Cognitive Analytic Therapy (CAT)
A time-limited, integrative therapy that combines cognitive and psychoanalytic concepts to identify and change unhelpful relational patterns.
What Is Cognitive Analytic Therapy (CAT)?
Cognitive analytic therapy (CAT) is a time-limited, integrative psychotherapy, developed primarily in the United Kingdom, that combines cognitive and psychoanalytic (analytic) concepts to help people understand and change unhelpful patterns of thinking, relating, and behaving, often summarized through collaboratively developed diagrams mapping these patterns.
How It Works
CAT is based on the idea that early relational experiences create recurring patterns (sometimes called reciprocal roles) that continue to shape a person’s relationships and self-management. Therapist and client collaboratively map these patterns, often visually, to build shared understanding and support change. This description uses original explanatory language.
What Happens During Therapy?
CAT typically involves collaborative development of a written reformulation and diagram describing the client’s key patterns, followed by sessions working to recognize these patterns as they occur and practice alternative ways of responding.
Evidence and Effectiveness
Research on CAT is more limited compared to more widely studied therapies like CBT, though some studies support its use for depression, anxiety, and personality difficulties, particularly within United Kingdom-based healthcare settings where it is more established.
Who May Benefit?
CAT may be considered for people interested in a time-limited, collaborative approach to understanding relational patterns, including some presentations of depression, anxiety, or personality-related difficulties.
Limitations and Considerations
CAT is less widely available and researched outside the United Kingdom, and the evidence base is smaller compared to more established therapies.
Finding a Qualified Therapist
CAT is practiced by psychologists and other mental health professionals with specific CAT training, more commonly available in the UK and some other countries.
How Long Does Therapy Take?
CAT is typically delivered over a defined, time-limited course, often around 16 to 24 sessions.
Therapy vs. Medication
CAT is a psychotherapy approach; medication may be appropriate for certain co-occurring conditions in consultation with a qualified healthcare professional.
What Conditions Is It Used For?
Related Therapy Types
Medical Information Disclaimer
Ratel Health provides general educational information and does not provide medical diagnosis, treatment, or individualized medical advice. Information on this page is not a substitute for evaluation or care from a qualified healthcare professional. Do not use this information to diagnose yourself or another person, or to start, stop, or change treatment or medication without consulting an appropriately qualified healthcare professional.
References
- American Psychological Association. Clinical Practice Guidelines.
- American Psychiatric Association. Practice Guidelines.
- National Institute of Mental Health. Psychotherapies.