Skip to Content
Therapists answer…

How does Cognitive Behavior Therapy (CBT) work?

Helena Marshall LICSW, LCDPH

Helena Marshall LICSW, LCDP

Therapist
Online & In-Person
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy (CBT) is a structured, goal-oriented form of psychotherapy that helps people identify and change unhelpful thought patterns and behaviors. It’s one of the most widely used and well-researched therapies for mental health and emotional challenges. CBT is based on the idea that our thoughts, feelings, and behaviors are interconnected. When we change how we think, we can change how we feel and act. CBT teaches coping strategies like problem-solving, relaxation techniques, and assertiveness training. Clients learn to recognize distorted or automatic thoughts—like catastrophizing, black-and-white thinking, or overgeneralizing, guide clients in questioning the accuracy of these thoughts and replacing them with more balanced, realistic ones, clients engage in activities that challenge their fears or avoidance patterns, helping them build confidence and resilience, Clients often practice skills between sessions to reinforce learning and apply insights to real-life situations,
Welcome. My goal is to provide a safe and welcoming space where we can work together to understand your challenges, explore your strengths, and create meaningful, positive changes in your life. In our work together, we’ll talk about what you’re experiencing, identify what you’d like to shift, and empower you to take steps toward healing. Recovery is possible. I utilize a variety of therapeutic approaches to best fit each individual's needs; Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Solution Focused Therapy, Reality Therapy and motivational interviewing; with focus on problem solving, coping skills, relapse prevention and continued recovery. Treatment is available and there is no shame in seeking support. Take the first step—reach out today. You don’t have to do this alone.
Laura MalandrinoL

Laura Malandrino

Individual and Couples Psychotherapist
Online & In-Person
You’ve spent years holding it all together, but inside, something feels off. Maybe it looks like high-functioning anxiety, low motivation, or feeling emotionally flat. Maybe it’s a quiet sense of “something is missing,” even though life appears full. Maybe you're in the midst of a life transition — a shift in identity, purpose, relationships, or stage of life — and you're not sure who you are anymore. You’ve tried to think your way through it. You’ve read the books, stayed busy, pushed forward. But deep down, you know this requires something different—something more profound. If you resonate with any of this, you’re not alone. I specialize in working with adults who are ready to slow down and explore the inner landscape that often gets ignored — the parts of ourselves that don’t show up on the surface, but shape everything underneath. My clients are thoughtful, self-aware, and deeply tired of staying stuck. They’re often navigating: A midlife crisis or major life transition Menopause or identity shifts related to aging Low self-worth, shame, or chronic people-pleasing Overthinking and high internal pressure Feeling disconnected from their joy, purpose, or body A sense of numbness, loss, or emotional confusion Many have spent years succeeding on the outside while feeling disconnected or unfulfilled inside. They don’t want band-aid solutions — they want real, lasting change. My approach is depth-oriented, relational, and insight-driven. I don’t believe in quick fixes. Therapy with me is about gently peeling back the layers — roles, expectations, early attachment patterns — to reconnect with the core of who you are. My work is rooted in: Attachment-Based Therapy – to help you understand how early relationships shape emotional patterns Depth Psychology – for uncovering unconscious beliefs and internal narratives EMDR Therapy – to process trauma and create new emotional pathways Psychodynamic Therapy & Mindfulness – to integrate past and present with awareness and compassion Together, we create a space where you can be deeply seen and gently challenged — a space where real transformation becomes possible. I hold a Master’s in Clinical Counseling from the California School of Professional Psychology and have advanced training in EMDR, psychodynamic therapy, trauma-informed care, and somatic practices. I am multilingual (English, Italian, and Spanish) and bring a culturally inclusive lens to my work. Prior to becoming a therapist, I worked in creative industries and international environments — so I understand the pressures of fast-paced, high-expectation lives, and the emotional cost that comes with constantly "performing." Ready to begin? I see clients in Hermosa Beach, Manhattan Beach, Redondo Beach, and virtually across California. If you're seeking deeper meaning, emotional relief, or simply a safe space to rediscover yourself, I’d be honored to walk with you. 📍 In-person and Telehealth Available 🌐 www.lauramalandrino.com 📧 [email protected] 📞 (747) 334-2972