I had a 12 session course of CBT in 2016 on the NHS when I was 16.
For those who don’t know, CBT stands for Cognitive Behavioural Therapy and it aims to change the way you think and behave by talking through situations which you find triggering. Personally, my course of CBT focused on my anxiety because it was thought that if this was tackled and I could gain more independence, such as travelling on my own and such, then this may decrease my experience of depression and OCD because it would give me more freedom and lessen my tendency to worry about everything.
This is a difficult topic to talk about for me because I don’t believe that I got everything I could of out of my therapy experience. Whilst I seemed to make progress during my course of treatment, as soon as the treatment stopped after the 12th session I regressed back to my old ways because there was no-one working with me to maintain my progress, therefore there was nobody for me to disappoint with my inaction and hibernation in my house.
I have always found talking therapies a tricky experience anyway because part of my anxiety centres around talking and explaining myself in front of others. Therefore, it seems ironic that, in order to reduce my anxiety in the long-term, I have to put myself through hours of anxiety provoking treatment and talk about my deepest thoughts and feelings with a complete stranger! My fear of judgement and my embarrassment about my own wild thought patterns meant that I found it really hard to properly open-up to my therapist.
A lot of what my therapist told me was a repetition of the familiar refrain that my thoughts are illogical and not reasonable. When I told her about my feelings of impending danger whenever I left the house, she would reason ‘but there is only a very small likelihood of you coming to any danger by just leaving your house – it’s not rational to think that some crisis is going to descend on you when there are so many other people walking the streets right now who aren’t facing any danger at all’.
Every single session she would bring me back to the fact that my fears and anxieties were irrational, therefore there was no point in focusing on them and letting them rule my life. The problem with this was that I already knew that my thoughts were irrational. I know that my fear of leaving the house is neither plausible nor founded on any factual basis. Everyday I can see people walking outside my window without a care in the world or any threat of doom hanging over them. I wasn’t blind or stupid. The whole reason I wanted therapy was to find out why my life was so dominated by illogical thinking, why I am the way I am, not to just be told that my thoughts don’t make any sense. Instead, my therapist just continued telling me that my thoughts weren’t rational (as if this were a revelation) rather than giving me any practical advice to navigate my way around them.
So, for me, CBT didn’t offer me a route of a solution to my problems, if anything it just left me feeling more lost than beforehand. I felt like a failure for not leaving my course of therapy having been ‘cured’ and transformed into a carefree individual. The disappointment of my therapist who told me that I wasn’t making enough progress was, and still is, a heavy presence in my mind, telling me that my struggles are my own fault and that I am a lost cause.
I have no doubt that CBT works for lots and lots of people and it was definitely something worth trying because at least now I can say that I have tried it and I can cross it off my list of possibilities. It’s just a shame that it didn’t have the effect on me that I was hoping it would.