Cognitive Analytic Therapy (CAT)

Cognitive Analytic Therapy is an integration of cognitive and analytic psychotherapy. CAT is time limited with an agreed ending, the ending being an important part of the therapy. 16 weekly CAT sessions is average, but 8, 12 or 24 may be negotiated according to your need. It is used with a range of issues, including personal growth/ understanding, stress, depression, eating difficulties, self-harm and relationship problems.

Problems are understood in the light of your personal history and life experiences. The first 3-5 CAT sessions focus on understanding how your life history may have affected how you cope now with situations and relationships. The CAT therapist will write a letter to you with their understanding of your narrative, and giving some ideas of difficulties we might work on. In later sessions, you are encouraged to recognise emotions, thoughts and behaviours, especially how you handle relationships, including your relationship with yourself. Together, diagrams are drawn to map how you interact with your world and the people around you. You use these diagrams in and out of CAT sessions to help your reflection. We look at how you want to manage now and in future, including building on your existing strengths and resources. We negotiate tasks for you to do between CAT sessions to help your development.

CAT focuses on how we relate to others and ourselves, and the feelings that come up in relationships. The relationship with the CAT therapist is important in uncovering these patterns, and helping you to feel understood. So in CAT we work with you to identify patterns of relating to people and to yourself, and ways forward for the future.