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Therapists answer…

How does Cognitive Behavior Therapy (CBT) work?

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Nellie Harari

Clinical psychologist
Online & In-PersonAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy has a reputation in some circles for being cold, formulaic, or overly focused on worksheets and homework. While I understand where that perception comes from, in my 20 years of practice, I've found it to be a profound misconception when considering applied practice. CBT, done well, is deeply relational. The techniques only work when they are delivered within a therapeutic relationship built on genuine trust, curiosity, and compassion. Before a patient can challenge a core belief or sit with a feared situation, they need to feel truly understood by their therapist. The "cognitive" and "behavioral" parts get all the attention, but the human connection is the container that makes any of it possible. In my own practice, I've never believed that loyalty to a single modality serves patients better than flexibility and clinical judgment. A supervisor I greatly admired early in my career put it simply and perfectly: CBT is not exclusionary. It allows for all kinds of theory and technique, as long as it works. That idea has stayed with me ever since. Over the years I have integrated approaches (i.e. ACT, DBT skills, Compassion Focused Therapy, Emotion Focused Therapy) not only because of what they unlock therapeutically, but because each one has deepened the way I conceptualize and understand my patients. Together they offer a richer, more holistic lens on a person's inner life and problems than any single framework can provide alone. The through line is always the evidence base; what I individualize is how I use it, and for whom. What I wish more people understood is that evidence-based therapy is not the opposite of warm, attuned, individualized care. The best CBT therapists I know lead with empathy and curiosity first, and technique second. Structure and warmth are not in tension. In fact, patients often tell me that having a clear, collaborative roadmap for their treatment makes them feel more cared for, not less, because it signals that their pain is being taken seriously. When I turn to the science, I do so in service of my patients, not as a substitute for truly seeing them.
You know something needs to change. Maybe you have carried a quiet sense for a while that something is not quite right. On the outside, you are capable and accomplished. On the inside, there may be anxiety, self-doubt, or a persistent feeling of not being good enough. I am a licensed clinical psychologist with nearly 20 years of experience working with adults. I believe change is possible. Together, we clarify what is keeping you stuck and move in a focused, collaborative way toward a more confident, values-driven life. I specialize in working with thoughtful, driven adults who feel stuck in anxiety, self-doubt, perfectionism, and depression. Using CBT, we look closely at the patterns between your thoughts, emotions, and behaviors and work in a focused, collaborative way to shift them, so you can move through life with more flexibility, confidence, self-trust, and joy. Clients often share that they feel understood, gently challenged, and supported in ways that make meaningful change feel possible. If you’re ready to take a thoughtful, steady look at what’s keeping you stuck, I invite you to reach out. We can begin working toward changes that feel real and lasting.
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Lakeisha Walker

PMHNP
Online TherapyAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy (CBT) is an evidence-based approach that helps individuals identify and change unhelpful patterns of thinking and behavior that contribute to emotional distress. CBT is based on the idea that our thoughts, feelings, and behaviors are interconnected. By recognizing negative thought patterns and learning healthier ways to respond to challenges, clients can improve their mood, reduce anxiety, and develop more effective coping skills. CBT can be especially helpful for anxiety, depression, stress, burnout, low self-esteem, and life transitions, empowering clients to make meaningful changes that support long-term emotional well-being.
Lakeisha Walker, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner and the founder of The Healing Place Psychiatry. With nearly a decade of healthcare experience, she is dedicated to helping adults improve their mental health, build resilience, and create meaningful change in their lives. Lakeisha specializes in treating anxiety, depression, trauma, ADHD, mood disorders, burnout, and life transitions. She has a particular passion for working with hardworking professionals, caregivers, and high achievers who often spend so much time caring for others that their own well-being takes a back seat. She understands the unique pressures these individuals face and strives to provide a supportive space where they can focus on their own healing and growth. Her approach to care is collaborative, compassionate, and client-centered. Lakeisha believes that effective psychiatric treatment begins with listening and understanding each person's unique experiences, challenges, and goals. She works closely with clients to develop personalized treatment plans that may include medication management, education, and supportive therapeutic interventions tailored to their individual needs.
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Karen Shanahan

LMHC
Online TherapyAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive behavioral therapy helps you understand the connection between your thoughts, emotions, and behaviors. When negative thought patterns begin to shape the way you feel and respond to life’s challenges, CBT helps identify those patterns and replace them with healthier, more balanced ways of thinking. In our work together, CBT can help you develop practical coping skills, reduce anxiety and depression, and respond to difficult experiences with greater clarity and self-compassion. It is a structured, effective approach that helps create lasting change in everyday life.
I have had the privilege of working in education and counseling psychology for over 20 years in a variety of roles, including practitioner, supervisor, director, and co-chair of a non-profit Perinatal Mental Health Coalition. I continue to practice and to fuel my passion by supporting adults in need of individual therapy to help cope with anxiety, depression, emotional regulation, and trauma. I also have extensive training and experience supporting couples to improve intimacy, communication and connection. In addition to this, I have a specialization in supporting women dealing with postpartum depression/anxiety, infertility, perinatal loss, and traumatic pregnancy/birth as well as supporting overall maternal wellness and women's health. I integrate Cognitive Behavioral Therapy, Positive Psychology, and Mindfulness with a person-centered, strengths based approach to support individualized goals.
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Enma Cordero Rodriguez

PMHNP-BC
Online & In-PersonAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy, or CBT, helps clients understand the connection between thoughts, emotions, and behaviors. Often, patterns of anxiety, depression, stress, or low self-esteem are influenced by negative or unhelpful thought patterns. CBT helps identify these patterns and replace them with healthier, more balanced ways of thinking. CBT can help clients develop practical coping skills, manage overwhelming emotions, reduce anxiety, improve mood, and respond to challenges in a more effective way. It is a structured and goal-oriented approach that supports long-term emotional wellness and everyday functioning.
With 10 years of experience in healthcare, I provide compassionate, culturally sensitive mental health care for individuals seeking support with ADHD, anxiety, PTSD, depression, mood concerns, and long-term emotional wellness. As a Board-Certified Psychiatric Mental Health Nurse Practitioner, I understand that reaching out for help is a meaningful step toward healing, stability, and a healthier life. My goal is to create a safe, supportive, and non-judgmental space where patients feel heard, respected, and understood. I offer personalized psychiatric care that combines clinical expertise with a thoughtful, patient-centered approach. Whether you are navigating a new diagnosis, struggling with daily symptoms, or working toward better mental clarity and balance, I am here to partner with you in your care.
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DeJuanna Corson

MSN, APRN, PMHNPBC, FNPBC
Online TherapyAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy, or CBT, helps people understand the connection between their thoughts, emotions, and behaviors. It is based on the idea that the way we think about situations can strongly affect how we feel and how we respond. In therapy, clients learn to notice unhelpful thought patterns, challenge beliefs that may be inaccurate or overly negative, and replace them with more balanced and realistic ways of thinking. CBT is practical and goal-oriented, often giving clients tools they can use in daily life. CBT can be especially helpful for concerns such as anxiety, depression, trauma-related symptoms, stress, ADHD-related challenges, burnout, and mood difficulties. It helps clients build healthier coping skills, improve emotional regulation, reduce patterns of avoidance or self-criticism, and respond to challenges in more effective ways. Over time, CBT can support greater self-awareness, confidence, and emotional balance by helping clients make lasting changes in both their thinking and their behavior.
I’m DeJuanna Corson, MSN, APRN, PMHNP-BC, FNP-BC, a board-certified nurse practitioner and founder of MindHeartBody Comprehensive Care in Riverview, Florida. I serve patients throughout Florida and provide telehealth services in Connecticut, Washington, Maryland, and Vermont. With over 20 years of nursing experience, I specialize in psychiatric medication management, primary care, weight management, and IV wellness therapies. My approach is rooted in whole-person, concierge-style care—integrating mental health, medical wellness, and lifestyle optimization. I focus on personalized treatment plans, longer visits, and meaningful provider access to help patients achieve sustainable results. I offer direct-pay and membership-based care, with insurance accepted for mental health services. Whether you’re seeking support for ADHD, anxiety, depression, metabolic health, or overall wellness, my goal is to provide thoughtful, evidence-based care that fits your life.
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Julie Foster

LPC
Online TherapyAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy, or CBT, helps by looking at the connection between your thoughts, feelings, and actions. Sometimes when life feels overwhelming, our mind can fall into patterns like expecting the worst, being overly self-critical, or assuming things will never improve. CBT helps identify those patterns, gently challenge them, and replace them with more balanced and helpful ways of thinking. In therapy, CBT is not just about talking through problems, it is also about learning practical tools you can use in daily life. Together, we might work on managing anxious thoughts, improving coping skills, changing unhelpful habits, and building confidence in handling difficult situations. CBT can help with concerns like anxiety, stress, depression, low self-esteem, and major life transitions by giving you clear strategies to feel more in control and move forward with greater clarity.
With 20 years of executive leadership and 15 years in senior care, I know life’s transitions require both a strategist and a healer. Are you managing a life that looks successful on paper, but feels like a crisis behind the scenes? As an LPC, I specialize in the "Sandwich Generation" and midlife. Whether you are facing a career change, divorce, the empty nest, or the weight of caring for an aging parent while raising kids, I provide the executive-level clarity you need to rediscover yourself. My background is a fusion of business leadership and intensive mental health expertise. Having served as VP of Access and Director of Quality, alongside field-based crisis work and private practice, I handle complex challenges with professional precision. Now in full-time practice, I assist with: The Sandwich Struggle & Senior Care Identity, Career pivots, & Empty Nest Men's and Women's Issues Systemic Wellness We will partner to move you from managing life to truly leading it. Let’s get to work!
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Nicole Law

PsyD , LP
Online & In-PersonAccepting New Clients
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy (CBT) is an evidence-based treatment that helps identify and change unhelpful patterns of thinking and behavior that contribute to emotional distress. CBT is based on the understanding that our thoughts, feelings, and actions are interconnected. Through therapy, you'll learn practical skills to challenge negative thought patterns, manage difficult emotions, develop healthier coping strategies, and respond more effectively to life's challenges. CBT can be highly effective for anxiety, depression, trauma-related symptoms, stress, and many other mental health concerns, helping clients build lasting tools for improved well-being.
I am the Founder and Owner of Aloe Integrative Psychology Group, where I provide compassionate, relationship-centered care rooted in curiosity, empathy, and respect for each person's unique story. My path to psychology was anything but traditional. I began my academic journey studying English Literature, drawn to the power of stories and the ways people make meaning of their experiences. Later, I worked as a cross-cultural educator in Brazil, where I developed a deeper appreciation for human connection across diverse backgrounds and perspectives. At Aloe Integrative Psychology Group, I strive to create a thoughtful and collaborative therapeutic space where clients feel genuinely seen, heard, and understood. My approach integrates evidence-based practices with a deep respect for each individual's lived experience, helping clients navigate challenges, foster self-understanding, and move toward meaningful and lasting growth.