Rose Markotic

Coaching, not therapy

Rose Markotic provides skills-based coaching and educational services from Croatia (EU). She is not a registered psychologist or psychotherapist in any country, and does not provide regulated psychological services, psychotherapy, counseling, or medical care. Coaching is not a substitute for therapy or medical treatment.

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Resource · ~8 min read

CBT techniques for anxiety, the TEAM-CBT way.

In short

CBT techniques for anxiety help you notice the thoughts that drive the fear, test them against reality and change what you do in response. TEAM-CBT, developed by Dr. David Burns, organises them into four stages: Testing how you feel, Empathy, Assessment of resistance, and Methods such as examining the evidence, the double standard and gradual exposure.

Rose Markotic

Rose Markotic · Anxiety Skills Coach

Rose’s path here runs through more than a decade of clinical training and practice — graduate training at Santa Clara University and years inside Dr. David Burns’ TEAM-CBT group at Stanford, the home of the measurement-driven framework.

More about Rose →

This is a plain-language tour of the tools, not a do-it-yourself kit. Several of them work best practised live with someone, and the order matters as much as the techniques. For the background of the method itself, see what TEAM-CBT is and where it comes from.

T is for Testing: how progress is measured

Every session starts and ends with numbers. In Rose’s coaching that’s two short questionnaires: a Mood check-in before and after each session, and a Session evaluationafterwards. They take a few minutes and show, session by session, whether anxiety and mood are actually shifting, so “is this working?” has an answer you can see.

E is for Empathy: before any technique

Tools applied to a problem you don’t feel understood on tend to bounce off. So the first job is to understand what the anxiety is like from the inside, and to check with you that it landed. It’s not a technique you do alone, which is one reason TEAM-CBT is practised with someone.

A is for Assessment of resistance: why part of you holds on

Anxiety often protects something you value: your standards, your care for others, your caution. Before trying to change it, TEAM-CBT looks at what the anxiety says about what matters to you, and asks how much of it you’d actually want to keep. Naming that honestly is often what lets the methods stick.

M is for Methods: spotting the thinking traps

Most methods start by identifying the distortions in an anxious thought. These are the ten common thinking traps described by Dr. Burns, building on Aaron Beck’s work in the 1960s:

  • —All-or-nothing thinking. Seeing things in black and white: if it isn't perfect, it's a failure.
  • —Overgeneralisation. One bad moment becomes "this always happens."
  • —Mental filter. Dwelling on the one thing that went wrong and filtering out the rest.
  • —Discounting the positive. Telling yourself the good things don't count.
  • —Jumping to conclusions. Mind-reading ("they think I'm useless") and fortune-telling ("it will go badly").
  • —Magnification. Blowing a problem out of proportion, or shrinking your strengths.
  • —Emotional reasoning. "I feel anxious, so something must be wrong."
  • —Should statements. Rigid rules about how you or others must be.
  • —Labelling. Calling yourself a name ("I'm an idiot") instead of describing what happened.
  • —Blame. Putting all the fault on yourself, or all of it on someone else.

Each one, with an everyday example and a question to answer it: cognitive distortions.

Methods for challenging an anxious thought

Once a distortion is spotted, there are dozens of ways to test the thought. TEAM-CBT matches the method to the person rather than running a fixed script. Some of the most used:

Examine the evidence. Treat the anxious thought as a hypothesis. What facts support it, and what facts don't?

The double standard. Ask what you'd say to a dear friend who had the same thought. Most people are far kinder, and more accurate, with others than with themselves.

The experiment. Turn a prediction into a small, safe test, then see what actually happens. Anxiety makes confident forecasts; experiments check them.

Cost–benefit analysis. List what a belief or habit gives you and what it costs you. Seeing both sides honestly often loosens its grip.

Externalising the voices. Done live with a coach: you voice the anxious thought and practise answering it out loud, swapping roles until the answer feels true.

Gradual exposure. Facing what you avoid in small, repeated steps, so your nervous system learns the feared outcome doesn't arrive. If what you avoid involves panic attacks, a phobia or past trauma, do this with a licensed professional.

In sessions, these are practised together on a real, recent upsetting moment, and progress is tracked with a short Mood check-in before and after each session.

Can you use these techniques on your own?

Some, yes. Spotting thinking traps and examining the evidence are good everyday habits, and how to stop overthinking covers a few you can start with today. Others, like externalising the voices or working with resistance, rely on a second person, and the Testing loop only works if someone is tracking it with you.

When to see a licensed professional

If anxiety is severe, getting worse, comes with panic or low mood you can’t shift, or thoughts of harming yourself, please talk to your GP or a licensed professional. Coaching teaches CBT skills; it is not psychotherapy or a substitute for clinical care. In a crisis, see the crisis resources page.

Frequently asked

Common questions

What are CBT techniques for anxiety?
CBT techniques help you notice the thoughts that drive anxiety, test them against reality and change what you do in response. Common ones are identifying thinking traps such as fortune-telling and mind-reading, examining the evidence, the double standard technique, small behavioural experiments and gradual exposure to what you avoid.
What is the double standard technique?
You ask what you'd say to a dear friend who had the same anxious thought. Most people speak to others with more kindness and more accuracy than they use on themselves, and borrowing that voice helps you see the thought more realistically.
How is progress measured in TEAM-CBT?
With short questionnaires at every session. In Rose's coaching that's a Mood check-in before and after each session and a Session evaluation afterwards, so you can see, session by session, whether anxiety and mood are shifting.
Do I need a coach to use TEAM-CBT techniques?
Some techniques, like spotting thinking traps and examining the evidence, you can practise alone. Others, like externalising the voices and working with resistance, rely on a second person, and the session-by-session measurement needs someone tracking it with you. If you need clinical care, see a licensed professional.

Next step

Learn the tools with someone.

Rose teaches these techniques online, in English, to clients across the UK and Europe. Not sure where to start? What kind of stuck are you? Find out →

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