Cognitive Analytic Therapy(CAT)
Moderate EvidenceCognitive Analytic Therapy (CAT) is a time-limited, relationally focused integrative psychological therapy that draws on cognitive psychology, psychoanalytic object relations theory, and activity theory (Vygotskian developmental psychology). Developed by Anthony Ryle in the 1980s, CAT helps people understand and change longstanding patterns of thinking, feeling, and relating that cause ongoing distress. It places particular emphasis on understanding how early relational experiences shape current patterns, and uses unique collaborative tools — including reformulation letters and diagrams — to make these patterns visible and open to change.
IntegrativeRelationalTime-limitedTime-limited
16 sessions (standard) or 24 sessions (complex presentations)16 resourcesLast reviewed January 2026