02/10/2026
Misconceptions of CBT
Cognitive behavioral therapy has been one of the most tested therapeutic interventions, and yet many people, including therapists, have some misconceptions about it. The top three I encounter are:
1. CBT does not care about your past. Yes, the work focuses on the present moment, but we also need to understand how negative thoughts and patterns develop, which comes from really learning a person’s history.
2. CBT only focuses on symptoms and will not heal anything. Really? CBT teaches new patterns of thoughts, emotions and behaviors, all of which contribute to healing. My favorite analogy for CBT is using physical therapy to treat (and heal) an injury.
3. CBT cannot treat trauma, eating disorders, etc. For many psychological challenges, there are well tested protocols for treatment, often the only proven treatment for those conditions.
CBT may not be the hot new trend. It definitely can feel overly structured at the start. It also can be truly life changing (and healing).