When people hold irrational beliefs about themselves or the world, problems can result. The goal of REBT is to help people recognize and alter those beliefs and negative thinking patterns in order to overcome psychological problems and mental distress. According to REBT, our cognition, emotions, and behavior are connected. In order to understand the impact of events and situations that people encounter throughout life, it’s essential to look at the beliefs people hold about these experiences and the emotions that arise as a result of those beliefs.

Techniques

A core concept of REBT is the ABC model. This model explains how, while we may blame external events for our unhappiness, it is our interpretation of these events that truly lies at the heart of our psychological distress. “ABC” is an acronym for:

A: Activating event, which is when something happens in the environment around youB: Belief, which describes your thoughts about the event or situationC: Consequence, which is your emotional response to your belief

Identifying Beliefs and Applying the ABC Model

During REBT, your therapist will help you learn how to apply the ABC model to your daily life. If you’re feeling depressed due to a conflict in your relationship, for example, your therapist may help you identify the activating event for your problem before encouraging you to figure out which beliefs led to your negative feelings. They would then work with you to change those beliefs and, ultimately, your emotional response to the conflict. An important step in this process is recognizing the underlying beliefs that lead to psychological distress. In many cases, these are reflected as absolutes, as in “I must,” “I should,” or “I can’t.” Some of the most common irrational beliefs include:

Feeling excessively upset over other people’s mistakes or misconductBelieving that you must be perfectly competent and successful in everything to be valued and worthwhileBelieving that you will be happier if you avoid life’s difficulties or challengesFeeling that you have no control over your own happiness; that your contentment and joy are dependent upon external forces

Holding unyielding beliefs like these makes it almost impossible to respond to activating situations in a psychologically healthy way. Possessing rigid expectations of ourselves and others only leads to disappointment, recrimination, regret, and anxiety.

Disputation

One step toward changing your beliefs is undergoing a process called disputation. During disputation, your therapist will challenge your irrational beliefs using direct methods. They may question your beliefs head-on, causing you to rethink them, or they could ask you to imagine another point of view that you haven’t considered before.  Disputation is meant to teach you life-long skills to help you manage your emotional response and overall mental health.

Gaining Insight and Changing Behavior

An important part of the REBT process is learning how to replace your irrational beliefs with healthier ones. This process can be daunting and upsetting, and it’s normal to feel some discomfort or to worry that you’ve made a mistake.  However, the goal of REBT is to help people respond rationally to situations that would typically cause stress, depression, or other negative feelings. When faced with this type of situation in the future, the emotionally healthy response would be to realize that it is not realistic to expect success in every endeavor. All you can do is learn from the situation and move on. Three key insights that REBT teaches are:

You are worthy of self-acceptance no matter what even when you struggle or make mistakes; there is no need for shame or guilt.Others are also worthy of acceptance, even when their behavior involves something that you don’t like.Negative things will sometimes happen in life, and that doesn’t mean that things are happening in a way they shouldn’t be. Life is not positive all of the time, and there’s no rational reason to expect it to be.

While REBT uses cognitive strategies, it focuses on emotions and behaviors as well. In addition to identifying and disputing irrational beliefs, therapists and clients also work together to target the emotional responses that accompany problematic thoughts. Techniques that might be encouraged include:

Meditation Journaling Guided imagery

What REBT Can Help With

REBT has some data to support its benefit in a variety of conditions, including:

Anxiety and distress Depression Disruptive behavior in children Obsessive-compulsive disorder (OCD) Social anxiety disorder Psychotic symptoms

REBT has also shown promise in sports psychology, where it can be used to help athletes overcome irrational beliefs that may be negatively impacting their mental health and performance.

Benefits of REBT

When developing REBT, Ellis’s goal was to create an action-oriented approach to psychotherapy that produced results by helping people manage their emotions, cognitions, and behaviors. Indeed, research suggests that REBT is effective at reducing irrational beliefs and changing behavior. We see the same results in sports psychology, where REBT can decrease irrational beliefs and reduce anxiety for athletes. Overall, REBT offers several behavioral benefits, like:

Reduced feelings of anger, anxiety, depression, and distressImproved health and quality of lifeBetter school performance and social skills

Effectiveness

REBT has a wide range of potential applications. Because it’s focused on education and taking action, it may be effective for a variety of situations and mental health conditions. It may even lead to lasting change in those who undergo this form of therapy.

Burnout at School or Work

Researchers have studied the impact that REBT has on professional and academic performance. One 2018 study showed that this approach was effective in reducing symptoms of burnout for undergraduate students and continued to help even months after therapy concluded. Another 2018 study showed similar results for nurses. Group REBT reduced their job-related stress and burnout while increasing their job satisfaction and commitment to their organization.

Depression and Anxiety

REBT may be effective in reducing symptoms for people with depression or anxiety. The positive effects also appear to last even after therapy ends. REBT has also shown promising results for adolescents experiencing depression. This may be due to its emphasis on teaching techniques like:

Identifying cognitive errors Challenging irrational beliefs Separating individuals from their behaviors Practicing acceptance

REBT is quickly gaining popularity as a treatment option for athletes who are experiencing mental health issues. It can be used to restore and maintain athletes’ mental health, helping them learn how to change their outlook and manage their emotions. This often improves their athletic performance, though the goal of REBT in sports psychology is to care for the athlete’s mental well-being first and foremost.

Things to Consider

REBT can be a daunting process. For some, disputation may feel aggressive or confrontational, and facing irrational thought patterns can be difficult, as it’s not easy to accept these beliefs as unhealthy. The process of changing these thoughts can be even more challenging, as it may involve learning to let go of long-held beliefs. REBT is meant to teach you life-long skills and, as such, it’s not a passive process. Your sessions may involve reading assignments and homework, and you’ll likely have to step out of your comfort zone to get the benefits of this form of therapy.

How to Get Started

To begin REBT, check with your doctor for any recommendations of local therapists or search for mental healthcare professionals who offer this approach either in person or online. During your first session, your therapist will likely discuss your goals and the activating event (or events) that prompted you to seek treatment. They may want to delve into REBT techniques right away; this form of therapy is very active and focused, so your therapist is not likely to spend a lot of time on casual conversation. Throughout your treatment, you will probably receive homework assignments to complete and new behaviors to experiment with. Your willingness to try out new beliefs and different behaviors will impact how beneficial REBT is for you.