Cognitive Behavioural Therapy (CBT) in Madrid

Understanding How Your Thoughts Shape Your World

Cognitive Behavioural Therapy (CBT) is a practical, goal-oriented form of psychotherapy. It is based on the idea that our thoughts, feelings, and physical sensations are all interconnected. When we get stuck in negative thought patterns, it can lead to a “downward spiral” that affects how we act and how we feel.

CBT doesn’t just look at the past; it focuses on providing you with the tools to manage your current problems in the here and now.

How Does CBT Work?

In our sessions at Counselling Therapy Madrid, we work together to identify and “deconstruct” the patterns that are making you feel overwhelmed, anxious, or stuck.

The core of CBT involves:

  • Cognitive Restructuring: Identifying “automatic” negative thoughts (e.g., “I’m failing at this expat life”) and challenging them with more balanced, realistic perspectives.
  • Behavioural Activation: Identifying small, manageable changes in your daily routine to improve your mood and energy.
  • Skill Building: Learning specific techniques to manage stress, improve communication, or process trauma.

Why CBT is Effective for the International Community

Living abroad often strips away our usual support systems and familiar routines. This can amplify “imposter syndrome,” social anxiety, or depression. CBT is particularly effective for:

  • Anxiety & Panic: Learning to “lower the volume” on the body’s fight-or-flight response.
  • Depression: Breaking the cycle of isolation and low motivation.
  • Addiction & Trauma: Using evidence-based structures to regain a sense of safety and control.

What to Expect in Session

Working with me, Chris Neill (MSc Health Psychology), means your therapy is backed by over 25 years of experience within the Spanish health system and private practice.

CBT is a collaborative process. We don’t just talk; we create a roadmap. You will leave sessions with a clearer understanding of your mind and often a “homework” task to try out in the real world between sessions. This ensures that the progress we make in my Puente de Vallecas office (or online) translates directly into your daily life.


Ready to start?

I offer both Face-to-Face sessions in Madrid and Online sessions for individuals and couples.

  • Individual (Face-to-Face): €70
  • Individual (Online): €60
  • Location: Calle de la Serena, 18, Madrid.