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What is CBT? Understanding Cognitive Behavioural Therapy for Mental Health

Usman Khan
Author: Usman Khan

Publish Date: 26 August 2025

This blog explains what cognitive behavioural therapy is, how it works, key CBT techniques, and CBT exercises that help in emotional recovery. If you’re managing anxiety, depression, or stress, CBT is your go-to therapy for recovery.

What is Cognitive Behavioural Therapy?

Cognitive Behavioural Therapy (CBT) is a short-term, evidence-based psychological treatment. It focuses on identifying negative thinking patterns and changing unhelpful behaviours.

Developed in the 1960s, CBT is widely recommended for anxiety, depression, PTSD, and more. It works on the simple principle: “Our thoughts influence our feelings and behaviours.”

So, CBT helps you to understand how your thoughts affect your feelings and actions.

Unlike other traditional talk therapies, CBT is more than just talking; it is goal-focused and structured. Sessions often include homework tasks, tracking thoughts, and behavioural experiments.

With resources like Saalvio CBT modules, users can start their healing journey from home.

How does CBT work? CBT adopts the ABC model:

One of the best and most effective tools employed in Cognitive Behavioural Therapy (CBT) is the ABC Model.

If you’ve ever caught yourself reacting emotionally without really knowing why, this model accounts for that process.

So, how exactly does CBT work? Let’s study it.

What is the ABC Model of CBT?

The ABC model is one of the approaches to understanding how what we believe and think affects our emotional and behavioural response.
 ABC means:

A – Activating Event:

This is the situation or occurrence that leads to your reaction. It could be something a disagreement with a friend, a professional setback, or even waking up in a poor mood.

B – Beliefs:

This is your personal explanation of the event. It contains your automatic thoughts and the personal assumptions that you hold about the world and yourself.
For example
“I’m a failure”, or “Nobody likes me.”

C – Consequences:

These are just some of the emotional and behavioural effects of it all.

It may be anxiety, social withdrawal, or non-productive behaviours such as excessive eating or escapism.

How Does the ABC Model Work in CBT Sessions?

During CBT therapy, therapists engage with clients to try to decelerate this process

and examine each link in the chain of ABC.

Let’s say that your activating event (A) is getting negative feedback on the job.

Your belief (B) might be:

“I just can’t do anything right.”

The outcome (C) could be: Hopelessness, avoiding new responsibilities, or doing less work. With CBT, your therapist helps you become more aware of these automatic negative thoughts, challenge them, and replace them with more balanced and healthier ones. Rather than saying, “I can’t do anything right,” you can rephrase it as: “I made a mistake, but I can learn and improve.”

In CBT sessions, therapists help clients identify automatic negative thoughts, challenge their accuracy, and replace them with balanced thoughts.

Tools like mood diaries and thought records (available on the Saalvio app) help track thought patterns.

Tools That Help Apply the ABC Model

To make applying the ABC model more practical, CBT often leans on straightforward worksheets and exercises.

  1. Mood diaries let you jot down feelings daily, spot what sets them off, and see patterns over time.
  2. Thought records ask you to pick a tough moment, note the thoughts that came up, measure the emotions attached, and then write a fairer counter-thought.
  3. Behavioural experiments invite you to challenge negative beliefs head-on. If you think I am bad at making friends, for instance, you start a brief chat and write down how it actually went and what you learned.

Who Can Benefit from CBT

Individuals with anxiety disorders, depression, stress, OCD, PTSD, and phobias benefit from CBT.

Students experiencing exam anxiety, workers with work-related stress, or anyone feeling emotionally drained might benefit from CBT.

CBT is best for individuals looking for action-oriented tools for mental health instead of open-ended discussion therapy.

Why Choose CBT for Mental Health?

Why CBT? Because it works! CBT has established results in decreasing psychological symptoms for many conditions.

It promotes enduring coping skills instead of providing immediate relief.

CBT is flexible for online, offline, or a combination of both.

The NHS UK and APA studies identify CBT as a first-line treatment for depression and anxiety.

With the support of  Saalvio’s CBT, therapy becomes accessible and welcoming. Moreover, the Saalvio CBT-trained ThriveAI chatbot is available 24/7 to support you whenever you need to express your emotions.

What are CBT Exercises?

What are CBT exercises? These are therapist-guided activities designed to change thought patterns and behaviours.

Some common CBT exercises include:

  • Thought Records: Track and reframe negative thoughts
  • Behavioural Experiments: Test anxious predictions
  • Activity Scheduling: Plan a positive, mood-boosting task.
  • Mindfulness Practices: Stay present and reduce overthinking

Saalvio’s CBT service offers guided worksheets for these exercises to overcome your mental illnesses efficiently.

What Are CBT Techniques?

What are cognitive behavioural therapy CBT techniques?

CBT uses structured techniques like:

  1. Cognitive Restructuring: Challenge distorted thinking
  2. Graded Exposure: Gradually face fears
  3. Problem-Solving Therapy: Tackle day-to-day stressors
  4. Relaxation Training: Manage physical symptoms of anxiety
  5. Homework Assignments: Reinforce learning outside sessions

These CBT techniques empower clients to build resilience and emotional control.

Users can access Saalvio’s Self-help CBT toolkit for guided practice.

What Does a Typical CBT Session Look Like?

A standard CBT session lasts between 45 to 60 minutes and follows a structured format:

  1. Check-in: Review feelings and mood since the last session.
  2. Set the Agenda: Decide what topics to cover today.
  3. Review Homework: Discuss exercises done during the week.
  4. Main Discussion: Address key thoughts, behaviours, and feelings.

Plan New Homework: Set small, manageable tasks for the next week.

Why is Homework Important in CBT?

One of the most important features of Cognitive Behavioural Therapy (CBT) is doing homework assignments between sessions.

Why is this cognitive behaviour therapy necessary?

CBT is about doing in life what you learn in therapy. Homework is rehearsing new skills, monitoring your thoughts, and looking for patterns in the way you think.

Some common CBT homework tasks include:

•Maintaining a thought diary
• Testing a new coping mechanism
• Practicing relaxation techniques
• Testing negative thoughts against reality

Saalvio’s CBT worksheets make it easy to complete and track these homework activities digitally.

Is CBT supported by research?

Yes. CBT sits at the top of the pile when it comes to research on mental health treatments.

Clinical studies from the APA, the NHS, Harvard Medical School, and even the World Health Organization show CBT works.

The numbers show that CBT

  • Reduces anxiety symptoms by up to 60 per cent
  • Improves depression within about twelve sessions
  • Delivers lasting benefits, even after the last therapy appointment.

Who Should Consider CBT?

Anyone who feels stuck in negative thinking and has a low mood or feels anxious can benefit from CBT.

If you experience:

  • Persistent anxiety
  • Negative thinking patterns
  • Ongoing stress
  • Low mood
  • Emotional overwhelm

It is a good option if you want practical steps to manage your mental health. If your symptoms feel severe or long-lasting, speak to a mental health professional.

The Saalvio app can also help if you want to start on your own.

Why Choose CBT Over Other Therapies?

There is no one-size-fits-all solution to every mental illness. Some people want to talk endlessly about their childhood, and that’s okay. But CBT? It is for those who want tools they can start using today.

  • CBT is structured
  •  Sessions have clear goals
  •  It focuses on present issues

How Does CBT Work in Real Life?

For instance, if someone believes “I always fail at everything”, CBT will help them to test this against the evidence from their actual life.

Gradually, this negative thought will be replaced with something like “I have succeeded at some things and I can improve at others”.

Example:

Mr. H was a 30-year-old software engineer who had social anxiety.

In office meetings, he would refuse to speak, thinking to himself:

“If I say something, I will embarrass myself”

CBT allowed him to recognize and challenge these negative thoughts. Mr. H began a thought record, logging situations where he felt anxious, and his thoughts and feelings in response to them.

He then attempted a small behavioural experiment: making one brief comment in the next meeting.
To his relief, no one judged him, and one of his colleagues even agreed with him.
Through practice, as well as using cognitive restructuring and graded exposure, Mr. H’s confidence increased.

Conclusion

CBT can help people develop and strengthen their emotional health and well-being by restructuring the way they think and behave. Whether individuals decide to access face-to-face CBT services or utilize digital resources like the Saalvio app, it provides a framework of manageable steps to achieve reduced feelings of anxiety, depression, and stress and improved emotional resilience.

  • Access guided CBT exercises
  • Track your mood progress
  • Connect with mental health experts

FAQs

1. What is CBT used for?

CBT treats anxiety, depression, PTSD, OCD, phobias, and more. It improves thought patterns and emotional responses.

2. How does CBT work for anxiety?

By helping identify and challenge anxious thoughts, CBT gradually reduces anxiety symptoms through exposure and cognitive restructuring.

3. What are the best CBT techniques for depression?

 The most helpful CBT techniques for depression include cognitive restructuring, problem-solving, and behavioural activation.

4. Is CBT effective for everyone?

CBT works for many people, but not for all. Some people may need other treatments along with CBT.

5. What CBT exercises can I do at home?

Start with thought records, activity scheduling, and mindfulness breathing. Saalvio offers digital CBT worksheets for beginners.

Usman Khan, Psychotherapist & Mental Health Educator.
Usman Khan - MD, MPH, MACP, RP Psychotherapist & Mental Health Educator

Usman Khan brings a rare blend of medical training, public health experience, and psychotherapy expertise to his work with clients. He focuses on anxiety, trauma, grief, depression, and post-accident recovery, with a strong interest in culturally and spiritually informed care. He works primarily with adolescents and adults, offering practical, individualized support grounded in evidence-based methods.

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