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Therapists answer…

How does Cognitive Behavior Therapy (CBT) work?

How does cognitive behavioral therapy (CBT) work, and what do sessions look like?

Teresa ArnoldT

Teresa Arnold

Psychiatric Nurse Practitioner

How does cognitive behavioral therapy (CBT) work, and what do sessions look like?

Francesca EsdaileF

Francesca Esdaile

PMHNP
Online & In-PersonAccepting New Clients
How does cognitive behavioral therapy (CBT) work, and what do sessions look like?
Cognitive Behavioral Therapy (CBT) focuses on understanding the connection between your thoughts, emotions, and behaviors. In sessions, we work together to identify unhelpful thought patterns and develop practical strategies to manage them. Sessions are collaborative and supportive, giving you a safe space to explore challenges while building healthier ways of thinking, coping, and responding. Progress may look like feeling more in control of your thoughts and emotions, developing healthier coping skills, and becoming better able to navigate everyday challenges. My goal is to help you apply what you learn in therapy to both your personal and professional life.
Francesca Esdaile is a Psychiatric Nurse Practitioner providing telehealth care to clients in New York, Florida, and North Carolina. She offers compassionate, individualized care through a combination of psychotherapy and medication management, supporting busy professionals navigating depression, anxiety, bipolar disorders, PTSD, and ADHD. Her goal is to create a safe, supportive, and nonjudgmental space where clients feel comfortable expressing themselves openly. Through meaningful connection and collaborative care, Francesca helps clients improve their focus, mood, and overall well-being so they can feel more grounded, present, and fulfilled in both their personal and professional lives.
Aribel ReyesA

Aribel Reyes

ACNP-BC
Online & In-PersonAccepting New Clients
How does cognitive behavioral therapy (CBT) work, and what do sessions look like?
Cognitive Behavioral Therapy (CBT) focuses on understanding the connection between your thoughts, emotions, and behaviors. Together, we identify unhelpful thought patterns and behaviors that may be contributing to anxiety, depression, stress, or other challenges, and work toward developing healthier and more effective ways of responding. Sessions are collaborative, supportive, and tailored to your individual needs. We may explore current concerns, identify patterns, practice practical coping strategies, and set achievable goals between sessions. My goal is to help you develop skills that you can use in your everyday life and feel more confident managing challenges.
Hello! I am Aribel Reyes, a dual practice nurse practitioner (AGNP-C, PMHNP-C). Are you feeling overwhelmed by your emotions? Struggling with trauma, anxiety, depression , or ADHD yearning to reclaim your life? You’re not alone. Many individuals face these challenges and often feel isolated and unsure about their next steps. My approach is tailored for those seeking a compassionate partner on their journey toward healing and self-discovery. I work with adults ready to confront their emotional struggles and eager to find effective solutions. Whether you’re dealing with past trauma, persistent anxiety, or mood disorders, or ADHD I’m here to guide you toward a brighter, more fulfilling future. Book your consultation today .
Malka ShawM

Malka Shaw

LCSW
Online & In-PersonAccepting New Clients
How does cognitive behavioral therapy (CBT) work, and what do sessions look like?
Cognitive Behavioral Therapy (CBT) focuses on the connection between your thoughts, emotions, and behaviors. Together, we identify patterns that may be keeping you stuck and work toward developing more helpful ways of responding to difficult situations. Sessions are practical, collaborative, and focused on what you want to change, with tools and strategies you can apply in your everyday life. I tailor CBT to each person rather than following a one-size-fits-all approach, incorporating your history, relationships, and the circumstances you're navigating.
I've been a licensed clinical social worker for over twenty five years, and in that time I've learned that most people don't come to therapy because they want to talk about their problems. They come because they're ready for something to actually change. My training is in trauma, and EMDR has been a core part of how I work for a long time now, but the bulk of my practice is with women navigating a major shift, dating again after years out of the field, going through a divorce or a breakup, becoming a mother, working through midlife issues, or dealing with work related stress and burnout. I also work with couples who are trying to figure out whether they can rebuild something or whether they're ready to move on, and either way, want to do it with more clarity than they came in with. What tends to set my work apart is that I never treat a person's background, whatever it is, as separate from what's actually going on with them clinically. That comes out of years spent developing a real depth in Jewish cultural competency the psychological impact of antisemitism , work I also train other clinicians and organizations in, but the underlying skill is the same no matter who is sitting across from me, understanding the full context someone is carrying and working with it, not around it. I've been in private practice since 2008. If you're looking for someone who takes what's going on seriously and has the years behind her to know what actually helps, I'd be glad to talk.
Fatima LundyF

Fatima Lundy

LMHC
Online TherapyAccepting New Clients
How does cognitive behavioral therapy (CBT) work, and what do sessions look like?
Cognitive Behavioral Therapy (CBT) focuses on the connection between your thoughts, feelings, and behaviors. In sessions, we work collaboratively to identify patterns that may be contributing to distress and explore more balanced and helpful ways of thinking and responding. Treatment is practical and goal-oriented, giving you tools to better manage challenges, improve relationships, and create meaningful changes in your everyday life.
Fatima Lundy is a Licensed Mental Health Counselor (LMHC) in New York and a Licensed Professional Counselor (LPC) in New Jersey, as well as a Certified Financial Therapist™ (CFT™). She is the founder of TIMA Therapist, PC, a fully online private practice serving adult individuals and couples across New York and New Jersey via telehealth. Fatima specializes in three interconnected areas: financial wellness, relationship challenges, and sexual intimacy. Her work is grounded in the understanding that how we handle money, how we connect with our partners, and how we experience intimacy are rarely separate issues — and that lasting healing requires addressing all of them. Beyond her clinical work, Fatima is a published author and emotional abuse advocate. Her memoir, No More Lies, documents her personal experience surviving an emotionally abusive relationship and has been praised by clinicians and survivors alike for its clinical clarity and unflinching honesty. She brings both professional expertise and lived experience to her work with clients navigating toxic relationship dynamics. Fatima holds a Master of Science in Education (MSEd) in Mental Health Counseling from Hunter College and is affiliated with the American Counseling Association (ACA), Chi Sigma Iota Counseling Honor Society, the Financial Therapy Association (FTA), and the American Association of Sexuality Educators, Counselors and Therapists (AASECT).
SAPPHIRE NOEL-MCDONALDS

SAPPHIRE NOEL-MCDONALD

PMHNP-BC
Online TherapyAccepting New Clients
How does cognitive behavioral therapy (CBT) work, and what do sessions look like?
Cognitive Behavioral Therapy (CBT) helps individuals recognize the connections between their thoughts, emotions, and behaviors. Sapphire takes a supportive, collaborative approach to helping clients identify unhelpful thinking patterns, understand how these patterns affect their daily lives, and develop healthier coping strategies. Sessions may involve exploring current challenges, practicing practical techniques, and setting achievable goals to support emotional well-being and improve daily functioning.
Sapphire Noel-McDonald, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner providing compassionate, evidence-based care for adults (ages 18–65). She specializes in mood disorders, anxiety, trauma, psychotic disorders, ADHD, substance use disorders, and chronic mental illness through comprehensive evaluations, medication management, and supportive psychotherapy. Before becoming a PMHNP, Sapphire spent several years in cardiovascular and neurological intensive care, caring for patients with strokes, traumatic brain injuries, seizures, heart disease, and other critical illnesses. This experience gave her a deep understanding of the connection between physical and mental health and continues to shape her holistic, patient-centered approach.She believes mental health care should be individualized, collaborative, and free of stigma, empowering each client to achieve lasting wellness.