Cognitive Behavioral (CBT) Psychiatrists in Chevy Chase, MD

Photo of Mekeshia D. Bates - Gift of Dreams Wellness and Consulting, LLC, Psychiatric Nurse Practitioner, DNP, MDiv, MPH, MSN
Gift of Dreams Wellness and Consulting, LLC
Psychiatric Nurse Practitioner, DNP, MDiv, MPH, MSN
Chevy Chase, MD 20815
At The Gift of Dreams, you will have your specific needs met in a way that is collaborative, comfortable, and conscientious. Dr. Mekeshia Bates will work with you and for you to ensure that you are meeting your individual therapeutic goals and becoming the person you have always been capable of being. In unison, you and Dr. Bates will work to remove negative behavioral and thought patterns that give rise to problems in your life, helping you to become a happier, more fulfilled person. She will always help you to make your dreams your reality!
At The Gift of Dreams, you will have your specific needs met in a way that is collaborative, comfortable, and conscientious. Dr. Mekeshia Bates will work with you and for you to ensure that you are meeting your individual therapeutic goals and becoming the person you have always been capable of being. In unison, you and Dr. Bates will work to remove negative behavioral and thought patterns that give rise to problems in your life, helping you to become a happier, more fulfilled person. She will always help you to make your dreams your reality!
(301) 327-2817 View (301) 327-2817
Photo of Jeanne Holzgrefe, Psychiatrist, MD, PhD
Jeanne Holzgrefe
Psychiatrist, MD, PhD
Chevy Chase, MD 20815
I draw upon my experience and training in Cognitive Behavioral Therapy ( CBT) and psychodynamic psychotherapy, and use medication when appropriate.
I am a Child, Adolescent, and Adult Psychiatrist specializing in the diagnosis and treatment of anxiety, depression, ADHD, relationship issues, and transitions in life. I also have extensive experience with a variety of other mental health issues. Therapy, I believe, is a collaborative exploration of important aspects of one's present and past, in order to develop alternative coping mechanisms and strategies for growth, to relieve suffering, to foster healthy relationships, and to attain one's personal goals. I have had much success in helping patients along a path to better mental health and functioning.
I draw upon my experience and training in Cognitive Behavioral Therapy ( CBT) and psychodynamic psychotherapy, and use medication when appropriate.
I am a Child, Adolescent, and Adult Psychiatrist specializing in the diagnosis and treatment of anxiety, depression, ADHD, relationship issues, and transitions in life. I also have extensive experience with a variety of other mental health issues. Therapy, I believe, is a collaborative exploration of important aspects of one's present and past, in order to develop alternative coping mechanisms and strategies for growth, to relieve suffering, to foster healthy relationships, and to attain one's personal goals. I have had much success in helping patients along a path to better mental health and functioning.
(301) 298-2836 View (301) 298-2836
Photo of Falk W Lohoff, Psychiatrist, MD
Falk W Lohoff
Psychiatrist, MD
Chevy Chase, MD 20815
Treatment options range from psychotherapy, cognitive-behavioral therapy and medication management.
Accepting new patients! I am double Board certified in Psychiatry and Addiction Medicine and specialize in the treatment of mood and anxiety disorders, ADHD and addictions. I completed my training at the University of Pennsylvania and have special interest in neuropsychopharmacology and psychotherapy. My overall goal is to alleviate your symptoms and increase your quality of life.
Treatment options range from psychotherapy, cognitive-behavioral therapy and medication management.
Accepting new patients! I am double Board certified in Psychiatry and Addiction Medicine and specialize in the treatment of mood and anxiety disorders, ADHD and addictions. I completed my training at the University of Pennsylvania and have special interest in neuropsychopharmacology and psychotherapy. My overall goal is to alleviate your symptoms and increase your quality of life.
(301) 761-4191 View (301) 761-4191
Photo of Dr. Michael Dickson, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Michael Dickson
Psychiatric Nurse Practitioner, DNP, PMHNP
2 Endorsed
Online Only
Specializing in cognitive-behavioral therapy ( CBT) and mindfulness techniques, I help clients gain practical tools to overcome obstacles, reduce stress, and build lasting resilience.
Many of the adults I work with are managing anxiety, ADHD, depression, burnout, or major life transitions while balancing careers, relationships, and daily responsibilities. They often come to my practice seeking clarity, stability, and a treatment plan that feels personalized rather than rushed. At Grace’s Room, we provide thoughtful, evidence-based psychiatric care focused on understanding the whole person. Through collaborative medication management, education, and ongoing support, we help clients improve daily functioning, build resilience, and create lasting emotional wellness.
Specializing in cognitive-behavioral therapy ( CBT) and mindfulness techniques, I help clients gain practical tools to overcome obstacles, reduce stress, and build lasting resilience.
Many of the adults I work with are managing anxiety, ADHD, depression, burnout, or major life transitions while balancing careers, relationships, and daily responsibilities. They often come to my practice seeking clarity, stability, and a treatment plan that feels personalized rather than rushed. At Grace’s Room, we provide thoughtful, evidence-based psychiatric care focused on understanding the whole person. Through collaborative medication management, education, and ongoing support, we help clients improve daily functioning, build resilience, and create lasting emotional wellness.
(240) 213-6293 View (240) 213-6293
Photo of Olesea Beyer, Psychiatric Nurse Practitioner, PMHNP
Olesea Beyer
Psychiatric Nurse Practitioner, PMHNP
Chevy Chase, MD 20815
Olesea Beyer is a Psychiatric Mental Health Nurse Practitioner with over 11 years of healthcare experience in both hospital and clinic settings. She prescribes and manages psychiatric medications, offers certain brain stimulation therapies, and provides therapy for children, teens, and adults. Olesea serves patients from all walks of life. She is a member of The Menopause Society and The National Association of Pediatric Nurse Practitioners, pursuing certifications in women's health and in pediatric mental health. She sees patients in person in her Chevy Chase, MD office, and via telehealth in DC, VA, and MD.
Olesea Beyer is a Psychiatric Mental Health Nurse Practitioner with over 11 years of healthcare experience in both hospital and clinic settings. She prescribes and manages psychiatric medications, offers certain brain stimulation therapies, and provides therapy for children, teens, and adults. Olesea serves patients from all walks of life. She is a member of The Menopause Society and The National Association of Pediatric Nurse Practitioners, pursuing certifications in women's health and in pediatric mental health. She sees patients in person in her Chevy Chase, MD office, and via telehealth in DC, VA, and MD.
(240) 817-1626 View (240) 817-1626
Photo of Vida Robb, Psychiatric Nurse Practitioner
Vida Robb
Psychiatric Nurse Practitioner
Online Only
My mission is to foster trusting relationships with my patients built on dignity and respect ensuring that every customer feels valued and heard. I deliver a holistic approach to treatment that address the intricate connections between mind, body and emotional well being with focus on adult, adolescent and child psychiatry. I am known for my down-to-earth demeanor and unwavering professionalism and try to create a welcoming atmosphere where you can feel at ease discussing your concerns and aspirations.
My mission is to foster trusting relationships with my patients built on dignity and respect ensuring that every customer feels valued and heard. I deliver a holistic approach to treatment that address the intricate connections between mind, body and emotional well being with focus on adult, adolescent and child psychiatry. I am known for my down-to-earth demeanor and unwavering professionalism and try to create a welcoming atmosphere where you can feel at ease discussing your concerns and aspirations.
(301) 215-3653 View (301) 215-3653
Photo of Dr. Mariam Kashani, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Mariam Kashani
Psychiatric Nurse Practitioner, DNP, PMHNP
Chevy Chase, MD 20815
Mental healthcare does not need to be complicated. Compassionate, holistic, and evidence-based care is achievable for every patient. I am a doctorally prepared Nurse Practitioner, board-certified in both Psychiatry and Primary Care, with 23 years of experience. As an alumna of Johns Hopkins University, I provide diagnosis, medication management and psychotherapy to adult patients suffering from mood disorders, anxiety, depression, insomnia, postpartum depression, and trauma.
Mental healthcare does not need to be complicated. Compassionate, holistic, and evidence-based care is achievable for every patient. I am a doctorally prepared Nurse Practitioner, board-certified in both Psychiatry and Primary Care, with 23 years of experience. As an alumna of Johns Hopkins University, I provide diagnosis, medication management and psychotherapy to adult patients suffering from mood disorders, anxiety, depression, insomnia, postpartum depression, and trauma.
(240) 474-0899 x112 View (240) 474-0899 x112
Photo of Gonzalo Laje, Psychiatrist, MD, MHSc, MHCM, FAPA
Gonzalo Laje
Psychiatrist, MD, MHSc, MHCM, FAPA
2 Endorsed
Chevy Chase, MD 20815
Have you or your loved one been experiencing emotional or behavioral difficulties? Through a thorough diagnostic process and integrated treatment, I believe we can restore health and well-being. My name is Gonzalo Laje, and I am a double-certified child, adolescent, and adult psychiatrist with over 25 years of experience in psychopharmacology. I trained at NYU/Bellevue Hospital and NIMH/Children's in DC and earned degrees from Duke and Harvard University. I evaluate and treat patients of all ages and severities, emphasizing difficult-to-treat cases. My goal is to alleviate your symptoms and improve your quality of life.
Have you or your loved one been experiencing emotional or behavioral difficulties? Through a thorough diagnostic process and integrated treatment, I believe we can restore health and well-being. My name is Gonzalo Laje, and I am a double-certified child, adolescent, and adult psychiatrist with over 25 years of experience in psychopharmacology. I trained at NYU/Bellevue Hospital and NIMH/Children's in DC and earned degrees from Duke and Harvard University. I evaluate and treat patients of all ages and severities, emphasizing difficult-to-treat cases. My goal is to alleviate your symptoms and improve your quality of life.
(301) 576-6044 View (301) 576-6044
Photo of Titilayo Raji - LifeStance Health, Psychiatric Nurse Practitioner, CNP/PMH
LifeStance Health
Psychiatric Nurse Practitioner, CNP/PMH
Chevy Chase, MD 20815
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(240) 635-8282 View (240) 635-8282
Photo of Lisa Green Gordon - LCH Behavioral Health, Psychiatrist, Therapy, MD, LCSW-C, LCPC
LCH Behavioral Health
Psychiatrist, Therapy, MD, LCSW-C, LCPC
Chevy Chase, MD 20815
LCH Behavioral Health is a group practice offering psychotherapy, counseling, psychiatric medication management, clinical supervision, and emotional support. Our highly trained providers are committed to being here with you on your journey to wellness whether that be to get to know yourself better, to manage stress, depression, anxiety, grief, trauma, life transitions, and more, or to grow personally and professionally.
LCH Behavioral Health is a group practice offering psychotherapy, counseling, psychiatric medication management, clinical supervision, and emotional support. Our highly trained providers are committed to being here with you on your journey to wellness whether that be to get to know yourself better, to manage stress, depression, anxiety, grief, trauma, life transitions, and more, or to grow personally and professionally.
(240) 202-2433 View (240) 202-2433
Photo of Emily J Aron, Psychiatrist
Emily J Aron
Psychiatrist
Chevy Chase, MD 20815
I offer both therapy and medication management, including CBT, attachment-based therapy, psychodynamic work, and PCIT whatever the moment calls for.
I work with children, teens, and adults navigating a range of emotional, behavioral, and developmental concerns. My work includes anxiety, depression, ADHD, OCD, autism, emotional regulation difficulties, parenting challenges, and relationship or life stressors across the lifespan. I specialize in working with young children and their parents, as well as autism evaluations and support. I work with both individuals and families, with an approach that is thoughtful, collaborative, and grounded in understanding the whole person within the context of their relationships and development.
I offer both therapy and medication management, including CBT, attachment-based therapy, psychodynamic work, and PCIT whatever the moment calls for.
I work with children, teens, and adults navigating a range of emotional, behavioral, and developmental concerns. My work includes anxiety, depression, ADHD, OCD, autism, emotional regulation difficulties, parenting challenges, and relationship or life stressors across the lifespan. I specialize in working with young children and their parents, as well as autism evaluations and support. I work with both individuals and families, with an approach that is thoughtful, collaborative, and grounded in understanding the whole person within the context of their relationships and development.
(240) 896-3913 View (240) 896-3913
Photo of Dr. Weronika Gondek, Psychiatrist, MD
Dr. Weronika Gondek
Psychiatrist, MD
5 Endorsed
Chevy Chase, MD 20815
Are you looking to improve your relationship with food, rediscover yourself and regain control of your life? Welcome to RecoverED, a boutique psychiatric practice. I believe that everyone suffering from eating disorders deserves excellent and compassionate psychiatric care and a chance at recovery. My approach is holistic, weight-inclusive, and trauma-informed. I enjoy collaborating with clinicians involved in your care, and I can also help support you from medical, nutritional and therapeutic perspective.. I prioritize patient confidentiality and satisfaction and assure that you receive the attention you deserve.
Are you looking to improve your relationship with food, rediscover yourself and regain control of your life? Welcome to RecoverED, a boutique psychiatric practice. I believe that everyone suffering from eating disorders deserves excellent and compassionate psychiatric care and a chance at recovery. My approach is holistic, weight-inclusive, and trauma-informed. I enjoy collaborating with clinicians involved in your care, and I can also help support you from medical, nutritional and therapeutic perspective.. I prioritize patient confidentiality and satisfaction and assure that you receive the attention you deserve.
(443) 494-2090 View (443) 494-2090
Photo of Dr. Becky Jordan - Founder, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Dr. Becky Jordan - Founder
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
2 Endorsed
Chevy Chase, MD 20815
I also support women navigating mood and cognitive changes during perimenopause and menopause, helping connect patterns and guide next steps.
Are you feeling anxious, overwhelmed, or not like yourself despite managing everything on the outside? I specialize in women’s mental health, including mood changes, brain fog, low motivation, and sleep disruption during perimenopause and menopause. I also provide general psychiatric care for anxiety, mood disorders, ADHD, and trauma-related symptoms. If you’re unsure what’s hormonal, stress-related, or mood-based, I offer clear evaluation and structured treatment. For appropriate patients, in-office ketamine treatment is available for treatment-resistant depression. Request a consultation to determine fit.
I also support women navigating mood and cognitive changes during perimenopause and menopause, helping connect patterns and guide next steps.
Are you feeling anxious, overwhelmed, or not like yourself despite managing everything on the outside? I specialize in women’s mental health, including mood changes, brain fog, low motivation, and sleep disruption during perimenopause and menopause. I also provide general psychiatric care for anxiety, mood disorders, ADHD, and trauma-related symptoms. If you’re unsure what’s hormonal, stress-related, or mood-based, I offer clear evaluation and structured treatment. For appropriate patients, in-office ketamine treatment is available for treatment-resistant depression. Request a consultation to determine fit.
(914) 315-4291 View (914) 315-4291
Photo of Sonia Reisdorf, Psychiatric Nurse Practitioner, NP
Sonia Reisdorf
Psychiatric Nurse Practitioner, NP
Serves Area
Hello, I'm Sonia! I am a psychiatric nurse practitioner. My time spent helping people deal with dependency and mental health issues has made me passionate about guiding those with addictions through recovery and into a more stable life. As addiction and mental health are most often related, treating them together is an approach that I have found is an effective path to emotional well-being. Being dual board-certified in Psychiatry and Adult/Geriatrics along with many years treating the incarcerated has shown me the effectiveness of my safe and non-judgmental approach.
Hello, I'm Sonia! I am a psychiatric nurse practitioner. My time spent helping people deal with dependency and mental health issues has made me passionate about guiding those with addictions through recovery and into a more stable life. As addiction and mental health are most often related, treating them together is an approach that I have found is an effective path to emotional well-being. Being dual board-certified in Psychiatry and Adult/Geriatrics along with many years treating the incarcerated has shown me the effectiveness of my safe and non-judgmental approach.
(727) 947-1948 View (727) 947-1948
Photo of Banke Oluwole, Psychiatric Nurse Practitioner, PMHNP
Banke Oluwole
Psychiatric Nurse Practitioner, PMHNP
Online Only
As a Nurse Practitioner specializing in psychiatric care, I bring a wealth of experience in mental health assessment, diagnosis, treatment and psychotherapy. With my experience in managing mental health disorders, I am committed to providing compassionate, patient-centered care to individuals experiencing a wide range of psychological conditions. My expertise includes the management of mood disorders, anxiety, trauma, and other psychiatric conditions.
As a Nurse Practitioner specializing in psychiatric care, I bring a wealth of experience in mental health assessment, diagnosis, treatment and psychotherapy. With my experience in managing mental health disorders, I am committed to providing compassionate, patient-centered care to individuals experiencing a wide range of psychological conditions. My expertise includes the management of mood disorders, anxiety, trauma, and other psychiatric conditions.
(410) 896-6522 View (410) 896-6522
Photo of Dr. Rohul Amin, Psychiatrist, MD, DFAPA, FACP
Dr. Rohul Amin
Psychiatrist, MD, DFAPA, FACP
Online Only
Concerns addressed include depression, anxiety, trauma or PTSD, anger, irritability, OCD, alcohol and substance use disorders, schizophrenia, bipolar disorder, ADHD, personality disorders, and other cognitive concerns such as dementia.
I have practiced medicine since 2009, with dual training and board certifications in psychiatry and internal medicine. The dual training helps me care for patients holistically with complex psychiatric and comorbid medical problems. I provide medication management for all psychiatric conditions and add psychotherapy to each session to help my patients.
Concerns addressed include depression, anxiety, trauma or PTSD, anger, irritability, OCD, alcohol and substance use disorders, schizophrenia, bipolar disorder, ADHD, personality disorders, and other cognitive concerns such as dementia.
I have practiced medicine since 2009, with dual training and board certifications in psychiatry and internal medicine. The dual training helps me care for patients holistically with complex psychiatric and comorbid medical problems. I provide medication management for all psychiatric conditions and add psychotherapy to each session to help my patients.
(443) 645-4196 View (443) 645-4196
Photo of Esther Adeolu Ojo, Psychiatric Nurse Practitioner, PMHNP
Esther Adeolu Ojo
Psychiatric Nurse Practitioner, PMHNP
Online Only
I often use Cognitive Behavioral Therapy in my practice.
Multiple same week openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Medicaid and Commercial patients, whether you're battling Anxiety, Depression, Bipolar disorder, PTSD, OCD, or ADHD you deserve care that treats you as a whole person—not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
I often use Cognitive Behavioral Therapy in my practice.
Multiple same week openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Medicaid and Commercial patients, whether you're battling Anxiety, Depression, Bipolar disorder, PTSD, OCD, or ADHD you deserve care that treats you as a whole person—not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
(443) 363-1501 View (443) 363-1501
Photo of Alok Rawat, Psychiatrist, MD
Alok Rawat
Psychiatrist, MD
3 Endorsed
Serves Area
I practice Cognitive Behavioral Therapy as well as life-coaching and motivational techniques, I also provide medication management where indicated.
Doesn't take insurance/disability,out of pocket only Doesn't write scripts for controlled substances/benzos/xanax/klonopin/ativan FOCUS-Depression,Anxiety,PsychConsult,Bipolar,OCD, CBT,Behavioral Therapy,Marriage/Grief Counseling,PsychMedReview
I practice Cognitive Behavioral Therapy as well as life-coaching and motivational techniques, I also provide medication management where indicated.
Doesn't take insurance/disability,out of pocket only Doesn't write scripts for controlled substances/benzos/xanax/klonopin/ativan FOCUS-Depression,Anxiety,PsychConsult,Bipolar,OCD, CBT,Behavioral Therapy,Marriage/Grief Counseling,PsychMedReview
(443) 345-4876 View (443) 345-4876
Photo of Clifford Sussman, Psychiatrist, MD
Clifford Sussman
Psychiatrist, MD
1 Endorsed
Serves Area
I have a private practice in psychiatry and psychotherapy for children, adolescents, and young adults in Washington, DC. I am one of the few specialists in the country in internet and video game addiction. I am certified by the American Board of Psychiatry and Neurology. Please ask about Digimotor Game Therapy(DGT) forProblematic Screen Use, anew Day Camp/Evening program I have developed in collaboration with Fitness For Health. Info on the website as well.
I have a private practice in psychiatry and psychotherapy for children, adolescents, and young adults in Washington, DC. I am one of the few specialists in the country in internet and video game addiction. I am certified by the American Board of Psychiatry and Neurology. Please ask about Digimotor Game Therapy(DGT) forProblematic Screen Use, anew Day Camp/Evening program I have developed in collaboration with Fitness For Health. Info on the website as well.
(202) 643-5962 View (202) 643-5962
Photo of Hawa Fatu-Maria Fofanah, Psychiatric Nurse Practitioner, PMHNP-, FNP, BC
Hawa Fatu-Maria Fofanah
Psychiatric Nurse Practitioner, PMHNP-, FNP, BC
Online Only
Hawa Fofanah is a Board certified psychiatric mental health nurse practitioner (PMHNP-BC). Her health career started in cardiac step-down care. She worked inpatient settings as a registered nurse caring for people with varying medical challenges. She later became a Family Nurse Practitioner (FNP) and practiced for many years in family medicine, before eventually transitioning to Psychiatric mental health. Her passion for mental health grew out of the growing need for mental health providers. In primary care she got to witness how challenging it was for some of her patients to get even an initial psychiatric evaluation.
Hawa Fofanah is a Board certified psychiatric mental health nurse practitioner (PMHNP-BC). Her health career started in cardiac step-down care. She worked inpatient settings as a registered nurse caring for people with varying medical challenges. She later became a Family Nurse Practitioner (FNP) and practiced for many years in family medicine, before eventually transitioning to Psychiatric mental health. Her passion for mental health grew out of the growing need for mental health providers. In primary care she got to witness how challenging it was for some of her patients to get even an initial psychiatric evaluation.
(240) 679-5829 View (240) 679-5829

See more therapy options for Chevy Chase

FAQ - Cognitive Behavioral (CBT) Psychiatrists
Do psychiatrists provide cognitive behavioral therapy (CBT)?
Yes, many psychiatrists provide CBT as a therapeutic approach in sessions with clients. CBT is an evidence-based form of therapy that focuses on identifying and changing unhelpful thought patterns and behaviors that contribute to mental health challenges. Psychiatrists who provide CBT can be particularly valuable when your condition may benefit from both therapy *and* medication, such as depression, anxiety, OCD, ADHD or PTSD. However, some psychiatrists choose to focus primarily on medication management rather than ongoing therapy. When evaluating potential psychiatrists, it can be helpful to confirm that they actively incorporate CBT techniques into their practice (rather than focusing solely on prescribing medication)

What is the difference between CBT with a psychiatrist versus a therapist?
The primary difference between CBT with a psychiatrist versus a therapist is that a psychiatrist can integrate medication management with CBT treatment, while non-psychiatrist therapists (such as psychologists, counselors, or social workers) provide CBT without the ability to prescribe medications. In a CBT session with a psychiatrist, you will work on the same core techniques as you would with any CBT provider, such as identifying cognitive distortions or challenging negative thought patterns. However, a psychiatrist can also monitor how medication affects your symptoms. This integrated approach can be especially helpful for conditions like major depression or bipolar disorder, where medication often works together with therapy to produce better outcomes than either treatment alone.

Should I see a psychiatrist or therapist for CBT?
The choice to see a psychiatrist or therapist depends on the severity of your symptoms and whether medication might be part of your treatment plan. A psychiatrist who provides CBT is appropriate when you have more severe mental health symptoms that may require medication. A non-psychiatrist therapist may be appropriate when your symptoms are mild to moderate, you prefer to try therapy without medication first, or you are already stable on medication prescribed by another provider. It is worth noting that psychiatrists typically charge higher rates than other therapists due to their medical training, and psychiatry sessions are not always covered by insurance. Therefore, some people start with a therapist for CBT and later add a psychiatrist to their treatment team if medication becomes necessary.