Both CBT and REBT recognise that how we interpret and respond to situations influences how we feel and behave.

Cognitive Behaviour Therapy (CBT) was developed by Dr. Aaron T. Beck in the 1960s. It focuses on identifying and changing unhelpful thoughts, emotional responses and behavioural patterns that contribute to psychological difficulties.

Rational Emotive Behaviour Therapy (REBT) was developed by Dr. Albert Ellis in the 1950s. It places greater emphasis on identifying and changing underlying beliefs and developing a more flexible philosophy for dealing with life's challenges.

CBT offers a flexible, tailored approach to understanding and changing your patterns, while REBT provides a structured framework for examining the beliefs that influence those patterns.

At Manahsparsh, RE-CBT combines both approaches, allowing us to work with the patterns you experience as well as the deeper beliefs that may keep them going.

Yes. CBT and REBT are well-researched psychological approaches with evidence supporting their use across a range of mental-health difficulties.

Therapy isn't simply about talking about what happened, it's structured, active and collaborative.

You and your therapist work together to identify patterns, examine thoughts and beliefs, understand emotional and behavioural responses, and develop more effective ways of responding.

You will be encouraged to think, question, explore and experiment rather than simply receive advice. Depending on your needs, therapy may involve psychoeducation, therapeutic exercises, behavioural experiments, learning and practising new skills, and applying techniques to situations in your everyday life.

The aim is not just to understand yourself better, but to use that understanding along with proven methods to create meaningful change.

We generally recommend one 45–50 minute session per week, particularly when starting therapy. However, the frequency can vary depending on your needs, circumstances and goals.

There is no fixed number of sessions. Many people may work towards meaningful change over approximately 10–12 sessions, while others may benefit from longer-term support. The length of therapy depends on your concerns, goals, circumstances and progress.

Your therapist will work with you to establish goals, track progress and review the course of therapy along the way.

Between sessions, depending on what you are working on, you may be encouraged to reflect, practise skills, complete exercises, try behavioural experiments or apply therapeutic techniques to situations in your everyday life. This helps you take what you learn in therapy beyond the session and turn it into practical change.

No therapeutic approach is right for everyone. RE-CBT may be particularly suitable if you want structured, collaborative therapy and are willing to actively participate in the process.

You also don't need a formal diagnosis to start therapy. Your therapist will first understand what you're experiencing and determine whether RE-CBT is appropriate for your concerns and goals.

RE-CBT can be particularly useful for adults with ADHD when ADHD-related challenges are accompanied by unhelpful beliefs, self-criticism or difficult emotional patterns.

It's common for people with ADHD to develop internalised beliefs such as:

“I'm not good enough.”

“I should be able to do this just like everyone else.”

“Why can't I just get my act together?”

ADHD can also be associated with difficulties such as rejection sensitivity, emotional dysregulation, low frustration tolerance, perfectionism, imposter feelings and difficulties with self-regulation. These can become patterns that add to the challenges of living with ADHD.

RE-CBT can help you understand where these patterns come from, question unhelpful beliefs, develop greater self-acceptance and frustration tolerance, and respond more effectively to ADHD-related challenges.

It can complement ADHD-focused therapy or coaching by addressing the emotional and cognitive patterns around ADHD, alongside practical strategies and skills for managing everyday life.

RE-CBT can be particularly useful for anxiety since worry, overthinking or fear are maintained by unhelpful beliefs and patterns of thinking and behaviour.

Anxiety can involve patterns such as catastrophising, overestimating threats, underestimating your ability to cope, intolerance of uncertainty, reassurance-seeking, avoidance, perfectionism and a strong need for control or certainty.

RE-CBT can help you understand these patterns, examine the beliefs behind them, build greater tolerance for uncertainty and discomfort, and develop more balanced and effective ways of responding to anxious situations.

It can also help you move beyond simply managing anxiety in the moment by working on the patterns and beliefs that can keep anxiety going, while developing practical skills you can use in everyday life.