Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, and emotional reasoning, which are commonly associated with many mental health disorders. CR employs many strategies, such as Socratic questioning, thought recording, and , and is used in many types of therapies, including cognitive behavioral therapy (CBT) and rational emotive behaviour therapy (REBT). A number of studies demonstrate considerable efficacy in using CR-based therapies.
Cognitive restructuring involves four steps:
Identification of problematic cognitions known as "automatic thoughts" (ATs) which are dysfunctional or negative views of the self, world, or future based upon already existing beliefs about oneself, the world, or the future
Identification of the cognitive distortions in the ATs
Rational disputation of ATs with the Socratic method
Development of a rational rebuttal to the ATs
There are six types of automatic thoughts:
Self-evaluated thoughts
Thoughts about the evaluations of others
Evaluative thoughts about the other person with whom they are interacting
Thoughts about coping strategies and behavioral plans
Thoughts of avoidance
Any other thoughts that were not categorized
Cognitive restructuring has been used to help individuals experiencing a variety of psychiatric conditions, including depression, substance abuse disorders, anxiety disorders collectively, bulimia, social phobia, borderline personality disorder, attention deficit hyperactivity disorder (ADHD), and problem gambling.
When utilizing cognitive restructuring in rational emotive therapy (RET), the emphasis is on two central notions: (1) thoughts affect human emotion as well as behavior and (2) irrational beliefs are mainly responsible for a wide range of disorders. RET also classifies four types of irrational beliefs: dire necessity, feeling awful, cannot stand something, and self-condemnation.