Cognitive Analytic Therapy (CAT) is a structured, time-limited psychotherapy that helps you understand repeating patterns in thinking, feeling and relationships.
It combines practical tools with a focus on how patterns developed and how to change them.
CAT is often described as a “map and change” therapy. It helps you identify unhelpful patterns (sometimes called procedures or traps), understand how they formed, and develop new ways of coping. CAT usually includes written or diagram-based tools that make patterns easier to recognise in everyday life.
Early sessions focus on assessment and shared understanding. The therapist may write a reformulation letter or create a diagram (“map”) of your patterns. Middle sessions work on recognising these patterns in real time and trying alternatives. Ending is planned and includes reviewing progress and strategies.
CAT can be a good fit if you want a structured approach with clear formulation. If you have significant trauma symptoms or high risk concerns, ensure you work with an appropriately qualified clinician and a treatment plan matched to your needs.
Cognitive Analytic Therapy was developed in the UK in the late 20th century, integrating ideas from cognitive therapy and psychoanalytic/relational approaches. It is used across NHS and private settings as a structured, time-limited psychotherapy model.
Showing 5 conditions where Cognitive Analytic Therapy is commonly used.
| Condition | Evidence | Notes |
|---|---|---|
|
strong
|
Maps and changes the patterns that keep anxiety going, within a time-limited frame. |
|
|
strong
|
Cognitive analytic therapy maps the relational patterns from early bonds that keep recurring, helping you revise them. |
|
|
strong
|
Time-limited therapy that maps and changes the repeating patterns that maintain low mood. |
|
|
moderate
|
Maps and changes the self-critical patterns that maintain low self-esteem. |
|
|
moderate
|
Maps the repeating roles and reactions partners fall into during arguments, helping them recognise and step out of the cycle. |
Is CAT short-term?
Yes. It usually runs for 16–24 sessions plus review.
Will I get written summaries?
Yes. Maps and letters help clarify themes and progress.
Can CAT be combined with medication?
Yes; coordinate with your prescriber for integrated care.