What to Expect in CAT
A guide to the three phases of CAT (reformulation, recognition, revision), what sessions are like, and how the therapy ends.
Cognitive Analytic Therapy (CAT) is a collaborative, time-limited therapy typically lasting 16-24 sessions. Here's what to expect in each phase.
Phase 1: Reformulation (Sessions 1-4)
You and your therapist work together to understand your difficulties. • Complete the "Psychotherapy File" • Explore early experiences • Identify key patterns (traps, dilemmas, snags) • Receive a reformulation letter • Create a diagram (SDR) mapping your patterns
Phase 2: Recognition (Sessions 5-12)
Build awareness of your patterns as they happen. • Practise "pattern-spotting" • Keep a diary to track patterns • Notice patterns in the therapy relationship • Develop an "observing eye"
Phase 3: Revision (Sessions 13-16/24)
Change patterns and prepare for ending. • Identify and practise "exits" — new ways of responding • Focus on ending and what it brings up • Write "goodbye letters" to each other • Follow-up sessions to maintain progress