The pros and cons of evidence-based therapy | Lex Hristova, Cognitive Behavioural Therapist
Lex Hristova
Cognitive Behavioural Therapist
Specialisation: Cognitive Behavioural Therapy (CBT), Anxiety, Low Mood, Self-Esteem
Regulatory Body: BABCP
Based in: North London, UK
🧠An evidence-based therapy is one that has been tested through controlled research and compared against alternative approaches.
Cognitive Behavioural Therapy (CBT) is the most widely used example. The advantage of working with a scientifically validated modality is a higher degree of confidence in its likely effectiveness.
The limitation is worth understanding too. Some people find evidence-based approaches too structured.
Others feel the standardised format does not go deep enough on what matters to them personally. Being evidence-based does not mean being the best fit for every person, nor does it make psychodynamic therapy or counselling a lesser option. Those approaches are simply harder to quantify within large-scale systems like the NHS, because they lack the same degree of standardisation.
Finding the right therapy is rarely a first-attempt process. The approach matters, but so does the timing and the person delivering it. Starting with practitioners listed on accredited professional databases is sound. From there, trying different approaches and asking directly about what a method involves will tell you more than any label.
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