
What makes CBT easier to use
Goals that stay relevant
We keep therapy linked to the situations, habits and worries you want to change.
Skills you can practise
Between-session exercises help you test new responses in everyday life.

How CBT helps you make sense of patterns
If you keep getting pulled into the same cycle of worry, low mood, fear or avoidance, it can be hard to see where to interrupt it. CBT helps by looking at the links between thoughts, feelings, physical responses and behaviour, then working out what may be keeping the difficulty going.
Through Cleeve Therapy Group, we use assessment and shared goals to build an individual understanding of your experience, so therapy is not generic or vague. This work can be helpful for anxiety, depression, panic, OCD and PTSD, and it gives you practical ways to test new responses rather than only talking about what has been difficult.
A structured approach with room for choice
Sessions usually move through assessment, goal setting, an individual formulation, skills practice and regular reviews, giving you a clear sense of what we are working on and why. With Cleeve Therapy Group, you can choose one-to-one therapy for personal focus or a group format if shared learning suits you better.
You can also decide between online appointments and clinic sessions in Cheltenham. Whatever the format, we keep the work collaborative and linked to situations in daily life that matter to you, so progress is checked in a concrete and realistic way.

Frequently asked questions
What happens in a CBT assessment?
We use the first assessment to understand your main concern, how long it has been affecting you, what seems to trigger it and what you want to change. That gives us a starting point for goals and for deciding whether individual CBT or another format may suit you.
Can CBT help with more than one problem at once?
It can, although the work still needs a clear focus. If anxiety, low mood or panic overlap, we look at the cycles connecting them and agree where to begin. That may involve one main goal first, then reviewing how other difficulties are affected as therapy progresses.
Should I choose individual CBT or a group programme?
Individual work gives you more privacy and space to explore your own pattern in detail. A group programme follows a shared structure and can help if you like learning alongside others. During assessment, we can talk through which format feels more manageable and useful.
