Cognitive Behavioral Therapy
Between an event and your reaction sits a layer of interpretation so fast it feels like fact. He didn't reply → I've annoyed him. The presentation stumbled → they've seen through me. CBT is the discipline of slowing that layer down, auditing it, and replacing bad math with better.
It is among the most extensively researched forms of psychotherapy — and in the right hands it's anything but the worksheet-factory its reputation suggests.
What CBT targets well
- Anxiety loops: catastrophizing, checking, avoiding
- The depressive spiral of withdrawal and self-verdict
- Performance anxiety — boardroom, bedroom, or both
- Perfectionism and its impossible accounting
- Insomnia's racing-mind arithmetic
- Habits maintained by short-term relief at long-term cost
How we use it
Collaboratively and precisely. We map your specific loops — the predictions, the rules, the avoidances that keep a pattern alive — then run experiments that test them against reality. Between-session practice matters because the change has to happen where your life is, not just in the room.
CBT here rarely travels alone: it pairs with psychodynamic depth when the rules have old roots, with IFS when a part of you enforces them, and with EMDR when the alarm is trauma-driven. Structure plus depth beats either alone.
Practical details
55-minute sessions, $215 with sliding scale from $150–194, downtown or via telehealth. CBT work is naturally goal-shaped — we'll define what better looks like and measure against it.
Common questions
Ready to begin?
The 15-minute consult is where most people begin.