How does Cognitive Behavior Therapy (CBT) work?

CBT focuses on the connection between your thoughts, feelings, and behaviors. Together, we identify patterns that may be contributing to anxiety, depression, or other challenges and work toward developing healthier, more helpful ways of thinking and responding. Sessions are collaborative and practical, with space to talk openly while learning strategies you can apply in everyday life.

I work with teens and adults who are navigating anxiety, depression, ADHD, or feeling overwhelmed and stuck. My ideal clients are seeking clarity, relief, and a path forward. Through compassionate, evidence-based care, I provide psychiatric evaluations, medication management, and personalized treatment plans tailored to each person’s unique needs. I understand how heavy things can feel, and you do not have to carry it alone. Asking for help takes strength, and I strive to create a safe, supportive space where you can talk without pressure or judgment. My goal is to help you regain balance, feel heard, and move forward with greater confidence—at your own pace.

Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and behaviors. In sessions, we may identify patterns of thinking or behavior that contribute to distress and work together to develop more helpful ways of responding. CBT is collaborative and practical, often including exercises, reflection, and strategies to practice between sessions. The goal is to build greater awareness and practical tools that support meaningful, lasting change.

I am an LMHC psychotherapist with almost two decades of experience. I work independently, primarily with adults and couples, while also working with children and adolescents. I am now offering couples intensives, which are one- to three-day focused psychotherapy sessions designed to give couples more time and space to work on their relationship in a shorter period of time. My approach is warm, collaborative, and practical, while also making space to understand the deeper patterns that can keep people stuck. I draw from several modalities, including CBT, psychodynamic, attachment-based, Gottman-informed, systems-based, and existential therapies. Over the years, I have found that no single approach works for everyone, so I draw from my experience across different modalities to find what is most helpful for each client or couple. My goal is to help people better understand themselves and their relationships and make meaningful changes that last.

CBT focuses on the connection between thoughts, emotions, and behaviors. In sessions, the therapist and client work together to identify patterns that may be contributing to distress and explore more balanced, helpful ways of thinking and responding. Sessions may include discussion, reflection, practical exercises, and skill-building. The goal is to help clients develop greater awareness, strengthen coping skills, and make meaningful changes that support their well-being.

My path to becoming a therapist started long before graduate school. As a teenager, I struggled with anxiety and depression and learned firsthand how powerful it can be to have someone simply listen and help make sense of what feels impossible. That experience shaped my belief that no one is ever too far gone—there is always hope and always another day. Helping others see that truth is the most fulfilling part of my work. What I love most about working with my clients is witnessing people reconnect with their strength—often at moments when they feel the most broken or unsure of themselves. I value the trust clients place in me and feel honored to walk alongside them as they process, heal, and grow. Seeing small shifts turn into meaningful change is incredibly rewarding. I believe healing is not about “fixing” what’s wrong, but about understanding yourself more deeply and learning how to move forward with compassion and intention. Therapy is a collaborative process grounded in safety, connection, and curiosity. Growth happens when people feel seen, supported, and empowered to make changes at their own pace. My approach is warm, collaborative, and grounded in evidence-based practice. I draw from evidence-based approaches like CBT (Cognitive Behavioral Therapy), TF-CBT (Trauma-Focused CBT), EMDR (Eye Movement Desensitization and Reprocessing), and DBT-informed skills. But above all, I believe in the power of authentic connection and trust between therapist and client. My role is to walk alongside you—not ahead of you—helping you build insight, skills, and confidence to create meaningful change. Outside of work, I love spending time with my husband, our three cats, and my family. I find joy in traveling, especially with my husband, sharing coffee with friends, and taking mini trips with my mom and sister.

We work through these: A ctivating event B elief C onsequence D ispute (and Deal with it) E ffective emotions, etc.

I have 27 years of full-time experience in therapy as an Army/Federal prison/hospital Chaplain (Major, Reserve and Department of Justice / Federal Bureau of Prisons, Retired), in missions, and in youth ministry. I have the Basic Certificate in Eye Movement Desensitization and Reprocessing (EMDR, for Post Traumatic Stress Disorder). I am an American Association of Marriage and Family Therapists (AAMFT) Professional Member (11/25 renewal?) and am ordained by the Vineyard USA. I was endorsed by the National Association of Evangelicals' Chaplains Commission for 24 years until I retired.

Cognitive behavioral therapy (CBT) focuses on the connection between your thoughts, emotions, and behaviors. Together, we identify patterns that may be contributing to stress, anxiety, depression, or other concerns and work on practical strategies to create healthier patterns. Sessions are collaborative and supportive, with space to talk openly about what you are experiencing, reflect on challenges, and develop tools you can use in everyday life. My goal is to help you build greater awareness, confidence, and skills to manage challenges more effectively.

I’m Linda Uzoukwu, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and founder of Healing Healthy Minds Nursing, Inc. I’m passionate about helping adults feel heard, understood, and supported as they navigate their mental health journey. I specialize in working with adults experiencing anxiety, depression, stress and burnout, life transitions, mood concerns, and perinatal and postpartum mental health challenges. My clinical experience has allowed me to care for individuals with a wide range of mental health needs, providing comprehensive psychiatric evaluations, medication management, supportive therapy, and ongoing education. What makes my approach unique is my commitment to looking beyond symptoms. I take a holistic, collaborative, and personalized approach to care, considering each person’s emotional well-being, lifestyle, relationships, stressors, and individual goals when developing a treatment plan. I believe mental health care should be a partnership, and I encourage my patients to be active participants in decisions about their treatment. My goal is to create a warm, judgment-free environment where you can feel comfortable being yourself, asking questions, and discussing your concerns openly. Whether you are seeking support for a new challenge or have been navigating mental health concerns for years, I strive to provide compassionate, evidence-based care that helps you build greater stability, resilience, and overall well-being.

CBT starts from a simple observation: the way you interpret a situation drives how you feel about it and what you do next. Two people get the same terse email from a manager. One reads it as a workload issue and moves on. The other reads it as evidence they are about to be pushed out, spends the afternoon rewriting a reply, and sleeps badly. The email is identical. The interpretation is not. What makes those interpretations sticky is that you rarely test them. You act on the prediction, the discomfort drops, and the belief goes unchallenged. Over time it stops feeling like a thought at all and starts feeling like an accurate read on reality. In session, the work is fairly concrete. We slow down a specific moment from your week and take it apart: what happened, what you thought, what you felt, what you did. Once the pattern is visible, we examine the thought itself. What is the evidence for it? What is the evidence against it? What would you tell someone else in the same position? The goal is not forced positivity. It is accuracy, and accuracy is usually less catastrophic than the original read. Then we test it in the real world. If you believe that setting a boundary will damage a relationship, we design a small experiment and find out what actually happens. Behavioral work is where the belief change sticks, not the conversation about it. Expect to track things between sessions, at least early on. It does not have to be elaborate, but written records beat memory, because memory rewrites itself to match the belief. I usually pair CBT with ACT and DBT rather than running it as a protocol.

I work with high-functioning professionals across New York who look steady from the outside and are running on empty underneath. Attorneys, founders, finance and tech professionals, healthcare workers, and the people everyone else leans on. If you are managing anxiety by overworking, or you have hit burnout and cannot slow down without feeling like you are failing, that is the work. I specialize in anxiety therapy, burnout recovery, self-esteem, and men's mental health. All sessions are virtual, so you can meet from your office, your apartment, or between calls. Sessions are direct and structured. You will not spend fifty minutes narrating your week to silence. We identify the pattern driving the problem, whether that is avoidance, perfectionism, or the internal critic that never lets up, and then we build skills you can actually use on a Tuesday afternoon. I draw on ACT, CBT, and DBT, along with Stoic-informed frameworks that tend to land well with people who think analytically. Expect me to challenge you and to be straightforward about what I am seeing. Expect homework. Expect to leave most sessions with something concrete to try.

Cognitive behavioral therapy (CBT) is an evidence-based approach that explores the connection between thoughts, emotions, behaviors, and patterns that may be contributing to distress. Sessions are collaborative and practical, with a focus on understanding what is happening, identifying helpful changes, and developing strategies you can apply in everyday life. Depending on your needs, CBT may be incorporated alongside medication management or coordinated with your therapist as part of a broader treatment plan. My role is to help you understand your options, connect treatment to your goals, and make changes that support lasting improvement in daily functioning.

I am a board-certified psychiatric mental health nurse practitioner and the founder of Ash & Bloom Wellness, an integrative psychiatry practice serving adults across North Carolina by telehealth and in person in Raleigh. My work blends careful diagnostic assessment, evidence-based medication management, and practical lifestyle, sleep, and stress interventions so treatment fits the whole person rather than a single symptom list. Clinically, I focus on depression, anxiety, bipolar spectrum disorders, ADHD, trauma-related conditions, and co-occurring mental health and substance use concerns. I provide buprenorphine (Suboxone) treatment for opioid use disorder and harm-reduction informed care for alcohol and other substance use, and I work comfortably alongside therapists and primary care clinicians as the medication management partner in a client's care team. I am doctorally prepared, hold national certification in psychiatric mental health care, and teach in graduate psychiatric nursing education, which keeps my practice current and grounded in the evidence. Visits are unhurried, collaborative, and free of judgment. You can expect clear explanations of your options, honest discussion of risks and benefits, and a plan you help build. New clients can start with a brief consultation to see whether we are a good fit. Private pay and insurance options are both available, and prescriptions are managed responsibly with attention to long-term function, not just short-term relief.

Cognitive-Behavioral Therapy (CBT) focuses on understanding how our thoughts, feelings, and behaviors influence one another. My approach helps clients recognize negative or unhelpful thought patterns and develop healthier ways of thinking and responding to challenging situations. By combining CBT with mindfulness techniques, I encourage clients to become more aware of their emotions, manage stress, and build practical coping skills. During sessions, we work collaboratively to explore your concerns, identify patterns that may be affecting your well-being, and establish meaningful goals. Sessions may include discussing recent experiences, practicing strategies to challenge unhelpful thoughts, and exploring techniques you can apply in your daily life. My goal is to create a supportive, client-centered environment where you feel heard and empowered to make positive, lasting changes.

Derryl spent the majority of his undergraduate career in a clinical research lab where he investigated psychological and social predictors of emotion regulation difficulties in adolescents and how parenting styles influenced transmission of trauma. This motivated him to seek further education in mental health and determine how he can play a role in serving the community. A few of Derryl's therapeutic modalities include: Cognitive-Behavioral Therapy (CBT): Helping clients identify and change negative thought patterns and behaviors, Mindfulness-Based Therapy: Incorporating mindfulness techniques to promote self-awareness and stress reduction, and Client-Centered Therapy: Providing a supportive and empathetic environment for clients to explore their thoughts and emotions. One of my strongest passions is being a resource to others, while gaining insight from their unique stories. "I believe that counseling is a great tool for individuals, couples, and families to build the skills to have more meaningful relationships and manage their mental health throughout their daily lives. I understand that seeking help can be a challenging step, so my goal is to walk alongside you in your personal journey and promote growth as we explore your past experiences and future goals. Together, we will work towards your goals and empower you to make positive changes in your life."

Cognitive Behavioral Therapy (CBT) operates on a simple, foundational premise: your thoughts, feelings, physical sensations, and behaviors are all interconnected. It is a highly structured, goal-oriented, and short-term form of talk therapy—typically lasting between 5 to 20 weekly sessions—that focuses primarily on the present moment rather than digging extensively into your childhood or past. When treating anxiety, CBT does not try to magically erase your stress. Instead, it works by identifying "faulty" or unhelpful thinking and behavioral habits, allowing you to intentionally retrain how your brain and nervous system respond to triggers.

I'm passionate about helping adults navigate life's most challenging moments—whether that's managing anxiety and depression, working through relationship strain, recovering from burnout, or adapting to major transitions. I've spent years in executive leadership, which deepened my understanding of how stress, identity, and systemic pressures shape our wellbeing. That experience informs my clinical work today. I draw on Cognitive Behavioral Therapy (CBT), relational approaches, and Solution-Focused Brief Therapy (SFBT) to help you identify practical tools while honoring what matters most to you. I work with men's issues, stress, and the unique struggles many adults face in their professional and personal lives. I offer telehealth sessions and am currently accepting new clients. If you're ready to explore what's possible, I'm here to support you.

Cognitive behavioral therapy (CBT) focuses on the connection between your thoughts, emotions, and behaviors. Together, we identify patterns that may be contributing to distress and develop practical, healthier ways of responding to challenges. CBT is collaborative and goal-oriented, giving you tools you can apply both during and between sessions. Sessions may include discussing current concerns, identifying unhelpful thought patterns, practicing coping and problem-solving skills, and setting realistic goals for the week ahead. The pace and focus are tailored to your needs, with the goal of helping you build lasting skills, greater self-awareness, and confidence in managing life's challenges.

I am Ikami Sasa, a compassionate Psychiatric Mental Health Nurse Practitioner (PMNHP-BC) with Hope Behavioral Health Clinic. Hope Behavioral Health Clinic provides personalized mental health care using evidence-based research and a patient-centered approach. Our mission is to deliver outstanding mental health care that promotes resilience, growth, and healing. Many people with mental disorders work, perform, create, compete, laugh, love, and inspire daily with the proper treatment approach. Let not mental health stigma keep you from reaching your potential. Thanks for giving me the opportunity to work with you.