Psychotherapy What Is Cognitive Reframing? By Amy Morin, LCSW Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast. Learn about our editorial process Updated on May 04, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Akeem Marsh, MD Medically reviewed by Akeem Marsh, MD LinkedIn Twitter Akeem Marsh, MD, is a board-certified child, adolescent, and adult psychiatrist who has dedicated his career to working with medically underserved communities. Learn about our Medical Review Board Print Christopher Ames / Getty Images Table of Contents View All Table of Contents Definition Techniques Uses Benefits Effectiveness Things to Consider How to Get Started Frequently Asked Questions What Is Cognitive Reframing? Cognitive reframing is a technique used to shift your mindset so you're able to look at a situation, person, or relationship from a slightly different perspective. Cognitive reframing is something that you can do at home or anytime you experience distorted thinking. It can sometimes be helpful to have a therapist's assistance, particularly if you are caught in a negative thought pattern. When the technique is used in a therapeutic setting and practiced with the help of a therapist, it is known as cognitive restructuring. The essential idea behind reframing is that the frame through which a person views a situation determines their point of view. When that frame is shifted, the meaning changes, and thinking and behavior often change along with it. Another way to understand the concept of reframing is to imagine looking through a camera lens. The picture seen through the lens can be changed to a view that is closer or further away. By slightly changing what is seen in the camera, the picture is both viewed and experienced differently. Techniques of Cognitive Reframing Reframing may be used to change the way people think, feel, and behave. Here are a few examples of how reframing may be used in therapy. Family Therapy In a family therapy session, Carla complains bitterly that her mother is overly involved in her life, constantly nagging her about what she should be doing. In attempting to shift Carla's negative view of her mother, the therapist offers this reframe: "Isn't it loving of your mother to teach you ways to take care of yourself so you'll be prepared to live on your own without her?" Individual Therapy A person in individual therapy is struggling to accept the limitations of having a chronic illness. The therapist attempts to reframe how they view their illness by saying, "Can you think of your illness as a built-in reminder to take care of your health throughout your life?" Or, someone is upset that they weren't chosen for a promotion. The therapist asks them what positive things could come from not being promoted. They might note that the new job came with some unwanted additional stresses and that they might be able to work toward another role that is better suited to their needs and long-term career goals. Or, someone is angry about getting a ticket for texting while driving, so their therapist talks about the dangers of texting while driving. Eventually, the person is able to see that the ticket might help deter them from engaging in the dangerous behavior again in the future. What Cognitive Reframing Can Help With Cognitive restructuring can be used to treat a wide variety of conditions, including: Addiction Anxiety Chronic pain Depression Eating disorders Insomnia Pain disorders Post-traumatic stress disorder (PTSD) Social anxiety disorder Stress In addition to mental health conditions, cognitive restructuring has also been found to help people cope with: Caregiving Grief and loss Low self-esteem Positivity Relationship issues Recap Cognitive reframing can be useful for people who are experiencing mental health conditions, but it can also be helpful for improving overall mental well-being. Using cognitive reframing can help you become more positive and resilient in the face of life's challenges. Benefits of Cognitive Reframing Cognitive reframing, whether it is practiced independently or with the help of a therapist, can be a helpful way to turn problems or negative thoughts into opportunities for change and growth. While this technique is often used in therapy, it's something that you can use at home as well. With practice, you can learn to remind yourself that your initial conclusion is only one possible explanation. Change Your Point of View It's easy to get into the mindset that your outlook is the only way to look at a problem. Cognitive reframing teaches you to ask yourself questions like, "Is there another way to look at this situation?" or, "What are some other possible reasons this could have happened?" Pointing out alternatives can help you see things from another view. Validate Emotions Don't try to deny or invalidate what you are feeling. If you are helping a child or teen reframe a situation, remember to validate their feelings by saying, "I know you are nervous that they haven't called you back. I know when I feel nervous I always imagine the worst-case scenarios but often, those things I imagine aren't true." Show Compassion You also might help yourself or your child stay mentally strong by asking, "What would you say to a friend who had this problem?" You may find that you're more likely to speak to others in a kinder and more compassionate way than you talk to yourself. The goal should be to help develop healthy self-talk. Eventually, you'll learn to recognize there are many ways to view the same situation. Recap Cognitive reframing can help change your perspective, help validate your emotions, and allow you to show yourself some compassion. Effectiveness of Cognitive Reframing There have been numerous studies on the therapeutic effects of cognitive restructuring for patients as well as the benefits of cognitive reframing for providers and caregivers in terms of preventing burnout. For example: Cognitive reframing has been proven effective to help minimize anxiety and depression and enhance quality of life during the COVID-19 pandemic.A study on practitioners who treated individuals with substance use disorder found that cognitive reframing helped them experience less burnout and greater treatment results.In caregivers of individuals with dementia, cognitive reframing was found to reduce caregiver anxiety, depression, and stress and enhance communication and overall quality of life.One study on people with mental illness and PTSD found that cognitive restructuring reduced symptoms and improved functioning.A 2014 study showed that cognitive restructuring reduced post-event processing (PEP), or the reflective thoughts you have after a social situation, for individuals with social anxiety disorder. Press Play for Advice On Dealing With Caregiver Stress Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast, featuring actor Nathan Kress, shares how to handle the stress that can arise after you've taken on a caregiver role. Click below to listen now. Follow Now: Apple Podcasts / Spotify / Google Podcasts Things to Consider While you can practice cognitive reframing on your own, it requires time, effort, and patience. It may be challenging to be honest with yourself and spot the negative thought patterns getting in your way on your own. When you know what to be on the lookout for, however, it becomes easier. Some common cognitive distortions, or tendencies and patterns of thinking or believing, that can cause negative thought patterns include: All-or-nothing thinking: Seeing situations in absolute terms Blaming: Attributing complex problems to a single cause Catastrophizing: Always imaging the worst thing that can happen in any situation Discounting the positive: Ignoring or discounting the good things that happen to you Mental filters: Focusing only on the negatives and never on the positives "Should" statements: Always feeling like you've failed to live up to expectations of what you "should" do in a situation Consider whether it's best to address these cognitive distortions on your own, or to work with a therapist to identify and develop coping strategies. Especially if you're experiencing suicidal ideation, it's imperative to speak with a mental health professional. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. How to Get Started If you are ready to try cognitive reframing, start by noticing your own thoughts. Pay attention to any negative or distorted thinking. Next, work on evaluating the evidence that supports or disputes your thoughts. Note things that might contradict your interpretation. It is also important to work on being compassionate to yourself. Using positive self-talk and practicing gratitude are two ways that you can shift into a more positive mindset. If you want to try cognitive reframing with the help of a therapist, there are some steps that you can take to help find the best therapist for your needs. Get a referral. Talk to your doctor for a referral to a therapist. You can also check out the directory of certified therapists offered by the National Association of Cognitive-Behavioral Therapists to locate a licensed professional in your area. Ask about insurance. Contact your therapy provider to be sure that they take your insurance, and check with your insurance provider about how many sessions they cover per year. Weigh your options, including whether you're more comfortable with face-to-face or online therapy. Think about what brought you to therapy, and be prepared to answer questions about your medical and personal history. What to Expect During Your First Therapy Session Frequently Asked Questions How does reframing influence cognitive distortions? Reframing challenges the negative thoughts and beliefs that contribute to distress. By learning to recognize distorted thinking and then actively working to change these thoughts to be more positive and realistic, people can feel more resilient and optimistic in the face of stress. What are some examples where cognitive reframing works? In situations where a person is feeling sad, they can change how they view the situation so that they can focus on the things that are going right. When people are experiencing stress, rather than getting overwhelmed by the things they cannot change, reframing can help them focus on the aspects of the situation that they can control. How does cognitive reframing differ from cognitive restructuring? Reframing is a strategy that people can use, either on their own or in therapy, to help adjust their mindset. It often involves focusing on more positive thoughts, but it can also be centered on changing excessively high expectations to be more realistic. Cognitive restructuring, on the other hand, is an approach used in a therapeutic setting that disputes and replaces maladaptive or irrational thoughts. How can you practice cognitive reframing? You can practice cognitive reframing by becoming more aware of your thoughts and how they shape your perspective on different situations. Practices such as meditation or mindfulness can be helpful for becoming more aware of your thoughts.The next step is to consciously shift your mindset. Think about other ways of viewing the situations. Are there things that you have not considered? Are there other explanations you should consider? As you work to change how you think, strategies like visualization or gratitude journaling can be helpful. 9 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Clark DA. Cognitive restructuring. In: Hofmann SG, Dozois D, eds. The Wiley Handbook for Cognitive Behavioral Therapy, First Edition. 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Fed Pract. 2017;34(8):26-27. Vernooij-Dassen M, Draskovic I, McCleery J, Downs M. Cognitive reframing for carers of people with dementia. Cochrane Database Syst Rev. 2011;11:CD005318. doi:10.1002/14651858.CD005318.pub2 Shikatani B, Antony MM, Kuo JR, Cassin SE. The impact of cognitive restructuring and mindfulness strategies on postevent processing and affect in social anxiety disorder. J Anxiety Disord. 2014;28(6):570-579. doi:10.1016/j.janxdis.2014.05.012 Additional Reading Wenzel A. Basic strategies of cognitive behavioral therapy. Psychiatr Clin North Am. 2017;40(4):597-609. doi:10.1016/j.psc.2017.07.001 By Amy Morin, LCSW Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a licensed clinical social worker, psychotherapist, and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.