Mind Health Check
Self-criticism · Shame

Compassion-focused therapy (CFT).

For people who are hard on themselves. Compassion-focused therapy, developed by Professor Paul Gilbert, helps you understand self-criticism and shame, and respond to yourself more kindly.

What it involves

Kindness as a skill.

Compassion here is not about being soft on yourself. It takes courage, and it can be practised.

Understanding your mind

How the brain's threat, drive and soothing systems shape feelings, and why so much of this is not your fault.

Noticing the inner critic

Seeing how self-criticism shows up, what it is trying to do, and what it costs you.

Soothing the body

Breathing and imagery exercises that help the body feel safer.

A compassionate voice

Practising a way of speaking to yourself that is supportive and honest at the same time.

Who it is often used with

When you are your own harshest critic.

  • Strong self-criticism or shame
  • Depression or anxiety fuelled by feeling not good enough
  • Perfectionism, or feeling you never measure up
  • Difficult early experiences that still shape how you see yourself

CFT draws on CBT and is often combined with it. See self-esteem and CBT.

What a session looks like

How it usually runs.

Sessions are 50 minutes, in Parramatta or by telehealth.

  1. 1

    Starting out

    Your clinician asks what brings you in and explains how CFT works. Together you decide whether it suits you.

    Early sessions
  2. 2

    Working through it

    Sessions mix talking with short exercises. Your plan is shaped around you, and it can change.

    The sessions that follow
  3. 3

    Practice between sessions

    Short exercises to try at home, which you go through together at the next session.

    Ongoing
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Your clinicians

Who offers this approach.

See all clinicians

The clinicians below list compassion-focused therapy on their profile.

Before you book

Fees and other options.

With a Mental Health Treatment Plan from your GP, Medicare pays a rebate for each individual session and there is usually a gap. Our fees are set out before you book.

Free tools

Check in with yourself.

Free, private tools to try before or alongside sessions. They are not a diagnosis.

Free · 5 to 10 min

Take the Mind Health Check

Short questionnaires, scored privately in your browser. We have ticked the ones most related to this page, and you can change them.

Start the check

Or take the PHQ-9 (mood) on its own

Fact sheet: Shame and guilt

A plain-language guide with practical steps. Free to download.

Download the PDF

Try this week

  • Notice your inner critic's words today, and write one of them down.
  • Ask what you would say to a friend in the same spot, and say it to yourself.
  • When shame shows up, place a hand on your chest and take three slow breaths.

Need help now? Our urgent help page has who to call, day and night.

Common questions

Before you book, answered.

What is compassion-focused therapy?
A therapy for people troubled by shame and self-criticism. It helps you understand where these come from and build a kinder, steadier way of relating to yourself.
Who developed CFT?
Professor Paul Gilbert, a British clinical psychologist. CFT draws on CBT, evolutionary psychology and research on emotion.
How is CFT different from CBT?
CBT focuses mainly on thoughts and behaviour. CFT adds work on feeling safe and soothed, for people who can see a thought is unfair but still feel it is true.
Is self-compassion just letting myself off the hook?
No. It includes taking responsibility, and caring enough about yourself to want things to change.
What happens in a session?
A mix of talking, learning about how the mind works, and short exercises such as breathing, imagery or letter writing, which you can practise at home.
Do I need a referral?
No. You can book privately at any time. A Mental Health Treatment Plan from your GP is only needed for the Medicare rebate.
Can I have sessions by telehealth?
Yes, by secure video from home. See telehealth.
What if I need help now?
Our urgent help page has who to call, day and night.
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At your pace

Take the first step, at your pace.

Tell us a little about what is going on, and that you are interested in CFT. We will suggest a clinician and a time.

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