CBT for Depression
Evidence-based treatment to help you understand low mood and build a pathway through it.
CBT (cognitive behavioural therapy) is a NICE-recommended, evidence-based treatment for depression. It works by reversing the behavioural patterns that underlie depression, and shifting cognitive processes to be able to enjoy life again.
If you need support right now
This page is for information only and isn't a crisis or emergency service. If you're having thoughts of suicide or are in crisis, please contact:
Samaritans: free, 24/7, call 116 123
NHS 111 (select the mental health option), or your GP
Emergency services: call 999 or go to A&E if you or someone else is in immediate danger
Am I Depressed?
Depression can take different forms for different people. Often it manifests in a lack of interest or pleasure in doing things. A sense of heaviness, where small tasks take increasing effort. If low mood has settled in, isn't shifting by itself or keeps coming back, therapy could be helpful.
Why CBT is a recommended treatment for depression
CBT is recommended by NICE (the National Institute for Health and Care Excellence) as an evidence-based treatment for depression, with a substantial body of research supporting its effectiveness.
How does CBT for depression work?
Depression tends to create a downward spiral where low-mood leads to withdrawing from the activities which provide us a sense of achievement, connection and enjoyment. In addition to impacting our perception of the world. A bit like wearing dark sunglasses, the mind begins filtering out positive information, focusing increasingly on negatives which furthers this vicious cycle. These aren't character flaws, rather are a part of process that can impact all of us and which we can reverse.
CBT for depressions combines two approaches. Behavioural activation: which focuses on gradually rebuilding activities which in turn lead to improved mood and motivation. Cognitive work: developing awareness of thought patterns such as harsh self-criticism, or a tendency to interpret things in a highly negative way towards a more balance and effective style of thinking. These interventions reverse the cycles that keep depression going.
Signs CBT might help
Common signs include low mood or anxiety that has grown alongside physical symptoms, a boom-and-bust cycle of overdoing it followed by a crash, withdrawal from activity out of fear of triggering symptoms, a shifted sense of identity around the condition, and exhaustion from managing or explaining the condition on top of the condition itself.
Chronic health conditions are well-known to affect mental-health. Worry about flare-ups can increase physical tension, low-mood can impact your capacity to manage your symptoms and patterns of avoidance or all-or-nothing thinking make daily life more challenging. CBT works directly with these interactions.
FAQ's
Do I need a diagnosis of depression to book a session?
No. You don't need a formal diagnosis to book — many people come with a general sense that their mood has been low or "off" for a while, and we'd work from there.
Can I do CBT alongside antidepressants?
Yes. CBT and medication are not mutually exclusive, and for more severe depression NICE guidance often recommends the two together. Medication decisions sit with your GP or psychiatrist; I can work alongside whatever medical support you're receiving.
What if my depression feels severe, or I'm having thoughts of harming myself?
Please see the crisis support information near the top of this page. Private 1-1 CBT can be a valuable part of your support, but it isn't a substitute for urgent or emergency care if you're at risk right now.
What if I'm not sure this is the right fit?
Book the free discovery call. A low-pressure conversation to see whether this feels right for you, with no obligation to book anything further.
Key References
National Institute for Health and Care Excellence (2022) Depression in adults: treatment and management [NG222]. Available at: www.nice.org.uk/guidance/ng222
Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2010). Behavioral Activation for Depression: A Clinician's Guide. New York: Guilford Press.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.