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CBT for Couples

Dr Jo Stuart·5 min read

How CBT Can Help Couples

Cognitive Behavioural Therapy is known to be effective for a wide range of psychological problems, and studies into the use of CBT for couples have shown promising results. CBT-based couples therapy focuses on identifying and changing the patterns of thinking and behaviour that contribute to relationship difficulties.

Understanding Relationship Patterns

Many couples find themselves caught in repetitive cycles of conflict. One partner may withdraw while the other pursues, or both may escalate into arguments without resolving the underlying issue. CBT helps couples to recognise these patterns and understand the thoughts and beliefs driving them.

For instance, if one partner interprets the other's silence as rejection, they may respond with criticism, which in turn reinforces the other's desire to withdraw. By identifying these automatic thoughts and examining their accuracy, couples can begin to break out of destructive cycles.

Improving Communication

A key component of couples therapy involves developing healthier communication skills. This includes:

  • Active listening -- learning to truly hear what your partner is saying without preparing a rebuttal

  • Expressing needs clearly -- using "I" statements rather than blame or accusation

  • Managing emotional responses -- developing strategies to stay calm during difficult conversations

  • Validating feelings -- acknowledging your partner's emotional experience even when you disagree

Building Empathy and Compassion

CBT for couples also draws on compassion-focused approaches to help partners develop greater empathy for each other. By understanding the fears, vulnerabilities, and past experiences that shape each person's behaviour, couples can move from blame to understanding.

When to Seek Couples Therapy

Couples therapy is not just for relationships in crisis. Many couples benefit from therapy when they notice early signs of difficulty, such as:

  • Frequent misunderstandings or arguments about the same topics

  • Feeling emotionally distant from your partner

  • Difficulty navigating a major life transition together

  • Loss of intimacy or connection

  • Trust issues or unresolved hurt

The earlier couples seek support, the more effectively therapy can help them strengthen their relationship and prevent smaller issues from becoming entrenched.

Getting Help

At Hampstead Psychology, our experienced psychologists offer couples counselling using evidence-based approaches tailored to each relationship's unique dynamics. Whether you are looking to resolve specific conflicts or deepen your connection, therapy can provide the tools and space you need.

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