Show Notes
What is cognitive behavioural therapy? What's it like to have it? How can it be useful? Is it just 'positive thinking'? (spoiler - it's not). Prof David Clark, Prof Sarah Corrie, Jo and Frank talk to Dr Lucy Maddox. A mix of interviews, myth-busting and CBT jargon explained, this accessible podcast is brought to you by the British Association of Behavioural and Cognitive Psychotherapies. www.babcp.com Podcast episode produced by Dr Lucy Maddox for BABCP Transcript Lucy: Hello, and welcome to Let's Talk About CBT, a new podcast exploring cognitive behavioural therapy; what it is, what it's not, and how it can be useful.
My name is Dr Lucy Maddox, and I'm a consultant clinical psychologist. I use cognitive behavioural therapy, or CBT, a lot in my work, alongside other therapeutic approaches. I also work as senior clinical advisor for the BABCP, which stands for the British Association for Behavioural and Cognitive Psychotherapies.
I thought that a podcast might be a great way of explaining CBT to people who are curious to know more about it. I'm getting lots of experts in the field to come and help me do that. In this episode I'll be interviewing Prof David Clark about what CBT is, I'll be speaking to Jo and Frank, two people who have experienced what it's like to have CBT first hand, and I'll be busting some CBT myths with Prof Sarah Corrie. I'll also be picking a bit of CBT jargon to explain.
First, let's hear what David Clark has to say about what CBT is. David Clark is a professor of experimental psychology at Oxford University, and national clinical advisor to the Department of Health. I caught up with him at the annual conference of BABCP in Manchester, back in July. I started by asking him to explain just what is CBT?
David: So CBT is a psychological therapy which is designed to help people who are troubled by excessively severe or persistent negative emotions.
Emotions are part of everyday life; things happen to us which make us feel happy, make us feel sad. That's an intrinsic feature of just being a human being. But for some of us we get into phases in our lives where we get excessively down or excessively anxious, in a way which persists. And CBT is based on a very old idea about what might be happening in that situation.
It really goes back to the Greeks. And there was a Greek philosopher, Epictetus who said we are not disturbed by the things that happen to us on their own, but rather the way we think about them. And so the central idea of CBT is that when we have excessive negative emotions, it's partly to do with distorted patterns of thinking. We see the world as much more dangerous than it really is, we view ourselves in a much more negative way than is realistic.
So the first thing in CBT is to help people spot their excessively negative and unhelpful thoughts. But it's called CBT because the second thing is behaviour – the first is cognitions, the second is behaviour – and that's because once we start thinking in a negative way, that changes the way we behave, and that can often keep the problem going.
If, for example, you are someone with one of the most common anxiety problems, social anxiety, you would really like to make new friends and things. But when you go to a party and you feel a bit self-conscious, you think maybe people don't like me, you'll leave the room immediately; you'll avoid. And then of course you don't get a chance to meet other people. And so the way in which your thoughts change your behaviour keeps the whole problem going.
And so your therapist will work with you to try and identify your negative thoughts, and also the way in which it changes your behaviour. Nowadays it has got quite elaborate, so there isn't really one thing that you would say is CBT. Really CBT is a lot of different therapies, all of which have a focus on the way you think, the way the thinking changes your behaviour. And also two other things: the way it changes what you remember –
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