Joanne Regina, M.A., MBABCP, MBACP, EMDR (UK & IRE)
Counselling and Psychotherapy
Cognitive Behaviour Therapy (CBT)
"Your outer world is a reflection of your inner world. To change your circumstances, you must start by changing your internal beliefs, attitudes and emotions." -Ruben Chavez
Cognitive Behaviour Therapy (CBT) is an evidenced-based approach to psychotherapy that aims to alleviate mental health and adjustment problems by addressing problematic cognitive and behavioural patterns that cause life interference and/or excessive emotional distress. Research has shown CBT to be highly effective at treating depression, anxiety disorders, perfectionism, procrastination, low self-esteem, and anger.
CBT examines the transactional relationship between thoughts, feelings, and behaviours. Our thoughts impact how we feel and behave. An “activating event” (what actually happened) is not viewed as the cause of an emotional disturbance, it is rather in the interpretation of an event that disturbance lies. With interpretation, distortion (both adaptive and maladaptive) is inevitable. CBT teaches clients to identify their distorted thoughts, and move towards more adaptive cognitions.
How we think about ourselves, others, and the world around us shapes our experience, and over time, shapes our core beliefs. These core beliefs, (alternately called schemas) become the lens through which we view our current experiences. Through CBT, the client’s faulty cognitions and the underlying core beliefs are challenged. Through repetition and practice of healthier thought processes, the client begins to internalise healthier beliefs which positively impact client’s affective state and behaviour.
CBT can be combined with other treatment modalities to maximise its efficacy and to increase a collaborative understanding of one's difficulties and existing strengths. I often integrate a number of CBT approaches to personalise the therapeutic experience including:
Dialectical Behavior Therapy (DBT)
This skill-based approach incorporates distress tolerance, mindfulness, emotions regulation and interpersonal effectiveness.
Compassion-Focused Cognitive Behaviour Therapy
This approach is designed to help individuals with high degrees of self-shame and self-criticism which negatively impacts self-esteem by exploring thoughts through the lens of acceptance and self compassion.
Schema-Focused Cognitive Behaviour Therapy
This approach is an expansion of traditional cognitive behavioural therapy and integrates attachment theory, psychodynamic concepts, and emotion-focused therapies and is effective in reducing chronic symptoms and Identifying and resolving self-defeating life patterns and deeply rooted emotional themes.
© Joanne Regina Counselling and Psychotherapy