CBT Isn’t the Problem… But It’s Not Enough
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About this listen
Licensed trauma therapist Tabitha Westbrook takes an honest look at why Cognitive Behavioral Therapy (CBT) often gets a bad rap in trauma work—and where it still holds real value.
In this episode, she breaks down what CBT actually is, where it came from, and why its focus on identifying and shifting automatic thoughts can be helpful—but also deeply limited when used in a rigid, one-size-fits-all way. Tabitha explores how non–trauma-informed CBT can unintentionally minimize real harm, invalidate appropriate emotional responses, and overlook the critical roles of the nervous system, attachment wounds, dissociation, and the lived experience of the body.
She also highlights more integrative “third-wave” approaches like DBT and ACT, which better account for emotional regulation and embodied experience. Importantly, she names a truth many people feel but rarely hear: some thoughts aren’t distortions—they’re accurate reflections of real pain, loss, or ongoing realities (including chronic illness), and they cannot simply be reframed away.
Drawing from her work in EMDR and faith-informed identity healing, Tabitha offers a more nuanced path forward. This episode invites listeners to move beyond therapy “camps” and toward a flexible, compassionate, and effective trauma healing toolkit.
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