Steve Metcalf Cognitive Analytic Therapy01273 566484Phone 01273 566484

What is CAT?

Cognitive Analytic Therapy is a time-limited form of psychotherapy that has been developed in Britain over the last 30 years. It is an integrative approach, which means that it incorporates aspects from different types of therapy. The main ingredients are derived from psychodynamic therapy, from more recent cognitive methods like CBT (Cognitive Behavioural Therapy), and from modern theories about how people learn through social interaction.

So for example, CAT is concerned with the effects of childhood experiences and relationships (like psychodynamic or psychoanalytic therapy), but it combines this with an open, collaborative style that is time-limited and focussed on agreed goals, in the same way as cognitive therapies like CBT. So in many ways it offers the best of both worlds.

What is also different about CAT is that it looks closely at relationship patterns. The theory behind it is based partly on the idea that we are in relationships with other people from the moment of birth. So we learn and absorb relationship patterns based on our experience of being with others, particularly parents and carers who bring us up.

These patterns are called ‘Reciprocal Roles’ because adopting one role always elicits the corresponding role from the other person. So a responsive mother will lead to a child able to play the role of being responded to. When there are aspects to these relationship patterns that are negative or problematic, the child experiences painful emotions that they must learn some way of dealing with. So the child develops coping strategies that may work fine, or may only work in some circumstances, or may have unwanted consequences. And as relationships are complex, and no parent or carer is perfect, everybody has these strategies to some extent.

CAT provides a structured way of coming to understand what ‘Reciprocal Roles’ have been significant and problematic in a person’s development, and whether the coping strategies that have been adopted really are helping, or whether, as often happens, they have got caught in self-defeating vicious circles.  

And CAT is a collaborative therapy. So the therapist and client work together to reach an understanding of the person’s difficulties; and work together to find new and constructive ways to manage negative emotions, and to replace repeated behaviour patterns that aren’t working with more positive actions.

Would you like to talk?

Daytime and early evening appointments are available.

You can phone on 01273 566484 or contact me to arrange a free, no obligation discussion