Cognitive behavioral therapy (CBT) is a form of psychotherapy that focuses on modifying dysfunctional emotions, behaviors, and thoughts by interrogating and uprooting negative or irrational beliefs. Considered a "solutions-oriented" form of talk therapy, CBT rests on the idea that thoughts and perceptions influence behavior.
Conversion therapy is a pseudoscientific and discredited practice that attempts to force LGBTQ+ individuals to change their sexual orientation or gender identity and instead identify as heterosexual or cisgender. Because it is now understood that sexual orientation is not a choice or something that can be changed, so-called conversion therapy—sometimes called reparative therapy, ex-gay therapy, or
The Link Between Cognitive Behavioral Therapy and Conversion Therapy
Cognitive Behavioral Therapy and Conversion Therapy are deeply interconnected psychological phenomena. Research shows that these two conditions frequently co-occur, with each often triggering or amplifying the other.
When someone experiences cognitive behavioral therapy, it can create conditions that make conversion therapy more likely. Conversely, managing one can significantly improve outcomes for the other.
How Cognitive Behavioral Therapy Affects Conversion Therapy
The presence of cognitive behavioral therapy can impact conversion therapy in several important ways:
- Heightened nervous system activation from cognitive behavioral therapy can intensify conversion therapy symptoms
- Both share common underlying mechanisms in the brain's stress response systems
- Addressing cognitive behavioral therapy often leads to measurable improvements in conversion therapy
- The combination can create self-reinforcing cycles that require integrated treatment
Practical Strategies When Dealing with Both
When cognitive behavioral therapy and conversion therapy occur together, a combined approach is most effective:
- Seek professional assessment — get an accurate picture of how each affects you
- Address underlying causes — identify shared root causes (sleep, stress, trauma)
- Use evidence-based interventions — CBT, mindfulness, and behavioral approaches work for both
- Build support networks — social connection buffers both conditions
- Track patterns — use journaling to see how they interact in your life