Cognitive Analytic Therapy
As children, we are
sometimes faced with situations which cause us emotional difficulties for which
we have to create our own coping strategies.
Although these strategies may work for us at the time, as we get older
they become fixed, repeating and often harmful patterns which no longer bear
any relevance to our current situation and which leave us asking ourselves,
‘Why do I always end up feeling like this?’
Frequently they will impact on our relationships and cause us to make
the same mistakes over and over again.
What is Cognitive Analytic Therapy and how can it help?
Simply put, Cognitive
Analytic Therapy (CAT) is a form of therapy in which the client and the
therapist work closely together to establish how an individual’s emotional or
psychological problems arose, precisely what their maladaptive patterns of
behaviour look like and just how effective or otherwise their strategies have
been in dealing with the difficulties with which they were and are now
faced. As in most cases the patterns
stem from the client’s earlier years and their relationships with significant others,
this involves reaching back into their childhood. Once these have been identified, the aim of
the therapy is to find new and better ways of coping which are relevant to
their current lives and which will help them to overcome self-defeating thinking
and behaviour and serve them long into the future.
CAT focuses its attention on relationships, as not only are these a prime motivation in life, but they also determine to a large extent who we become. It is designed to enable patients to gain an understanding of how they relate to others and what learned behaviours and perceptions from their own lives contribute to the way in which they interact. By enhancing their ability to recognise unhelpful behaviours, clients learn how to adopt an active, problem-solving stance and to develop social and relationship skills which help them to manage their lives more effectively.
How is Cognitive Analytic Therapy different to other types of therapy?
One of the ways in which
Cognitive Analytic Therapy differs from other types of therapy is in that it
uses what is called ‘reformulation’.
This is basically a written document which describes the problems and
the patterns which have led to the individual’s current difficulties. It contains a narrative component re-telling
the patient’s history, and a descriptive component which addresses past and
present relationships, including the evolving relationship between the patient
and therapist and the patient’s relationship with him or herself, current
damaging behaviours, as well as a diagrammatical representation of how past
experiences still influence and cause problems in the present.
The reformulation is
arrived at jointly between the patient and the therapist and it is used
throughout therapy as a guide to and description of interactions which lead to
the transference and counter-transference of emotions. In addition, it acts as a basis for patient
homework which allows the individual to work quickly on recognising unhelpful
behaviours. The psychotherapy file is
normally given to the client at the first session and the discussion of the
patient’s responses contributes to the reformulation document itself.
What happens in this type of therapy?
At the start, the therapist will normally agree the number of sessions with the patient, which would typically be 16 in total but could be more or less depending on the circumstances. After the first session, the client will be asked to take away and complete the psychotherapy file which contains instructions on self-monitoring of mood changes and symptoms and initiates the task of learning self-reflection. By the end of the first four sessions, the therapist then presents the client with a reformulation letter which identifies the personal meaning which the client attaches to their experience and which describes the problem behaviours that are perpetuating distress and dysfunction.
During the course of the
sessions themselves, the therapist uses a range of cognitive and
psychoanalytical techniques to assist the client in reformulating, recognising
and revising current roles and behaviours in order to achieve a different and
better means of relating to others and a healthier set of coping strategies.
Who can benefit from Cognitive Analytic Therapy?
Cognitive Analytic Therapy
has been used successfully across a range of problems and has proved to be
particularly effective for treating eating disorders, depression, anxiety,
trauma, self-harm and relationship problems.
Like Cognitive Behavioural Therapy, it can be used to equally good
effect with individuals, couples and groups.
If you like to book an appointment please note we are located in Central London. The locations of our practices are as follows: Harley Street, London W1G 9PG and London Bridge 66 Snowsfields, London SE1 3SS