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CBT Therapy
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4.7 Trustpilot | Excellent

Online CBT Therapy in Ireland

CBT is up to 75% effective for overcoming anxiety and depression after 5-15 sessions. Work with a qualified therapist from the comfort of home.

No GP Referral needed
Appointments Available within 24 Hrs

Available appointments

Can’t find a time that suits?

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50+ All IACP Accredited
24 Hours Average Wait Time
10,000+ Patients Helped

Accepted by leading Irish health insurers

VHI Healthcare Laya Healthcare Irish Life Health

Our therapists are accredited by

Loved by clients across Ireland

Real Trustpilot reviews from people who found the right therapist through Fettle.

Genuinely transformed how I operate day-to-day. Before starting with Fettle, I was very close to hitting burnout - struggling with procrastination, time management, and a frustrating lack of structure. Over the last three months, working with my therapist, Louise O'Sullivan, gave me the exact circuit breaker I needed.

Finn GlennTrustpilot · Aug 2026

I really enjoy my weekly sessions with Dylan Johnston. I have tried therapy before but this time I feel I'm getting a lot more out of it. I feel so understood and it makes life less overwhelming. It's been so great to be able to do it on my laptop at home instead of the added stress of travel.

Gabby MurphyTrustpilot · Mar 2026

I am so happy I decided to try fettle. Emma Keane was my therapist and I felt immediately at ease with her, she helped me a tremendous amount. Her empathy helped me navigate difficult relationships and gain a much clearer understanding of my anxiety.

KimTrustpilot · Jan 2026

I am really enjoying my sessions with Pavel. The service fettle provides is very good and I highly recommend it

Flávio FerreiraTrustpilot · Jan 2026

Great support provided by the fettle team. They are really fantastic in following up and helping with any issues on the platform. Wonderful therapists and lovely people.

Anshuman SinghTrustpilot · Dec 2025

Fettle really got me over a hard part in my life. My father had died and I was drinking heavily. They got back to me and got me talking to someone very fast.

Simon TobinTrustpilot · Nov 2025

Fettle makes therapy simple. I booked by text message and had my first session the same week. My therapist was accredited and really down-to-earth. It's great to know I can access support from home whenever I need it.

MatthewTrustpilot · Nov 2025

I was nervous about starting therapy online, but Fettle made it effortless. Irish-based, accredited therapists and excellent communication. I booked through WhatsApp, and everything was sorted instantly. Fantastic service!

John MurphyTrustpilot · Nov 2025

The support and understanding that I've received from working with a therapist through fettle has been life-changing for me, and my on-going therapy experience has enabled me to make such positive changes in my mindset, my thinking and in my life.

Ciara WilliamsTrustpilot · May 2025

Brilliant experience with Fettle, easy to book online and so compassionate throughout. Would highly recommend

JohnTrustpilot · May 2025

Found a therapist who matches my needs, and has been open and engaging. I've been able to set up appointments on my own terms. It is certainly a service I value. Setting up additional sessions is easy and the reminders and calendars are handy to have.

Eoin WyseTrustpilot · Feb 2025

Excellent MH service. Brendan has the right tone and pace. Really felt heard.

Cian MekitarianTrustpilot · Jan 2025

Great support provided by the fettle team. They are really fantastic in following up and helping with any issues on the platform. Wonderful therapists and lovely people.

Anshuman SinghTrustpilot · Dec 2025

I am really enjoying my sessions with Pavel. The service fettle provides is very good and I highly recommend it

Flávio FerreiraTrustpilot · Jan 2026

I am so happy I decided to try fettle. Emma Keane was my therapist and I felt immediately at ease with her, she helped me a tremendous amount. Her empathy helped me navigate difficult relationships and gain a much clearer understanding of my anxiety.

KimTrustpilot · Jan 2026

I really enjoy my weekly sessions with Dylan Johnston. I have tried therapy before but this time I feel I'm getting a lot more out of it. I feel so understood and it makes life less overwhelming. It's been so great to be able to do it on my laptop at home instead of the added stress of travel.

Gabby MurphyTrustpilot · Mar 2026

Genuinely transformed how I operate day-to-day. Before starting with Fettle, I was very close to hitting burnout - struggling with procrastination, time management, and a frustrating lack of structure. Over the last three months, working with my therapist, Louise O'Sullivan, gave me the exact circuit breaker I needed.

Finn GlennTrustpilot · Aug 2026

Excellent MH service. Brendan has the right tone and pace. Really felt heard.

Cian MekitarianTrustpilot · Jan 2025

Found a therapist who matches my needs, and has been open and engaging. I've been able to set up appointments on my own terms. It is certainly a service I value. Setting up additional sessions is easy and the reminders and calendars are handy to have.

Eoin WyseTrustpilot · Feb 2025

Brilliant experience with Fettle, easy to book online and so compassionate throughout. Would highly recommend

JohnTrustpilot · May 2025

The support and understanding that I've received from working with a therapist through fettle has been life-changing for me, and my on-going therapy experience has enabled me to make such positive changes in my mindset, my thinking and in my life.

Ciara WilliamsTrustpilot · May 2025

I was nervous about starting therapy online, but Fettle made it effortless. Irish-based, accredited therapists and excellent communication. I booked through WhatsApp, and everything was sorted instantly. Fantastic service!

John MurphyTrustpilot · Nov 2025

Fettle makes therapy simple. I booked by text message and had my first session the same week. My therapist was accredited and really down-to-earth. It's great to know I can access support from home whenever I need it.

MatthewTrustpilot · Nov 2025

Fettle really got me over a hard part in my life. My father had died and I was drinking heavily. They got back to me and got me talking to someone very fast.

Simon TobinTrustpilot · Nov 2025

How it works

From finding the right therapist to easy scheduling, Fettle therapy makes it easier to start feeling better by giving you access to personalised support from accredited CBT professionals on a flexible online platform.

Step 1

What is CBT therapy?

Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach that helps you identify and change negative thought patterns and behaviours. It's one of the most researched and effective forms of psychotherapy, focusing on practical strategies you can use in everyday life. CBT works by helping you understand the connection between your thoughts, feelings, and actions—giving you tools to break unhelpful cycles.


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CBT Therapy
Step 2

What can you expect?

In your CBT sessions, you'll work collaboratively with your therapist to set clear goals and develop practical skills. Sessions typically run 50 minutes and include learning techniques like thought challenging, behavioural experiments, and relaxation exercises. Between sessions, you'll practise these skills through homework assignments, reinforcing new patterns of thinking and behaviour. Most people see significant improvement within 5-20 sessions.


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Therapy session
Step 3

Finding your specialised therapist

Our matching process connects you with a CBT therapist who specialises in your specific concerns—whether that's anxiety, depression, OCD, or trauma. You can let us match you based on your needs and goals, or browse therapist profiles to find someone who resonates with you. All our CBT therapists are fully accredited, experienced professionals who deliver therapy via secure video sessions.


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Therapist working
Step 4

Unlocking online therapy

Online CBT removes the barriers to getting support. No commuting, no waiting rooms—connect from wherever feels comfortable for you. Research shows online CBT is just as effective as in-person therapy, with the added benefits of flexible scheduling, greater accessibility, and the comfort of your own space. Many clients find it easier to open up when they're in a familiar environment.


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Woman working on laptop

Real Stories

Hear from real people finding their path with Fettle.

Millennial Dad talking about: When the problems start to pile up
Millennial DadWhen the problems start to pile up
Millennial DadWhen the problems start to pile up
Book a session

Start Your CBT Therapy Journey

Pick a date and time — we'll connect you with an accredited CBT therapist

Save With a Session Bundle

Buy sessions in advance and save — no expiry date, use at your own pace

Flexible

Pay As You Go

Standard 50-minute session

€95
Per session
  • Book sessions at your own pace
  • No commitment required
  • Perfect for flexible schedules
  • Full 50-minute sessions
Book Session

6-Session Bundle

6 therapy sessions

€528
€88 per session 💰 Save €42
  • 6 × 50-min sessions
  • No expiry date
  • Flexible scheduling
Choose Bundle

9-Session Bundle

9 therapy sessions

€765
€85 per session 💰 Save €90
🎁 Includes Gift Certificate
  • 9 × 50-min sessions
  • Lowest per-session rate
  • Long-term support
Choose Bundle

The CBT Journey

Discover how CBT helps you understand and change negative patterns

You
I keep having anxious thoughts before meetings. My mind races and I can't focus.
Therapist
Let's identify what thoughts are triggering that anxiety and work through them together?

Identify Your Problems

The first step in CBT is identifying the specific thoughts, feelings, and behaviours causing you distress. Your therapist helps you recognise patterns you might not have noticed before.

Get Started
Therapist
What evidence supports this thought? What evidence contradicts it?
You
Actually, when I think about it, my presentations usually go well...

Challenge Negative Thoughts

Once you've identified unhelpful thoughts, you'll learn to question their validity. Are they based on facts or assumptions? Your therapist guides you through evidence-based techniques.

Get Started
Therapist
Try this breathing technique when you notice anxiety building?
You
I'll add it to my toolkit alongside the thought records.

Learn Techniques

CBT gives you a toolkit of practical strategies: thought records, breathing exercises, relaxation techniques, and problem-solving methods. These become lifelong skills.

Get Started
Therapist
I actually spoke up in the meeting today instead of staying quiet!?
You
Connection. Being there for people. Creating things that matter.

Change Your Behaviours

Thoughts and behaviours are connected. As you change how you think, you'll also work on changing unhelpful behaviours through gradual exposure and behavioural experiments.

Get Started
You
I feel so much more confident handling stress now. Thank you!
Therapist
You did the hard work. These skills will serve you for life.

Maintain Your Progress

CBT's effects last long after therapy ends. You'll have strategies for recognising early warning signs, preventing relapse, and continuing to grow.

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What is CBT Used For?

CBT is effective for treating a wide range of mental health conditions

CBT is highly effective for treating panic disorder, phobias, social anxiety, and generalised anxiety disorder. It helps you understand the connection between anxious thoughts and physical symptoms.
CBT helps identify and change negative thought patterns that contribute to depression. You'll learn to challenge hopeless thinking and re-engage with activities that bring meaning.
CBT with Exposure and Response Prevention (ERP) is the gold standard treatment for OCD. It involves gradually facing fears while resisting compulsive behaviours.
CBT helps you understand thought patterns that contribute to stress, recognise triggers, and develop healthy coping strategies for managing pressure.
Trauma-focused CBT helps process traumatic memories in a safe, structured way. It challenges unhelpful beliefs about the traumatic event and reduces panic responses.

Signs CBT Can Help You

Recognise these patterns? CBT provides practical tools to address these challenges.

Negative Thinking
›
Anxiety & Worry
›
Low Mood
›
Avoidance Patterns
›
Perfectionism
›
Low Self-Esteem
›
Feeling Overwhelmed
›
Overthinking
›

Why Therapy Creates Lasting Change

Research consistently shows that therapy delivers sustainable transformation.

70%+
Improvement Rate
CBT effectiveness for anxiety, depression and stress management.
5-12%
Greater Improvement
In work ability with long-term therapy vs short-term after 3 years.
5+ Years
Stable Benefits
Benefits remain stable for years after therapy ends.
Our Expert Team

Meet our CBT therapists

Our CBT therapists bring together clinical experience, evidence-based care, and a compassionate approach to help clients understand what they’re experiencing and access the right support.

  • Evidence-based therapeutic support
  • Matched to the needs of this service
  • Online booking available through this page

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Frequently Asked Questions

Everything you need to know about CBT therapy

CBT works to reprogram how the mind responds to thoughts. CBT teaches you to identify, challenge, and replace negative thought patterns with more balanced and helpful ways of thinking.

CBT focuses on identifying and changing unhelpful thought patterns and behaviours. While some approaches like ACT focus on acceptance, CBT actively works to restructure negative thinking into more balanced perspectives, giving you practical tools to manage difficult emotions.

Cognitive Behavioural Therapy (CBT) teaches clients how to identify the connection between their thoughts, feelings, and behaviours. Through structured exercises and homework, you learn to challenge negative thoughts and develop healthier responses.

With CBT therapy, there is no set time to see results. However, you can expect to have short-term results gained in as fast as one session to long-term results gained after numerous sessions. In essence, results with CBT therapy are gradual and guarantee a steady improvement with each session.

CBT uses several key techniques including thought records, cognitive restructuring, behavioural experiments, exposure therapy, relaxation techniques, and problem-solving skills training.

Here at Fettle, we understand that finding a good and trusted therapist can be a task. However, we are devoted to offering quality counselling always with your needs in mind. When choosing the best therapist to suit your needs, it's essential to know the areas to consider and how to get started.

How does Cognitive Behavioural Therapy work?

CBT has been around for many years. It's the basis of other therapies, such as Acceptance and Commitment Therapy (ACT), Mindfulness-Based Cognitive Therapy, and Dialectical Behaviour Therapy (DBT).

If you are thinking negatively about yourself or a situation and that is causing you problems, CBT might be able to help .

In CBT, you work with a therapist to recognise the patterns of thinking (cognition) and behaviour that cause your problems. This collaborative approach helps you gain insight into how your mind works and why certain patterns have developed.

The CBT Process: Understanding Your Problems

First, you will work with your therapist to understand what are the most troubling problems for you.

You will identify which of these thoughts, emotions and beliefs are negative or inaccurate. And then, working with your therapist, you find ways to challenge them.

Then, you work out what your thoughts, emotions and beliefs are about these situations. This exploration helps build a clear picture of how you experience difficulties in your daily life.

This structured approach ensures that therapy is targeted and focused on what matters most to you.

What can CBT help with?

CBT is one of the most researched and effective forms of psychotherapy, with proven benefits for a wide range of conditions.

CBT therapists effectively treat patients with:

  • Depression
  • Obsessive-compulsive disorder
  • Eating disorder
  • Anxiety disorder
  • Psychosis
  • Substance-use disorders
  • Chronic stress
  • Chronic pain

Benefits & Effectiveness of CBT Therapy

Benefits of CBT Therapy: CBT is great at improving mental health by helping you identify and change negative thought patterns. You learn practical skills to challenge unhelpful thinking and develop healthier responses.

CBT is often recommended as a first-line treatment and can reduce or eliminate the need for medication in many cases.

Effectiveness: Studies show CBT is 75% effective for treating anxiety and depression, with lasting results that continue after treatment ends.

Things to Consider: When selecting a CBT therapist, it's essential to ensure they are accredited and experienced in cognitive behavioural approaches. It is also vital to ensure that you feel confident and comfortable with your selected therapist.

Not sure where to start?

Fill out our quick questionnaire and we'll match you with the most appropriate CBT therapist for your needs.