, the individual or couple may start to see effects more quickly than with other forms of therapy. The American Psychological Association states that CBT is usually implemented for around 12 to 16 sessions. Generally, your length of treatment will depend on what you are there to address, how much you have to work through, and what you find helpful.
What is CBT not good for?
CBT can be beneficial for a wide variety of people and conditions, but in some cases, other forms of treatment may be more suitable. For those who have cognitive conditions or diagnoses that manifest as difficulties with learning, CBT might not be a good fit. Additionally, those with severe psychological conditions may need to prioritize other forms of treatment. Everyone is different, and there are many different types of therapy to consider for those who don't benefit from CBT or cannot engage in it.
What techniques are used in cognitive behavioral therapy?
Some common cognitive behavioral therapy techniques include cognitive restructuring and reframing, mindfulness, keeping thought records, behavior activation, and role-playing. Therapists that practice CBT may also give you homework to do outside of sessions, such as journaling assignments or worksheets, if you’re interested in these methods.
Is CBT good for anxiety?
Research indicates that CBT can be highly beneficial for those who have anxiety disorders. Oftentimes, CBT is the first line of treatment recommended for people with anxiety disorders because of the substantial research that supports the efficacy of this modality.
How do I practice CBT for anxiety?
The best way to practice cognitive behavioral therapy for anxiety is to meet with a mental health provider who uses cognitive behavioral therapy as a modality in their work.
What is cognitive behavioral couples therapy?
Cognitive behavioral couples therapy is a focused therapy modality that deals with both the thinking processes of each individual and the behaviors that these processes produce. It presents couples with a contextual approach to dealing with tensions or conflicts in their relationship, offering them tools and strategies they can use to recognize and reframe flawed thinking patterns.
Can CBT help with relationships?
Cognitive behavioral couples therapy can assist individuals in a relationship in building skills that can help strengthen their connection, from communication skills to problem-solving skills. It can also draw their attention to flawed or unhelpful patterns of thinking in each of them as individuals that may be causing friction in their relationship and give them the tools to shift them.
What is the success rate of cognitive behavioral therapy?
Cognitive behavioral therapy has been well-studied and has been shown to be effective for a variety of conditions, situations, and challenges. The particular success rates may depend on the condition being treated, the individual’s current state of mental health, and other factors.
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