First, let’s break down the term cognitive behavioral therapy. This approach is actually two extensive types of therapy. The cognitive side addresses thoughts, perceptions, beliefs, and attitudes. The behavioral side focuses on actions or what people do. So, the myth about cognitive behavioral therapy focusing only on positive thinking is about the cognitive therapy side, not the behavioral part.
So, what is cognitive therapy, if not positive thinking? I usually explain that cognitive therapy is about more realistic thinking, not positive thinking. Our thoughts, beliefs, and attitudes are not simple two-category perceptions of the world. They are not either positive or negative but rather fall on a spectrum. I could have an extremely negative thought, such as ‘nothing is ever going to work out for me.
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