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Therapists answer…

How does Cognitive Behavior Therapy (CBT) work?

Megan Aguirre, MSW, ACSWM

Megan Aguirre, MSW, ACSW

Psychotherapist
Online & In-Person
Hi there; welcome! Let’s see if we might be a good team to support your wellness, together. Reach out for a consultation; I am happy to listen and discuss the possibilities of what healing and change can look like for you. My practice style utilizes a strengths-based, holistic, and person-centered approach to evoke the power of self, change, and healing. I strive to cultivate a safe, judgment free space where you can explore your needs for wellness and build the skills and strategies that will help you to succeed.  My goal is to act as a guide and partner. My investment in the development of strong therapeutic relationships helps me to provide tailored and responsive care to those I support. I am passionate about my work as a therapist and understand how vulnerable it can feel to take this step to initiate support. Who I work with:   Anyone seeking healing, change, symptom relief, and or support with prioritizing their wellness.  People navigating the transition of fully coming into adulthood and themselves in their 20’s and 30’s.  People cultivating and seeking acceptance for their sexual and gender identities.  Teens feeling lost and in need of a safe space for processing and building skills to cope.  I have experience working for a youth based intensive outpatient program (IOP) and welcome referrals for youth, adults, and families transitioning from higher level care programs.   Top modalities: DBT, CBT, MBCT, SFBT, insight therapy, strengths based, person centered, solution focused, social emotional psychoeducation  
Hannah NgaleH

Hannah Ngale

PMHNP-BC, FNP-C
Online & In-Person
I am an experienced Family Nurse Practitioner and PMHNP, dedicated to providing compassionate, comprehensive care. My journey in healthcare began in nursing, and I have since advanced to specialize in various clinical settings, including primary care and mental health services. I excel in creating personalized treatment plans and working closely with patients to ensure the best possible outcomes. My approach is patient-centered. I focus on understanding each patient's unique needs and tailoring care to suit them. I emphasize both pharmacologic and non-pharmacologic treatments, ensuring holistic care that supports health and comfort. With a strong foundation in education, I make a point to explain treatments clearly, helping patients and their families understand their health and options. I've also ventured into telehealth services, emphasizing accessibility and continuity of care. In addition to my healthcare role, I’m an assistant pastor and a fluent French speaker, eager to support a diverse range of patients. My goal is to make a positive impact on each patient's health journey, alongside physicians and healthcare teams, to ensure thorough, high-quality care. TREATMENT PHILOSOPHY: At the heart of my treatment philosophy is a deep commitment to patient-centered care. I believe in treating each person as a unique individual with their own needs and circumstances. I work closely with patients to understand their health issues, helping them feel heard and valued. Collaborating with a multidisciplinary team, I create personalized care plans that address both medical and emotional aspects of health. My approach balances pharmacological and non-pharmacological therapies, ensuring comfort and support for all patients, whether facing chronic or acute conditions. Together, we empower patients to take control of their health journey, fostering a supportive and compassionate environment for healing.
Mary KofigahM

Mary Kofigah

PMHNP-BC, FNP-C
Online Therapy
Hello, I'm Mary Kofigah, a dedicated Family Nurse Practitioner specializing in psychiatric and mental health care. With over a decade of experience in nursing, I have a passion for helping individuals achieve better mental health and overall well-being. I completed my advanced training in Psychiatric-Mental Health at the University of Wisconsin – Madison, and I am board-certified by the American Nurses Credentialing Center. My expertise lies in diagnosing and treating mental, emotional, and behavioral disorders. I provide compassionate care for conditions like depression, anxiety, anorexia, and more. I am skilled in prescribing medications and designing individualized treatment plans to support my patients' journey to better health. Throughout my career, I have collaborated with healthcare teams to ensure comprehensive patient care and have taught future nurses as a clinical instructor. I believe in a holistic approach and work tirelessly to advocate for my patients’ needs. I’m here to listen, support, and guide you through your mental health challenges. Let’s work together towards a brighter, healthier future. TREATMENT PHILOSOPHY: I provide compassionate, non-judgmental, and patient centered care to individual, and families. I empower the individual to take control of their mental health through active listening, and empathetic understanding. I collaborate treatment planning to their unique needs. I use evidence-based practice, and trauma informed care approach. I also use medication treatment, when necessary, with careful monitoring, and adjustment. My goal is to foster a safe, supportive environment, where patients feel comfortable sharing their concerns, and working together for overall well-being.
David BoyajianD

David Boyajian

LMFT
Online Therapy
Hello and welcome! I’m David Boyajian, a Licensed Marriage and Family Therapist (LMFT) and Certified Sex Addiction Therapist (CSAT) with a passion for helping people heal on a mental, emotional, relational, and spiritual level. I treat most mental health concerns, but I have special expertise in treating addiction to compulsive sexual behaviors, including porn addiction, and the betrayal trauma that occurs when one discovers their partner's addiction. I work with individuals and couples, and my background includes providing drug addiction counseling, sex and porn addiction counseling, and working with children and families. I've been seeing clients since 2018. I aim to provide a welcoming and nonjudgemental therapeutic environment that inspires, motivates, and encourages my clients to find wholeness and healing. I take a multidisciplinary approach to treatment but I'm mainly informed by a psychodynamic and attachment theory perspective. I also tend to utilize Motivational Interviewing, Emotionally Focused Therapy, and CBT, and I am basic trained in EMDR as well. Specialties Psychotherapy Counseling Conditions treated Sexual Addiction Anxiety Depression Relationship issues Substance Use Disorders Addiction ADHD Alcohol Use Sexual Addiction Spirituality Drug Abuse Dual Diagnosis Emotional Disturbance Infidelity Life Coaching Men's Issues Treatment philosophy My treatment philosophy centers around compassionate, patient-focused care. I believe every individual is unique and deserves a tailored approach. I strive to create a safe, trusting environment where clients can explore their thoughts and feelings. With expertise in sex addiction therapy and behavioral health, I use evidence-based practices to guide clients on their journey to recovery. I emphasize open communication and collaboration, working closely with families and interdisciplinary teams. Together, we identify root causes of challenges and foster self-awareness, emotional healing, and lasting change. My goal is to empower clients, helping them achieve healthier relationships and balanced lives. Treatment approach Motivational Interviewing Cognitive Behavioral Therapy(CBT) Emotionally Focused Therapy Trauma-Informed Care Psychoeducation for Addiction Individual and Group Counseling Collaborative Care Planning Mindfulness-Based Techniques Person-Focused Emotionally Focused Humanistic Culturally Sensitive
Kate JaramilloK

Kate Jaramillo

Licensed Marriage and Family Therapist
Online Therapy
Welcome! I'm a compassionate and dedicated therapist with a wealth of experience in guiding individuals through life's toughest challenges. Whether you're a child, adolescent, or adult, my private practice is a safe space for you to seek understanding and growth. My expertise shines in creating tailored support plans after thorough initial assessments, ensuring that your unique journey is met with personalized care. I take pride in having provided invaluable assistance to at-risk youth through psychoeducational group counseling, helping them navigate the complexities of their situations with resilience. I've also extended comfort and healing to families dealing with loss, offering grief and bereavement counseling during their most trying times. Trauma can leave deep scars, and I'm here to help soothe them, whether it's past trauma or ongoing challenges. Education is another passion of mine. I've developed educational programs that foster both academic and personal development, always striving to bring out the best in each individual. Throughout my career, I've served diverse communities in various settings—from schools to outpatient programs—always aiming to reunite families and empower at-risk individuals. My commitment to professional growth is reflected in my active memberships with esteemed associations like the American Psychological Association and PSI CHI Honor Society. Let's work together towards healing, learning, and growing. Your story matters here.