Chronic pain and other physical health conditions. Cognitive Behavioural Therapy (CBT) explores the relationships between our thoughts (cognitions), our emotions, and our physical responses. For example: if a friend suddenly cancels your dinner plans without explanation, you might have a variety of different emotional reactions depending on the reasons you imagine for the cancellation. If you suspect that he is cancelling because he is sick or injured, then you will probably feel concern and understanding. If you believe he is cancelling because he doesn’t value your time or friendship, then you will probably feel hurt and angry. Can you imagine other ways to think about the situation? There are a variety of interpretations, and our automatic reactions may not always be accurate or helpful. Learning to recognize your own unhelpful patterns of negative cognitions and behavior will allow you to develop healthier ways of thinking and responding in difficult situations.