What is the Cognitive Triangle?

Thoughts are the internal narratives and beliefs that shape how we perceive ourselves and the world. In CBT, identifying automatic negative thoughts (ANTs) is crucial. ANTs are rapid, often unconscious, assumptions.

For example, someone struggling with addiction might think, "I’ll never be able to quit, so why try?" This thought can lead to feelings of hopelessness and continued substance use. CBT helps individuals challenge these distortions by examining evidence for and against them. Over time, replacing negative thoughts with balanced, realistic ones can reduce emotional distress and encourage healthier behaviors.

Feelings are the emotional responses triggered by thoughts and experiences. They can be intense and overwhelming, especially for those dealing with addiction or mental health disorders.

A person who feels intense shame after a relapse may believe they are a failure, reinforcing a destructive cycle. CBT helps to teach emotional regulation skills. It helps individuals recognize that feelings, while valid, are not always facts. By separating emotions from actions, people can respond more constructively rather than reacting impulsively.

Actions (or behaviors) are outward responses influenced by thoughts and feelings. In addition, maladaptive behaviors (such as substance use) often stem from negative thought-emotion cycles.

CBT helps individuals interrupt automatic behaviors by introducing healthier alternatives. For instance, instead of turning to alcohol when stressed, a person might practice deep breathing or call a supportive friend. Over time, these new behaviors weaken old habits and reinforce positive change.

Beneath the Cognitive Triangle lie core beliefs. Core beliefs are deeply held assumptions about oneself, others, and the world. These beliefs fuel thoughts, emotions, and actions. CBT works to uncover and challenge these beliefs, replacing them with more adaptive ones to create lasting change.

CBT is one of the most researched and validated therapies for addiction treatment. It helps individuals identify high-risk situations and develop coping strategies to avoid relapse.

Unlike some approaches that focus solely on abstinence, CBT addresses the psychological roots of addiction (such as trauma or negative self-beliefs). CBT often leads to long-term recovery success, especially when combined with other treatments like support groups or medication.

While some therapies explore past traumas extensively, CBT is more focused on current challenges and solutions. This makes it particularly useful for individuals who want practical, immediate strategies.