Which of the following indicates successful cognitive behavioral therapy?

The choice indicating successful cognitive behavioral therapy (CBT) is the reduction in negative thought patterns and improved behavior. This aligns with the fundamental principles of CBT, which focus on identifying and challenging dysfunctional thoughts and replacing them with more constructive beliefs. As individuals engage in CBT, the goal is for them to recognize patterns of negative thinking that contribute to their emotional distress and to develop healthier coping mechanisms and behaviors. Success in therapy is often measured by the extent to which these positive changes occur, leading to improved overall psychological functioning and quality of life.

Other options reflect outcomes that do not signify successful therapy. Increased reliance on medication suggests dependence rather than addressing the underlying cognitive issues, while an unchanged lifestyle and coping strategies would indicate that the therapy has not had a meaningful impact on the individual's ability to manage their thoughts and behaviors. Additionally, an inability to articulate feelings might suggest a lack of progress in understanding oneself, which is contrary to the goals of CBT that encourage self-awareness and emotional expression.