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Therapists answer…

How does Cognitive Behavior Therapy (CBT) work?

Erica MoyerE

Erica Moyer

Associate Marriage and Family Therapist
Online & In-PersonAccepting New Clients
I support individuals, adolescents, and couples navigating anxiety, depression, trauma, substance use, relationship challenges, and life’s many transitions. I also have a special interest in working with women through postpartum anxiety and depression, as well as the emotional and identity changes that can accompany perimenopause and menopause. Many people seek therapy because, although they may appear to have everything together on the outside, they are carrying stress, pain, or emotions that feel difficult to navigate alone. Therapy can provide a space to better understand yourself, explore the experiences that have shaped you, and create meaningful change through curiosity, compassion, and connection. My approach is warm, collaborative, trauma-informed, and grounded in empathy. I believe therapy is most effective when you feel truly seen, understood, and supported. I draw from attachment-based and psychodynamic perspectives while integrating evidence-based approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR (for Trauma-Focued), somatic therapy, mindfulness, and systems perspectives to support your unique needs. Together, we will explore the experiences, relationships, and patterns that influence how you see yourself, respond to challenges, and connect with others. This work can help you develop greater self-awareness, strengthen emotional resilience, and create healthier, more fulfilling relationships with yourself and those around you. When working with couples, I incorporate Emotionally Focused Therapy (EFT), the Gottman Method, and attachment-based approaches to help partners strengthen their connection, improve communication, navigate conflict, and rebuild trust and intimacy. My goal is to provide a safe, supportive, and nonjudgmental space where you feel comfortable showing up as your authentic self. Whether you are navigating anxiety, relationship challenges, life transitions, or simply feeling stuck, we will work together at a pace that feels right for you to better understand yourself, move through challenges, and create a life that feels more connected and fulfilling. Outside of the therapy room, I enjoy spending time with family, being outdoors, traveling, staying active, and making time for rest and reflection. These moments help me stay grounded and bring the same presence, warmth, and authenticity into my work with clients.
Troy NickellT

Troy Nickell

Licensed Marriage and Family Therapist
Online & In-PersonAccepting New Clients
Troy Nickell is President of PsyNamic and a Licensed Marriage and Family Therapist in Private Practice since 2014. He works with individuals and couples mindfully reach their goals and overcome any obstacles that may be in their way. In his therapy sessions in Solana Beach, CA, Troy uses an Integrative approach with an emphasis in Mindfulness-Based, Cognitive-Behavioral, EMDR, and Psychodynamic techniques. He currently works with a broad spectrum of clients in his private practice. Among his areas of expertise are the treatment of anxieties (including trauma), stress reduction, addictions, self empowerment and self actualization, relationship and employment struggles, grief and loss, as well as spiritual dilemmas. To schedule a counseling or therapy session with him, contact us today! Outside of his Therapy Practice, Troy utilizes mindfulness techniques to help businesses and other large groups overcome stress and operate more efficiently. Troy provides these services in a variety of settings, including working with small, medium, and large size businesses to provide employees the tools to function at a higher level, as well as working with community organizations and private coaching for individuals to overcome stress. History: Troy has worked in a variety of settings, which included the treatment of the Severe Mentally Ill, Military Veterans, substance abuse and addicts, the chronically homeless, as well as adolescents with emotional distress. Growing up in the Los Angeles area he later relocated to North County San Diego in 2008. Establishing a home here, he now enjoys the outdoors, including surfing, beach volleyball, and much more that this great city has to offer. Troy received his Bachelor’s Degree from the University of California, Santa Barbara and his Master’s of Arts Degree in Counseling Psychology. License: Marriage and Family Therapist, License No. 82993 (Previous) Executive Member of the Board of Directors San Diego North County chapter of CAMFT Member of California Association of Marriage and Family Therapist (CAMFT) Extensively Trained in EMDR and Mindfulness-Based Techniques