Cognitive Analytic Therapy (CAT)
As CAT developer Steve Potter cites in his book Therapy with a Map, “There is a great deal of country within us which would have to be taken into account in an explanation of our gusts and storms.” George Eliot, Daniel Deronda (Book 3, Chapter 24).
CAT stands for Cognitive Analytic Therapy and, unfortunately, doesn’t involve sitting around patting actual cats.
The cognitive part refers to how we think, and the analytic part involves understanding how early life experiences have shaped us, and the patterns we can find ourselves stuck in as adults. CAT is a strongly relational approach, which means the relationship between client and therapist is an important part of the work.
A relational and reflective approach
In CAT-informed work, attention is paid to what’s happening in the room, including the therapist’s own responses. At times, these reflections may be shared and the relationship between therapist and client is openly discussed.
This can offer valuable information about relationship patterns, and creates opportunities to notice and practise change in real time.
Mapping patterns
In sessions, this often looks quite practical.
We may write down words, phrases, or themes from what you’re sharing on a whiteboard or piece of paper that we can both see. Over time, patterns begin to emerge and can be mapped out together.
For example, someone who grew up in an environment where care or attention was conditional might develop a pattern of people-pleasing or self-sacrifice in adult relationships. In CAT, these patterns are named, mapped, and explored, along with the “exits”, which are alternative ways of responding that can feel healthier and more connected.
A relational formulation helps us understand how past experiences continue to influence the present. Taking a step back and looking at these patterns from a broader perspective can help things feel clearer and less overwhelming, and supports both therapist and client to make sense of what’s happening.
How I use Cognitive Analytic Therapy
I’m not a CAT therapist in the traditional sense, as CAT is often offered as a time-limited therapy with a set number of sessions.
Instead, I integrate CAT-informed mapping and relational formulation into my work alongside other therapeutic approaches I’m trained in, using these tools where they feel most helpful and relevant.