Cognitive Behavioral Therapy

Counseling Theory used at Counseling & Consulting Services of Texas

Cognitive Behavioral Therapy (CBT) is a widely practiced form of psychotherapy that focuses on identifying and changing unhelpful patterns of thinking and behavior to improve emotional well-being. It is based on the principle that our thoughts, emotions, and behaviors are closely interconnected, and that modifying negative thoughts and behaviors can lead to healthier emotional responses.


In CBT, clients learn to recognize distorted or negative thought patterns, challenge them with evidence, and replace them with more balanced and realistic perspectives. This process helps reduce emotional distress and encourages more effective coping strategies.


CBT is typically structured, goal-oriented, and time-limited, making it a practical and focused approach to therapy. It often includes homework assignments or exercises between sessions, allowing clients to practice and reinforce new skills in real-life situations.


Research has shown that CBT is highly effective for a wide range of mental health concerns, including depression, anxiety disorders, phobias, stress management, and behavioral problems. Its evidence-based methods make it one of the most well-established and effective treatments in modern psychotherapy.

Rational Emotive Behavioral Therapy

Counseling Theory used at Counseling & Consulting Services of Texas

Rational Emotive Behavior Therapy (REBT) is a form of cognitive-behavioral therapy developed by psychologist Albert Ellis. It is grounded in the idea that our emotions are shaped not by external events themselves, but by the beliefs we hold about those events. When these beliefs are irrational or unrealistic, they can lead to emotional distress and unhelpful behaviors.


REBT focuses on identifying, challenging, and replacing irrational beliefs with rational, evidence-based alternatives. By changing the way we think, we can influence our emotional responses and behaviors in healthier ways.

In REBT, therapists and clients work together through several key steps:

  1. Identify irrational beliefs: These are rigid, extreme, or absolutist thoughts about oneself, others, or life circumstances (e.g., “I must be perfect” or “Everyone must treat me fairly at all times”).
  2. Dispute irrational beliefs: The therapist helps the client question and evaluate these beliefs, examining whether they are logical, realistic, or helpful.
  3. Develop rational alternatives: Clients learn to replace irrational thoughts with more flexible, balanced, and evidence-based beliefs.
  4. Apply new beliefs in practice: Through activities such as homework, journaling, and role-playing, clients practice using rational thinking in real-life situations.

REBT is an active and directive form of therapy that promotes personal responsibility, emotional resilience, and self-acceptance. It has been shown to be effective for a wide range of issues, including anxiety, depression, anger, and relationship challenges.

The combination of using CBT and REBT

Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavior Therapy (REBT)are two closely related forms of psychotherapy that emphasize the powerful connection between thoughts, emotions, and behaviors. Both approaches help individuals identify and change unhelpful thinking patterns that contribute to emotional distress, promoting healthier coping strategies and improved well-being.


Cognitive Behavioral Therapy (CBT)


CBT is a structured, goal-oriented form of therapy that focuses on identifying and modifying negative or distorted thoughts and behaviors. It is based on the principle that changing unhelpful thinking patterns can lead to more positive emotions and adaptive actions. Clients work collaboratively with their therapist to challenge cognitive distortions, replace them with realistic thoughts, and practice new behaviors through exercises and homework assignments.
CBT is typically short-term and evidence-based, with proven effectiveness in treating conditions such as depression, anxiety, phobias, and stress-related disorders.


Rational Emotive Behavior Therapy (REBT)


Developed by psychologist Albert Ellis, REBT is a specific type of cognitive-behavioral therapy that emphasizes the role of irrational beliefsin emotional disturbance. REBT proposes that it is not events themselves that cause distress, but rather the rigid, unrealistic beliefs we hold about those events.
Therapists help clients identify, dispute, and replacethese irrational beliefs with rational, evidence-based alternatives. REBT encourages clients to adopt more flexible ways of thinking, take personal responsibility for their emotions, and cultivate self-acceptance. It is an active, directive form of therapy effective for managing issues such as anxiety, depression, anger, and relationship difficulties.

Similarities and Differences

Both CBT and REBT aim to help individuals understand how their thoughts influence emotions and behaviors. They use practical, skills-based methods to promote lasting cognitive and behavioral change.
The main distinction lies in focus:

  • CBT often targets distorted thought patterns and maladaptive behaviors.
  • REBT specifically targets irrational, absolutist beliefs—such as “I must succeed” or “People must treat me fairly”—as the root of emotional distress.

In essence, CBT and REBT share the same goal: empowering individuals to think more rationally, respond more adaptively, and live with greater emotional balance and resilience.