Mind Health Check
Cognitive Behaviour Therapy

Change the thoughts that keep you stuck.

CBT is a practical, structured approach that untangles the links between how you think, feel and act, then gives you tools to use in real life.

What it helps with

What CBT helps with

Every plan is tailored to you. This is a guide to where this approach is most often used.

Not sure if it's the right fit? That's exactly what your first session is for. We'll recommend the approach (or blend of approaches) that suits you.

A consulting room with a grey armchair, a grey sofa with leaf-print cushions and three framed prints.
The family

Cognitive Behaviour Therapy (CBT) is a family of protocols, not one therapy.

Each of these is a distinct, manualised treatment with its own evidence base. If you have been told to look for a particular one, this is where to check whether it is what you need.

CBT-AD

CBT for Anxiety & Depression

Anxiety and depression together

The two arrive together far more often than separately. One integrated course of work on both, rather than treating one and hoping the other follows.

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BA

Behavioural Activation

Depression

Changing what you do before changing how you think: rebuilding activity and reward when motivation has gone.

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CBT-I

CBT for Insomnia

Chronic insomnia

Sleep restriction, stimulus control and work on the worry that keeps you awake. Recommended ahead of sleeping medication as the first-line treatment.

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ERP

Exposure & Response Prevention

OCD

Meeting the trigger deliberately and not performing the compulsion, in graded steps, until the anxiety comes down on its own. The OCD-specific protocol.

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CPT

Cognitive Processing Therapy

PTSD

Works on the meaning the trauma left behind: the stuck points about safety, trust, control and self-blame. Usually around twelve sessions.

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PE

Prolonged Exposure

PTSD

Approaching the memories and situations avoided since the trauma, at a pace you set, until they stop deciding where you can go.

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TF-CBT

Trauma-Focused CBT

Children and adolescents after trauma

A staged protocol (coping skills first, then a trauma narrative), with a parent or caregiver worked with alongside the young person.

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CBT-CP

CBT for Chronic Pain

Persistent pain

The pain is real and the nervous system is trainable. Pacing, graded return to activity, and work on the fear-avoidance cycle that quietly shrinks a life around the pain.

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CBT-E

Enhanced CBT for eating disorders

Anorexia, bulimia and binge eating

Transdiagnostic: it treats the process that keeps an eating disorder going rather than the diagnostic label, so it does not change when the diagnosis does.

CFT

Compassion-Focused Therapy

Shame and harsh self-criticism

Builds the capacity to be on your own side. Often what makes the rest of CBT possible when self-attack is the loudest part of the pattern.

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MBCT

Mindfulness-Based Cognitive Therapy

Recurrent depression

An eight-week programme built to prevent the next episode rather than treat the current one, for people who have been depressed more than once.

UP

Unified Protocol

Several emotional disorders at once

One emotion-focused protocol spanning the anxiety, mood and related disorders, instead of a separate manual for each diagnosis, useful when three or four labels apply.

CBTp

CBT for psychosis

Distressing voices and beliefs

Reduces the distress and interference of voices and unusual beliefs. It sits alongside psychiatric care rather than replacing it.

CBT-SUD

CBT for substance use

Alcohol and other drug use

Functional analysis of use, coping skills for the high-risk moments, and relapse prevention, usually with motivational work first.

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CBT-PD

CBT for personality difficulties

Long-standing relational patterns

Longer, schema-informed CBT for patterns that predate the current episode and keep regenerating it.

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CBT-OCPD

CBT for obsessive-compulsive personality

Perfectionism, rigidity and over-control

Targets perfectionism, over-control and inflexibility, which is a different pattern from OCD, despite the shared name.

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Most of our clinicians work across most of these: CBT is one skill set applied to different problems, not sixteen separate services. Which protocol fits you, and how much of it, is worked out at the first session rather than assumed from a booking form. Intake and triage get you to the right person, at the right depth, first time. Request an appointment.

How it works

The approach, step by step.

A clear sense of how the work unfolds, always at your pace.

  1. 1

    Understand the pattern

    We map the loop between your thoughts, feelings, body and behaviour, so the problem becomes something you can see clearly rather than just feel.

    Early sessions
  2. 2

    Test and reshape

    Together we examine unhelpful thinking and try small experiments in daily life, gently proving to yourself that another way is possible.

    The sessions that follow
  3. 3

    Build lasting skills

    You leave each block of work with concrete tools you keep for good, so you become your own therapist over time.

    Ongoing

Sessions are collaborative and focused. You'll often leave with something small to practise between visits: not homework for its own sake, but the part where real change happens.

The CBT cycleIn CBT, thoughts, feelings, body sensations and behaviour influence each other, so a change in one part of the cycle can ease the others.SituationThoughtsFeelingsBody sensationsBehaviour
In CBT, thoughts, feelings, body sensations and behaviour influence each other, so a change in one part of the cycle can ease the others.
Fees & funding

Know your costs before you start.

With a Mental Health Treatment Plan from your GP, Medicare rebates apply to individual therapy. We'll always be clear about costs before you begin.

See fees
  • Medicare: rebates on up to 10 sessions a year with a Mental Health Treatment Plan.
  • NDIS, DVA, Workers Comp & CTP: usually no out-of-pocket cost when approved.
  • Private health: claim through your extras cover, with no referral needed.
Common questions

Things people ask before booking.

How many sessions does CBT take?
CBT is usually time-limited, though how long depends on what you're working on. Your psychologist reviews progress with you regularly.
Is CBT just positive thinking?
No. CBT isn't about forcing positive thoughts. It's about testing whether your thoughts are accurate and helpful, and building more balanced, realistic ways of seeing things.
Can CBT be done online?
Yes. CBT adapts well to telehealth because it is structured and skills-based, and research supports online delivery for common concerns such as anxiety and depression. Many people like doing sessions from home. You can choose in-person sessions in Parramatta, online sessions or a mix.
What happens in the first CBT session?
Your psychologist will ask about what's bringing you in, how it affects your daily life and what you'd like to change. Together you'll start to map the patterns between your thoughts, feelings and behaviour, and agree on goals. It's a conversation, and you only share what you're comfortable sharing.
Is CBT covered by Medicare?
CBT is one of the therapies psychologists provide under Medicare's Better Access arrangements. If you have a Mental Health Treatment Plan from your GP, you may be eligible for Medicare rebates on sessions with a psychologist. Our team can explain how it works when you book.
What's the difference between CBT and ACT?
Both are evidence-based and share some roots. CBT helps you examine and reshape unhelpful thoughts and behaviours, while ACT focuses on changing your relationship with thoughts and acting on your values. Your psychologist can help you work out which fits you, and many people benefit from elements of both.
Do I need a referral?
No. You can book directly with us any time. A referral and Mental Health Treatment Plan from your GP is only needed to claim Medicare rebates.
Related
References
  1. Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. doi.org/10.1007/s10608-012-9476-1
  2. Cuijpers P, Miguel C, Harrer M, Plessen CY, Ciharova M, Ebert D, Karyotaki E. (2023). Cognitive behavior therapy vs. control conditions, other psychotherapies, pharmacotherapies and combined treatment for depression: A comprehensive meta-analysis including 409 trials with 52,702 patients. World Psychiatry, 22(1), 105-115. doi.org/10.1002/wps.21069
  3. Malhi GS, Bell E, Bassett D, Boyce P, Bryant R, Hazell P, Hopwood M, Lyndon B, Mulder R, Porter R, Singh AB, Murray G. (2021). The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders. Australian & New Zealand Journal of Psychiatry, 55(1), 7-117. doi.org/10.1177/0004867420979353
Reading and tools

Further reading and free tools.

Which approach might suit? A rough guide to what each therapy focuses on most; your psychologist will help you choose, and many people use more than one.

Thinking and behaviour

Emotion and acceptance

Trauma memory

Relationships

Strengths and solutions

Two adults talking in a warm consultation room
Accepting new clients

Your next step starts here.

Tell us what's going on and we'll match you with the right psychologist, usually after a free triage. No referral needed to begin.

ConfidentialReply within one business dayMedicare rebates may apply
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