8 practical compassion focused therapy techniques

In a world that often demands toughness and resilience, the idea of turning inward with kindness can feel revolutionary. Yet, this is the very foundation of Compassion Focused Therapy (CFT), a powerful psychological approach designed to help us manage difficult emotions like shame, anxiety, and self-criticism. Developed by Professor Paul Gilbert, CFT integrates evolutionary psychology, neuroscience, and mindfulness to help us understand our 'tricky brains' and cultivate an inner source of strength and comfort.

This isn't about ignoring life's challenges or letting yourself off the hook. Instead, it is about learning to face them with a supportive inner ally rather than a harsh inner critic. The core principle is that by developing our compassionate self, we can better regulate our threat system, which is often responsible for feelings of anxiety and self-attack, and engage more with our soothing system to foster a sense of safety and wellbeing. This shift allows for greater emotional balance and courage.

This article provides a practical, evidence-informed roadmap for building this internal support system. We will explore eight core compassion focused therapy techniques, breaking down each one into actionable steps. For each technique, you will find:

  • Clear practice guidelines to help you get started immediately.
  • Clinical insights on how and why it works.
  • Adaptations for common difficulties like intense self-criticism or anxiety.

From soothing rhythm breathing to compassionate letter writing, this guide is designed to empower you with the tools needed to put these transformative practices into action, transforming your relationship with yourself and building lasting emotional resilience.

1. Compassionate Mind Training (CMT): Building the Foundation

At the very heart of Compassion Focused Therapy (CFT) lies Compassionate Mind Training (CMT). It isn't just one technique among many; it is the fundamental framework that underpins the entire approach. CMT is a systematic process designed to help us deliberately cultivate an inner-world of warmth, wisdom, and courage.

Think of it as mental strength training, but the muscle you are building is your capacity for compassion. This foundational practice is grounded in understanding our three core emotion regulation systems:

  • The Threat System: Our internal alarm, designed for protection. It detects danger and fuels feelings like anxiety, anger, and disgust. Self-criticism often keeps this system on high alert.
  • The Drive System: Our motivational engine. It helps us pursue resources, achieve goals, and gives us feelings of excitement and pleasure.
  • The Soothing System: Our system for rest and contentment. When activated, it helps us feel safe, cared for, and connected, releasing calming hormones like oxytocin.

For many people, particularly those struggling with shame and self-criticism, the threat system is often overactive, while the soothing system is under-developed. CMT provides a structured pathway to rebalance these systems by intentionally activating and strengthening our innate capacity for soothing.

How Does CMT Work in Practice?

CMT involves a progressive series of exercises, including mindfulness, attention regulation, and visualisation. It teaches you to first recognise your threat-driven thoughts (e.g., "I'm not good enough") without judgement. From there, you learn to consciously shift your mental state, activating your soothing system and cultivating a compassionate inner self. This is not about suppressing critical thoughts but developing a stronger, wiser part of you that can respond to them with kindness and support.

As CFT clinical psychologist Dr Chris Irons often highlights, this is about cultivating a compassionate self that can stand by you through life's inevitable difficulties.

This foundational work is crucial because it provides the internal resources needed to engage with more challenging therapeutic work later on. By building this compassionate base, you create a secure internal platform from which to face painful memories, fears, and self-criticisms, making it one of the most essential compassion focused therapy techniques.

2. Compassionate Imagery and Visualization: Accessing Inner Warmth

Compassionate Imagery and Visualization is a powerful technique that uses the mind's ability to create vivid mental pictures to directly influence our emotional state. It leverages the deep connection between our imagination and our physiology, allowing us to intentionally activate our soothing system and generate feelings of safety, warmth, and reassurance from the inside out.

Compassionate Imagery and Visualization

This practice is more than just positive thinking; it's a deliberate, multi-sensory exercise designed to shift your brain and body out of a threat-based state (anxiety, fear, criticism) and into a state of safeness and connection. By imagining a compassionate figure, a safe place, or an ideal compassionate version of ourselves, we can stimulate the release of calming neurochemicals like oxytocin, effectively creating an internal sanctuary. This is particularly transformative for individuals whose threat systems are highly sensitised, such as in cases of PTSD or chronic anxiety.

How Does Compassionate Imagery Work in Practice?

The process involves guided exercises where you construct a detailed mental image, focusing not just on what you see but on what you feel, hear, and sense. You might be guided to create your 'ideal compassionate self', an imaginary figure possessing all the qualities of compassion you need: deep wisdom, unwavering strength, and profound warmth. You then practise imagining this self directing kindness towards you, especially during moments of distress.

The goal is to make this inner resource feel real and accessible. For instance, in therapeutic work for eating disorders, a person might visualise their compassionate self offering non-judgmental support during a challenging meal. This internalised support system helps to counteract the harsh inner critic.

As CFT founder Paul Gilbert emphasises, the brain doesn't always distinguish between a vividly imagined experience and a real one. We can use this to our advantage to build new neural pathways for self-soothing.

By repeatedly engaging in this practice, you strengthen your ability to self-regulate and provide yourself with the comfort you need, when you need it most. It bridges the gap between understanding compassion intellectually and experiencing it emotionally, making it one of the most direct and effective compassion focused therapy techniques for rewiring our response to suffering.

3. Soothing Rhythm Breathing (SRB)

Soothing Rhythm Breathing (SRB) is one of the most accessible and foundational compassion focused therapy techniques, serving as a direct gateway to the body’s calming system. It involves deliberately slowing the pace of your breathing to a smooth, gentle rhythm. This simple act physiologically shifts you out of your threat system and activates your parasympathetic nervous system, specifically the vagus nerve, which promotes feelings of safety and contentment.

This technique is more than just deep breathing; it's about the rhythm and intention. By finding a slower, even pace (often around 5-6 breaths per minute), you are sending a powerful signal to your brain that you are safe. This process helps to down-regulate threat responses like anxiety and anger and prepares your mind and body to engage with a more compassionate mindset. It is a direct physiological intervention for rebalancing your emotional systems.

The brilliance of SRB lies in its ability to anchor you in the present moment while actively cultivating a state of safeness. It provides a tangible, physical experience of the soothing system, making the abstract concept of self-compassion feel more real and embodied. This is why it’s often one of the first exercises taught in CFT, as it builds the physiological foundation for deeper compassionate work.

How Does SRB Work in Practice?

SRB involves finding a breathing pattern where the inhale and exhale are smooth, even, and slightly slower than normal, without any strain. The key is to find a rhythm that feels comfortable and calming for you. This is often paired with a kind intention or focus, such as imagining the breath flowing with warmth and kindness.

To practise Soothing Rhythm Breathing:

  • Find a comfortable posture, either sitting or lying down.
  • Begin by noticing your natural breath without changing it.
  • Gently start to slow your breathing down, aiming for a smooth, rhythmic pace. Try inhaling for a count of 4 and exhaling for a count of 4, or whatever feels right for you.
  • Maintain a gentle, soft focus on the sensation of the breath.
  • As you breathe, bring a compassionate intention to mind, perhaps imagining the air you breathe in is filled with kindness and the air you breathe out releases tension.

CFT founder Professor Paul Gilbert describes SRB as a way to “use the body to change the mind.” By regulating our physiology, we create the internal conditions necessary for compassion to flourish.

This practice is invaluable because it can be used anywhere, anytime. It serves as an immediate tool to de-escalate distress and a daily practice to strengthen your soothing system over time. By regularly engaging in SRB, you are training your body’s default response to stress to be one of calm and self-assurance.

4. Loving-Kindness Meditation (Metta Practice): Cultivating Warmth for Self and Others

While many CFT techniques focus on building an internal compassionate self, Loving-Kindness Meditation, often called Metta practice, is a specific, structured exercise for actively generating feelings of warmth, kindness, and goodwill. It is a powerful method for training the mind to move away from threat-based states (like criticism and judgement) and towards a state of safeness and connection.

This practice is essentially a workout for the soothing system. It involves the silent repetition of specific, well-wishing phrases directed systematically towards different people. The sequence typically follows a specific pattern:

  • Oneself: The practice always begins here, addressing the common difficulty many have with self-compassion.
  • A Loved One: Someone for whom it is easy to feel warmth and care.
  • A Neutral Person: Someone you see but have no strong feelings about, like a shop assistant or bus driver.
  • A Difficult Person: Someone with whom you have conflict or negative feelings.
  • All Beings: Extending the wishes universally to everyone, everywhere.

This structured progression gently expands our "circle of compassion," training the brain to activate pathways of kindness and connection more readily. For those trapped in cycles of shame and self-attack, this provides a direct and repeatable method for cultivating a kinder internal environment.

How Does Metta Practice Work?

The core of the practice is the gentle repetition of phrases while holding a person in mind. You might start by bringing your awareness to your own breathing and then silently repeat phrases such as, "May I be safe. May I be happy. May I be healthy. May I live with ease." You then methodically move through the sequence, directing the same phrases to a loved one, a neutral person, and so on.

The goal isn't to force an immediate feeling of overwhelming love, but to set a clear intention of goodwill. Over time, this intentional practice strengthens the neural circuits associated with the soothing system, making compassionate feelings more accessible in daily life.

As pioneering meditation teacher Sharon Salzberg explains, the power of this practice lies in its ability to transform our default mental habits from those of aversion and judgement to those of connection and kindness.

By deliberately cultivating these positive mind-states, Loving-Kindness Meditation serves as one of the most direct compassion focused therapy techniques for rewiring our emotional responses. It builds the affective foundation needed to feel safe and connected, which is crucial for healing. You can find out more about the role of self-compassion by exploring further resources on emotional well-being and resilience.

5. Compassionate Letter Writing: Externalising Your Inner Ally

Compassionate Letter Writing is a powerful and evocative technique that moves your compassionate self from an abstract idea into a tangible, written form. It involves crafting a letter from your compassionate self to the part of you that is struggling, feeling shame, or experiencing pain. This act of externalisation creates psychological distance, allowing you to step outside the storm of self-criticism and offer yourself the same kindness you would a dear friend.

Compassionate Letter Writing

This method draws on the principles of expressive writing, popularised by researchers like James Pennebaker, and integrates them into the CFT framework. It's not simply about positive affirmations; it is a structured exercise in empathy and validation. You might write a letter to:

  • Your current self: Addressing a specific recent difficulty or a persistent self-critical thought pattern.
  • Your younger self: Offering the comfort, protection, and understanding that may have been missing during a painful childhood experience.
  • A part of yourself you dislike: For instance, writing to your "anxious part" or "critical part" with understanding rather than condemnation.

By putting compassionate thoughts onto paper, you are actively engaging different neural pathways than those used for rumination. The process helps to organise your thoughts, validate your suffering, and generate genuine feelings of warmth and support, which can powerfully counteract the effects of a dominant threat system.

How Does Compassionate Letter Writing Work in Practice?

The process begins by first activating your compassionate self, perhaps using Soothing Rhythm Breathing or Compassionate Imagery. From this grounded, kind-minded state, you pick up a pen and paper (writing by hand often deepens the connection) and begin to write. The goal is to express wisdom, strength, warmth, and commitment. You would acknowledge the pain ("I know how hard this is for you…") and validate the feelings ("It makes complete sense that you feel this way…") before offering encouragement and support.

Drawing from the work of Kristin Neff and Paul Gilbert, the key is to adopt a tone that is genuinely kind, non-judgemental, and validating, just as you would for someone you deeply care for.

This technique is especially potent for working with deep-seated shame and self-criticism, which are often at the core of conditions like eating disorders, depression, and trauma. By creating a physical record of compassion, you create an anchor you can return to during difficult moments, reinforcing the neural pathways for self-soothing. As you practise this, you are not just writing a letter; you are building a more secure and supportive relationship with yourself, making it one of the most transformative compassion focused therapy techniques. You can explore how CFT addresses these core difficulties and learn more about how compassion focused therapy can help you heal from shame and self-criticism.

6. Compassionate Exposure and Behavioural Change

Traditional exposure therapy can feel intimidating, often activating our threat system by asking us to confront our deepest fears. Compassionate Exposure reframes this process, integrating the core principles of CFT to create a supportive and sustainable approach to behavioural change. It shifts the focus from simply enduring distress to courageously engaging with it, underpinned by self-kindness.

This technique is about turning towards difficulty, not with grim determination, but with a compassionate ally by your side: your compassionate self. It’s grounded in the understanding that avoidance, while offering short-term relief, often maintains long-term suffering and reinforces feelings of shame and inadequacy. By bringing compassion into the process, we directly soothe the threat system that drives avoidance.

This approach is particularly powerful for challenges where shame is a significant barrier, such as:

  • Social Anxiety: Gradually attending social events while offering yourself kindness for any awkwardness.
  • Perfectionism: Intentionally submitting a piece of work that is "good enough" rather than perfect, and using compassionate self-talk to manage the resulting anxiety.
  • Health-Related Fears: Engaging in a feared physical activity step-by-step, while validating the fear and acknowledging your courage.

Compassionate Exposure is not about eliminating fear but changing your relationship with it. You learn that you can be anxious and compassionate, afraid and courageous, all at the same time. The goal is to build psychological flexibility and confidence in your ability to handle discomfort.

How Does Compassionate Exposure Work in Practice?

The process involves collaboratively creating a hierarchy of feared situations, from least to most challenging. Before, during, and after each exposure "experiment," you actively engage your soothing system using skills like Soothing-Rhythm Breathing and compassionate self-talk. Instead of criticising yourself for feeling anxious ("I’m so pathetic for being scared"), you might say, "This is really hard, and it's understandable to feel this way. I’m here with you."

As CFT founder Professor Paul Gilbert emphasises, courage is not the absence of fear, but the willingness to move towards what is valued despite fear, supported by a compassionate intention.

This method transforms the experience from a battle against yourself into a journey of growth. By celebrating the effort rather than just the outcome, you build self-trust and dismantle the shame that often keeps you stuck. This makes it one of the most transformative compassion focused therapy techniques for creating lasting change.

7. Inner Compassionate Other (ICO) and Parts Work

Building on compassionate imagery, this technique involves externalising and then internalising a compassionate figure. It creates a distinct, ideal inner guide or mentor, often called the "Inner Compassionate Other" (ICO), which embodies perfect compassion: wisdom, strength, warmth, and non-judgement. This technique blends beautifully with "parts work," an approach common to therapies like Internal Family Systems (IFS), which views the mind as having multiple sub-personalities or "parts."

Think of this as assembling your own inner board of wise counsellors. Some parts of you might be critical, anxious, or sad. The ICO is cultivated to be the wise and caring chairperson of that board, able to listen to all parts without being overwhelmed and offering guidance from a place of deep security and care. It’s a powerful method for managing internal conflict and nurturing self-leadership.

This approach is grounded in the understanding that our minds are naturally multifaceted. We all have different, sometimes conflicting, internal voices.

  • A Critical Part: This part might push for perfection and criticise mistakes, often driven by a fear of failure or rejection.
  • A Frightened Part: This part holds our anxieties and vulnerabilities, often stemming from past hurts.
  • An Angry Part: This part can emerge when boundaries are crossed or needs are not met, acting as a protector.

The goal isn't to silence these parts but to understand their protective intentions through the wise lens of your ICO. By developing this compassionate self, you create an internal resource that can soothe frightened parts, understand critical ones, and guide you with courage.

How Does ICO and Parts Work in Practice?

The process begins by visualising and defining the ideal qualities of your compassionate figure. You might be asked to imagine their tone of voice, their facial expression, and the feeling of their presence. You then practise dialoguing with this figure, bringing real-life problems or internal conflicts to it for guidance. For example, you might ask your ICO for advice on how to respond to your inner critic.

As Paul Gilbert, the founder of CFT, emphasises, the key is to create a figure that embodies the functions of compassion and can provide an internal secure base from which to engage with difficult emotions and memories.

This dialogue can happen through journaling, chair-work, or quiet reflection. Over time, this externalised figure becomes an internalised, readily accessible part of your own mind. By consistently engaging with this figure, you are actively rewiring your brain to build stronger soothing-system pathways, making it one of the most transformative compassion focused therapy techniques for deep, lasting change.

8. Compassionate Attention and Mindfulness Training

While mindfulness is a core component of many therapies, CFT gives it a specific compassionate flavour. Compassionate Attention and Mindfulness Training is the practice of deliberately directing our awareness to present-moment experiences – thoughts, feelings, bodily sensations – with an attitude of warmth, kindness, and non-judgement. It’s about being with our suffering, rather than trying to escape or fight it.

This practice is crucial because our default reaction to pain is often aversion or criticism, which activates our threat system and intensifies our distress. By learning to turn towards difficult experiences with a compassionate lens, we begin to soothe the threat system and build a more stable, caring internal foundation. It fundamentally changes our relationship with our own minds.

This training involves several key components:

  • Mindful Awareness: Simply noticing what is happening in the present moment without getting caught up in it. This creates a crucial space between a feeling and our reaction to it.
  • Attentional Focus: Learning to consciously direct, hold, and shift your attention. You might focus on the breath, a bodily sensation, or an emotion.
  • Compassionate Attitude: This is the CFT-specific element. As you pay attention, you actively bring qualities of kindness, warmth, and a desire to be helpful to your own experience.

This differs from standard mindfulness, which often emphasises neutral observation. Here, the observation is intentionally imbued with compassion, actively engaging the soothing system. This technique teaches us to become a safe and supportive companion to ourselves, especially when we are struggling.

How Does Compassionate Attention Work in Practice?

The training often starts with simple, guided exercises. For example, you might be guided to focus on your breathing, and when your mind wanders (as it inevitably will), you gently and kindly bring it back, rather than criticising yourself for losing focus. The "kindly bringing it back" is the core compassionate action. From there, you might progress to mindfully observing difficult emotions or physical pain, intentionally sending warmth and understanding to the part of you that is hurting.

As psychologist Tara Brach explains through her RAIN technique (Recognise, Allow, Investigate, Nurture), the final step of nurturing is a direct application of compassionate attention, offering ourselves the care we need in the moment of suffering.

By consistently practising this, you train your brain to respond to distress with care instead of alarm. This makes it an indispensable tool for managing anxiety, chronic pain, and intense self-criticism, and one of the most foundational compassion focused therapy techniques for building emotional resilience.

8 Compassion-Focused Therapy Techniques Compared

Technique Implementation complexity 🔄 Resource requirements 💡 Expected outcomes 📊 Ideal use cases Key advantages ⭐ Speed / efficiency ⚡
Compassionate Mind Training (CMT) Moderate 🔄🔄 — systematic skill-building Low–Moderate — guided recordings or therapist support Increased self‑compassion, emotional resilience, rebalanced threat/soothing systems 📊 PTSD programs, workplace MH, prisons Evidence‑based; targets neurobiological roots of distress ⭐ Slow–Moderate ⚡ — weeks with consistent practice
Compassionate Imagery & Visualization Moderate 🔄🔄 — relies on imagery ability Low — quiet space, recordings; can be self‑led 💡 Rapid activation of calming states, improved emotion regulation 📊 Chronic pain, anxiety, eating disorders, PTSD Highly personalisable; strong parasympathetic activation ⭐ Moderate–Fast ⚡ — can work immediately if imagery is vivid
Soothing Rhythm Breathing (SRB) Low 🔄 — simple technique Very Low — no equipment; metronome/audio optional 💡 Immediate physiological calming, better HRV and stress reduction 📊 Crisis interventions, corporate stress programs, sports Easy to learn; fast somatic effects; widely accessible ⭐ Fast ⚡ — immediate calming when practiced correctly
Loving‑Kindness Meditation (Metta) Moderate 🔄🔄 — structured progressive practice Low — guided audio or group instruction 💡 Reduced shame/self‑criticism; increased prosocial behavior and empathy 📊 Depression treatment, SEL, community healing, prisons Broad evidence base; fosters empathy and connection ⭐ Slow ⚡ — benefits accrue with regular practice
Compassionate Letter Writing Low–Moderate 🔄🔄 — reflective exercise Low — time and writing materials; optional therapist support 💡 Reframed self‑talk, tangible records for revisiting, emotional processing 📊 Eating disorders, grief, trauma recovery, perfectionism Concrete, trackable progress; good for reflective deepening ⭐ Moderate ⚡ — effects after focused sessions
Compassionate Exposure & Behavioral Change High 🔄🔄🔄 — planned graded exposure with compassion Moderate–High — therapist guidance and careful pacing 💡 Sustainable reductions in avoidance and shame, behavioral change 📊 Social anxiety, agoraphobia, OCD, chronic illness adjustment More tolerable than standard exposure; reduces dropout ⭐ Slow ⚡ — gradual progress required
Inner Compassionate Other (ICO) & Parts Work High 🔄🔄🔄 — complex imaginative/dialogue work Moderate–High — therapist skilled in IFS/parts work recommended 💡 Integrated internal guidance, reduced self‑criticism, resolved inner conflict 📊 Complex trauma, IFS integration, perfectionism, grief Powerful for internal conflicts; integrates multiple models ⭐ Moderate–Slow ⚡ — develops with ongoing practice
Compassionate Attention & Mindfulness Training Moderate 🔄🔄 — attention regulation focus Low–Moderate — guided practices, time commitment 💡 Reduced secondary suffering, improved emotional awareness and regulation 📊 GAD, chronic pain, insomnia, corporate resilience Foundational skill; widely applicable across therapies ⭐ Slow ⚡ — benefits grow with sustained practice

Integrating Compassion into Your Life: Your Next Steps

Having explored this comprehensive toolkit of compassion focused therapy techniques, you now have a map to navigate your inner world with greater wisdom, strength, and kindness. We have journeyed through eight powerful practices, each offering a distinct yet complementary pathway to cultivate a more compassionate mind.

From the foundational physiological regulation of Soothing Rhythm Breathing (SRB) to the profound relational healing offered by developing an Inner Compassionate Other (ICO), these exercises are designed to do more than just manage distress. They are about fundamentally reconfiguring your internal landscape. They help you intentionally activate your soothing system, creating a reliable inner resource to balance the threat and drive systems that so often dominate our modern lives.

Key Takeaways for Your Compassionate Journey

The essence of Compassion Focused Therapy (CFT) lies not in achieving perfection, but in cultivating a consistent, kind-hearted intention. As you move forward, hold these core principles close:

  • Practice Over Perfection: The aim is not to master every technique overnight. The real transformation comes from gentle, regular engagement. A few minutes of compassionate imagery or self-talk each day builds more resilience than sporadic, hour-long sessions.
  • It's a Relationship, Not a Battle: Remember, the goal of these compassion focused therapy techniques is not to eliminate pain, anxiety, or self-critical thoughts. Suffering is an inevitable part of the human experience. The true power lies in changing your relationship with that suffering, learning to meet it with courage and kindness rather than avoidance or judgement.
  • Patience is a Compassionate Act: You are working to re-pattern neural pathways and emotional habits that may have been in place for decades. This is deep, meaningful work that requires patience. Celebrate small steps and meet setbacks with the same understanding you would offer a friend.

Your Actionable Next Steps

To translate this knowledge into tangible change, it's crucial to begin with a clear, manageable plan. Don't overwhelm yourself by trying to implement everything at once. Instead, consider this structured approach:

  1. Choose Your Starting Point: Reflect on the eight techniques discussed. Which one resonated most with you? Was it the calming rhythm of SRB, the creative depth of Compassionate Letter Writing, or the mindful awareness of Compassionate Attention Training? Select just one to begin with.
  2. Commit to a "Minimum Viable Practice": Start incredibly small. Commit to practising your chosen technique for just three to five minutes each day. Place it in your routine where it's most likely to happen, perhaps first thing in the morning or just before bed.
  3. Notice, Don't Judge: As you practise, simply observe what happens. Some days it will feel easy and soothing; on others, it might feel difficult or even bring up painful emotions. Your only task is to notice this without judgement and gently bring yourself back to the practice. This act of non-judgemental noticing is, in itself, a profound act of compassion.

Cultivating a compassionate mind is one of the most courageous and rewarding endeavours you can undertake. It is a journey of turning towards yourself, not away. Every moment you choose a compassionate response over a self-critical one, you are actively healing, building resilience, and creating a more secure and supportive internal world. This is not a sign of weakness; it is the ultimate expression of strength.


For those ready to deepen their understanding and practice, or for professionals seeking to integrate these powerful methods into their clinical work, exploring the work of a leading expert is an invaluable next step. Dr Chris Irons is a world-renowned trainer, author, and therapist in the field, offering workshops and resources that bring these compassion focused therapy techniques to life. Discover more about his training opportunities and resources at Dr Chris Irons.

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