CBT by Condition

Guides

Evidence‑informed CBT guides by condition

Explore how Cognitive Behavioral Therapy (CBT) supports recovery across common conditions. Each guide summarizes key symptoms, mechanisms, effective CBT strategies, and journaling prompts to practice safely. Educational content only; not a substitute for professional care.

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Major Depressive Disorder

Behavioral activation, cognitive restructuring, and rumination reduction.

Generalized Anxiety Disorder

Worry cycles, intolerance of uncertainty, and problem-solving skills.

Panic Disorder

Interoceptive exposure and reappraising catastrophic misinterpretations.

Social Anxiety Disorder

Attention training, behavioral experiments, and safety-behavior fading.

Post‑Traumatic Stress Disorder

Trauma-focused CBT principles and gradual approach to triggers.

Obsessive–Compulsive Disorder

Exposure with response prevention and values-aligned choices.

Insomnia Disorder

CBT-I foundations: stimulus control, sleep scheduling, and wind-down.

Seasonal Affective Disorder (SAD)

Activation, balanced appraisals, and rhythm/light considerations.

Premenstrual Dysphoric Disorder (PMDD)

Cycle tracking, coping plans, and self-compassionate standards.

Substance Use (Adjunctive)

Functional analysis, coping skills, and stimulus control.

Adolescent Anxiety

Graded exposures, reduce accommodation, and school supports.

Older Adult Adaptations

PST elements, memory aids, routines, and social activation.

Specific Phobias

Graded exposure, inhibitory learning, and expectancy violation.

Health Anxiety / Somatic Symptom

Reducing reassurance, tolerating uncertainty, and values-based living.

Somatic Symptom Disorder CBT Journaling Framework

Interoceptive work, behavioral experiments, and clearer symptom-distress reflection.

Body Dysmorphic Disorder

Exposure/ritual prevention, mirror work, and belief updating.

Adult ADHD

Skills-focused CBT: planning, cueing, and friction reduction.

Bipolar Disorder (Adjunctive)

Relapse plans, sleep/social rhythm, and family-focused strategies.

Chronic Pain

Pacing, activity restoration, and pain-related cognition work.

Eating Disorders (CBT‑E)

Regular eating, exposure to feared foods, and body image work.

Endometriosis Pain + CBT Thought Record Protocol

Flare logs, pacing, and thought-record support alongside medical care.

Hoarding Disorder

Sorting skills, exposure to discarding, and values-guided decisions.

Postpartum Depression/Perinatal Anxiety

Behavioral activation, attachment-sensitive CBT, and support planning.

Grief and Adjustment

Meaning-making, routines, and gentle exposure to reminders.

Health Anxiety (Youth)

Reassurance plans, graded steps, and caregiver coaching.

PMDD: Partner Guide

Validation, cycle-aware planning, and calmer communication support.

Perimenopause Anxiety

Symptom tracking, balanced appraisals, and sleep supports.

OCD — Subtypes

ERP principles across contamination, checking, harm, symmetry, and taboo thought themes.

OCD - Contamination

ERP, reduced rituals, and uncertainty practice around contamination fears.

OCD - Checking

One-check exposures, less reassurance, and uncertainty practice.

OCD - Harm

Approach feared cues and reduce mental and behavioral neutralizing.

OCD — Symmetry/Ordering

Misalignment exposures, flexible responding, and reduced fixing rituals.

OCD — Taboo Thoughts

Script exposures, less mental ritualizing, and uncertainty practice.

Complex PTSD Considerations

Phased support, stabilization, and identity-aware reflection.

Substance Use — By Substance

Differences across alcohol, opioids, stimulants, cannabis, and nicotine coping patterns.

Trichotillomania (BFRB)

HRT, awareness, and competing responses for hair-pulling loops.

Excoriation Disorder (Skin-Picking)

HRT, stimulus control, and competing responses for skin-picking loops.

OCD - Scrupulosity

Uncertainty practice, less confession, and respectful values-based ERP.

OCD - Relationship (ROCD)

Uncertainty practice, less checking, and values-based relationship action.

Emetophobia

Word→image→video exposures; interoceptive practice.

ARFID

Profile-based food exposures, sensory support, and caregiver coaching.

Agoraphobia (± Panic)

Situational + interoceptive exposures; safety fades.

Irritable Bowel Syndrome (IBS)

Attention shift, stress skills, and paced exposure around IBS triggers.

Gambling Disorder

Trigger mapping, access barriers, and alternative reward routines.

Separation Anxiety Disorder

Graded separations, reduce accommodation, school routines.

Selective Mutism (Youth)

Graded speaking tasks and caregiver coaching.

Performance Anxiety

Exposure, attention training, and skills routines.

Medical & Dental Phobias

Graded exposures, applied tension, and better follow-through around care.

Misophonia CBT Coping and Journaling Kit

Sound-trigger mapping, coping routines, and structured reflection around misophonia.

Acute Stress Disorder

Stabilization, grounding, and gentle approach to reminders.

Moral Injury (Adjunctive)

Values work, compassionate reframing, and support for guilt and shame loops.

DV Survivors — Safety‑First Supports

Grounding, stabilization, and trauma-informed reflection with safety first.

Post‑Concussion Symptoms

Pacing, attention support, and calmer symptom-focused thinking.

PPPD (Persistent Postural-Perceptual Dizziness) CBT Pathway

Grounding drills, motion exposure, and steadier vestibular coping support.

Persistent Depressive Disorder

Activation, restructuring, and values-based routines for long-running low mood.

PMS Coping

Cycle tracking, balanced appraisals, and self-compassionate routines.

Perinatal OCD

ERP within safety plans and caregiver support.

Cyclothymic Disorder (Adjunctive)

Rhythm stabilization, early-warning plans, and steadier routines.

Cyclic Vomiting Syndrome (CVS) Anticipatory Anxiety Toolkit

Prodrome monitoring, coping routines, and steadier anticipatory-anxiety support.

OCD - Sexual Orientation (SO-OCD)

Uncertainty practice, less checking, and reduced comparison rituals.

Functional Neurological Disorder

Attention retraining, pacing, and values-based rehabilitation support.

Tinnitus Distress

Attention shift, sound enrichment, and calmer reappraisal around tinnitus.

Chronic Fatigue/Long‑COVID

Pacing, energy tracking, and steadier symptom-aware planning.

Diabetes Distress & Adherence

Problem-solving, routines, and self-compassion around diabetes care strain.

Nightmare Disorder (IRT)

Rescript and rehearse new endings; sleep routines.

Circadian Rhythm Disorders

Anchor wake; light timing; wind-down.

Teen Sleep Phase Delay

School-aligned wake anchors and morning light.

Anorexia Nervosa (CBT‑E)

Regular eating, exposure, body image work.

Body Checking Module

Limit checks; mirror retraining; exposures.

Muscle Dysmorphia

Exposure; ritual reduction; broaden values.

Autism + Anxiety

Visuals, concrete steps, and caregiver support.

Tics/Tourette (CBIT)

Awareness, competing responses, and function-based tic support.

School Refusal

Graded returns, reduce accommodation, and school planning.

Oppositional Patterns (PMT+CBT)

Clear expectations, emotion coaching, and consistent family responses.

Social Communication Anxiety

Scripts, role-play, and feedback-based practice.

Psychosis (CBTp)

Coping, stress support, and relapse planning alongside ongoing care.

Negative Symptoms Activation

Cueing, tiny steps, and social activation support for low drive and withdrawal.

Family Psychoeducation

Shared language, communication planning, and collaborative problem-solving.

Safety Planning

Warning signs, coping steps, supports, and environment-safety planning.

Infertility/IVF Anxiety

Uncertainty tolerance, cycle-based coping, and communication planning.

Cancer Survivorship Anxiety

Uncertainty tolerance, values engagement, and calmer monitoring plans.

Caregiver Burden/Burnout

Problem-solving, boundaries, and values time for caregivers under strain.

Bereavement by Suicide

Compassionate meaning-making, routines, and connection after suicide loss.

Workplace Stress/Burnout

Rebalance, boundaries, and recovery blocks.

Teen Sexual Assault CBT

Safety-first grounding and trauma-sensitive reflection for teen recovery support.

Adoption Trauma CBT

Attachment-aware reflection for loss, identity shifts, and trauma-related patterns.

Cannabis Use Disorder

Delay and urge surfing, context change, and alternative reward routines.

Internet Gaming Disorder

Trigger mapping, friction design, and alternative reward routines for gaming and tech overuse.

Nicotine Cessation

Cue control, delay-and-distract, and replacement routines for nicotine recovery.

Post‑Bariatric Surgery Adjustment

Routines, body image support, and urge coping after surgery.

Prolonged Grief Disorder

Approach reminders, meaning-making, and routines after enduring grief disruption.

Relapse Prevention Skills Pack (CBT)

High-risk mapping, coping plans, and support activation across recovery patterns.

More coming

We’re continuously expanding this library and refining guides with clinician feedback.

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