Therapists in Palo Alto, CA
Meghan Eileen Howe
Clinical Social Work/Therapist, LCSW
Verified Verified
Palo Alto, CA 94306
I specialize in creating an in-home treatment program that incorporates the following models: family focused therapy, mindfulness based cognitive behavioral therapy, exposure based therapy, yoga & movement therapy, & dialectical behavior therapy.
Hello! I am a LCSW passionate about working with individuals and families struggling with severe mood and anxiety. As you can see from my picture I have a compassionate yet light-hearted spirit that connects well with kids of all ages. For 11 years, I worked in the Pediatric Bipolar Disorders Program at Stanford creating and modifying therapeutic treatment modalities for children and families. For this reason, I am best suited for clients with mood or anxiety disorders, behavioral difficulties, & suicidal tendencies. I see the most success when I am permitted to work with the client and the family simultaneously.
I specialize in creating an in-home treatment program that incorporates the following models: family focused therapy, mindfulness based cognitive behavioral therapy, exposure based therapy, yoga & movement therapy, & dialectical behavior therapy.
Hello! I am a LCSW passionate about working with individuals and families struggling with severe mood and anxiety. As you can see from my picture I have a compassionate yet light-hearted spirit that connects well with kids of all ages. For 11 years, I worked in the Pediatric Bipolar Disorders Program at Stanford creating and modifying therapeutic treatment modalities for children and families. For this reason, I am best suited for clients with mood or anxiety disorders, behavioral difficulties, & suicidal tendencies. I see the most success when I am permitted to work with the client and the family simultaneously.
Brandee Sosa
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Palo Alto, CA 94301
Our counselors not only provide the support, guidance, and expertise needed for your improvement, but we also use evidenced based techniques and cognitive behavioral therapy to promote rapid change.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Our counselors not only provide the support, guidance, and expertise needed for your improvement, but we also use evidenced based techniques and cognitive behavioral therapy to promote rapid change.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Palo Alto Therapy
Marriage & Family Therapist, LMFT, LCSW, LPCC
Verified Verified
3 Endorsed
Palo Alto, CA 94306
Our counselors not only provide the support, guidance, and expertise needed for your improvement, but we also use evidenced based techniques and cognitive behavioral therapy to promote rapid change.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit Us at www.PaloAltoTherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Our counselors not only provide the support, guidance, and expertise needed for your improvement, but we also use evidenced based techniques and cognitive behavioral therapy to promote rapid change.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit Us at www.PaloAltoTherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Maryam Ashraf
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Palo Alto, CA 94301
Do you find yourself struggling with anxiety, depression, grief, self-esteem, identity, and difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, DBT, CBT, IFS, and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
Do you find yourself struggling with anxiety, depression, grief, self-esteem, identity, and difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, DBT, CBT, IFS, and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
Krishna G. Kary
Psychologist, PhD
Verified Verified
Palo Alto, CA 94301 (Online Only)
I integrate a number of evidence-based approaches (including EFT, IPT, DBT, CBT) in my work with individuals and couples.
I work with adolescents and adults of all ages to address a range of mental health needs. Commonly voiced concerns might include depression, anxiety, OCD, navigating major life transitions, work-related stress, interpersonal problems, loneliness, difficulties with intimacy, sexual functioning concerns, and issues related to aspects of ones identity (e.g. age, race/ethnicity, spirituality, ability status, etc.) with particular specialization in the areas of gender and sexuality. In addition to individual therapy services I also provide Emotionally-Focused Therapy for couples.
I integrate a number of evidence-based approaches (including EFT, IPT, DBT, CBT) in my work with individuals and couples.
I work with adolescents and adults of all ages to address a range of mental health needs. Commonly voiced concerns might include depression, anxiety, OCD, navigating major life transitions, work-related stress, interpersonal problems, loneliness, difficulties with intimacy, sexual functioning concerns, and issues related to aspects of ones identity (e.g. age, race/ethnicity, spirituality, ability status, etc.) with particular specialization in the areas of gender and sexuality. In addition to individual therapy services I also provide Emotionally-Focused Therapy for couples.
Athena Robinson
Psychologist, PhD
Verified Verified
Palo Alto, CA 94301
I work with adults and teens who are coping with eating disorders, relationship issues, emotion dysregulation, depression, and anxiety. I'm well-trained and certified in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Interpersonal Psychotherapy, and Family Based Therapy for adolescent eating disorders. Mindfulness practice is often integrated into therapy. Therapy is tailored to a client's needs and goals, and is provided in a supportive and collaborative environment.
I work with adults and teens who are coping with eating disorders, relationship issues, emotion dysregulation, depression, and anxiety. I'm well-trained and certified in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Interpersonal Psychotherapy, and Family Based Therapy for adolescent eating disorders. Mindfulness practice is often integrated into therapy. Therapy is tailored to a client's needs and goals, and is provided in a supportive and collaborative environment.
Laurel Salmon
Marriage & Family Therapist Associate, AMFT
Verified Verified
Palo Alto, CA 94301
Utilizing CBT, mindfulness, and psychodynamic perspectives, I provide therapy through a holistic lens, aiming to see my clients from a full picture rather than just their symptomatology.
Experiencing anxiety, depression, and trauma can be hard to navigate on one’s own. Through the use of integrative modalities, my goal is to help you find your way so that you can manage symptoms, feel your best, discover who you truly are, and move forward in the direction of your dreams whereby your past no longer holds you back. Using warmth and compassion, I also aim to provide trauma-informed care to discuss your struggles without judgment and safely process unresolved trauma and feelings.
Utilizing CBT, mindfulness, and psychodynamic perspectives, I provide therapy through a holistic lens, aiming to see my clients from a full picture rather than just their symptomatology.
Experiencing anxiety, depression, and trauma can be hard to navigate on one’s own. Through the use of integrative modalities, my goal is to help you find your way so that you can manage symptoms, feel your best, discover who you truly are, and move forward in the direction of your dreams whereby your past no longer holds you back. Using warmth and compassion, I also aim to provide trauma-informed care to discuss your struggles without judgment and safely process unresolved trauma and feelings.
Sheron Gershelis
Pre-Licensed Professional, ASW, EMDR
Verified Verified
Palo Alto, CA 94301
I use a combination of CBT and solution-focused therapy to address your symptoms and help you achieve your goals.
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
I use a combination of CBT and solution-focused therapy to address your symptoms and help you achieve your goals.
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
Sterling Walker
Marriage & Family Therapist Associate, AMFT
Verified Verified
Palo Alto, CA 94301
Throughout our lives, we all have experienced feelings of depression, anxiety, and anger. These emotions leave you feeling insecure, shameful, lonely, unworthy and stuck in unhealthy patterns of behavior. Trauma can have negative emotional and physical effects and can lead to family/relationship issues. I specialize in solution-focused brief therapy, motivational interviewing, mindfulness and CBT. These approaches allow me to work with the client to decrease symptoms of anxiety and depression and other health/behavioral issues.
Throughout our lives, we all have experienced feelings of depression, anxiety, and anger. These emotions leave you feeling insecure, shameful, lonely, unworthy and stuck in unhealthy patterns of behavior. Trauma can have negative emotional and physical effects and can lead to family/relationship issues. I specialize in solution-focused brief therapy, motivational interviewing, mindfulness and CBT. These approaches allow me to work with the client to decrease symptoms of anxiety and depression and other health/behavioral issues.
Amanda Bautista
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Palo Alto, CA 94306
Our counselors not only provide the support, guidance, and expertise needed for your improvement, but we also use evidenced based techniques and cognitive behavioral therapy to promote rapid change.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Our counselors not only provide the support, guidance, and expertise needed for your improvement, but we also use evidenced based techniques and cognitive behavioral therapy to promote rapid change.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
April R Holman PHD A Professional Psychology Corp
Psychologist, MA, PhD, MFT
Verified Verified
Palo Alto, CA 94301
Time limited therapy, or extensive emotional, interpersonal, or career change is provided, given my expertise in the use of stress management, cognitive behavioral treatment, and, psychodynamic psychotherapy.
I view psychotherapy as a collaborative process helping clients enhance their coping and adaptation. I have extensive experience using a diverse array of evidence-based treatment interventions, and often integrate strategies. Treatment goals are established with the client, using those tools that best fit client's goals, whether more limited or far reaching in scope. I work with adults, kids 12 years and older,adults, the elderly,and couples. For kids peer pressure, bullying, academic problems, self harm, developmental transitions, parenting issues among other problems are addressed . Please view my website for an in-depth view of how I work with clients.
Time limited therapy, or extensive emotional, interpersonal, or career change is provided, given my expertise in the use of stress management, cognitive behavioral treatment, and, psychodynamic psychotherapy.
I view psychotherapy as a collaborative process helping clients enhance their coping and adaptation. I have extensive experience using a diverse array of evidence-based treatment interventions, and often integrate strategies. Treatment goals are established with the client, using those tools that best fit client's goals, whether more limited or far reaching in scope. I work with adults, kids 12 years and older,adults, the elderly,and couples. For kids peer pressure, bullying, academic problems, self harm, developmental transitions, parenting issues among other problems are addressed . Please view my website for an in-depth view of how I work with clients.
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Justine Gordon
Marriage & Family Therapist Associate, AMFT, EMDR
Verified Verified
Palo Alto, CA 94301
I draw from EMDR, psychodynamic therapy, CBT, and DBT.
Navigating life's challenges is never easy, but reaching out for help is a brave first step to living a more genuine and fulfilling life. I have expertise in working with individuals struggling with childhood trauma and trauma-related symptoms such as grief, anxiety, depression, low self-esteem, and relational conflict. I believe every client is unique and deserves to be listened to and understood in an empathetic way. I am passionate about creating a safe, kind, collaborative and judgment-free space where clients can attain new insights, experience new feelings, and find a renewed sense of physical and mental well-being.
I draw from EMDR, psychodynamic therapy, CBT, and DBT.
Navigating life's challenges is never easy, but reaching out for help is a brave first step to living a more genuine and fulfilling life. I have expertise in working with individuals struggling with childhood trauma and trauma-related symptoms such as grief, anxiety, depression, low self-esteem, and relational conflict. I believe every client is unique and deserves to be listened to and understood in an empathetic way. I am passionate about creating a safe, kind, collaborative and judgment-free space where clients can attain new insights, experience new feelings, and find a renewed sense of physical and mental well-being.
Cathy Trenary
Associate Professional Clinical Counselor, APCC
Verified Verified
Palo Alto, CA 94301
I draw upon CBT, IFS, somatic therapy, narrative therapy, and solution-focused therapy to support the processing of trauma, fostering a holistic healing experience that encompasses both mind and body.
Our life experiences can lead us to question our identity and purpose in the world we live in. This can lead us to anxiety, depression, and trauma. Do you want to improve how you face challenges, function in your relationships, and face overwhelming feelings? I place heavy importance on addressing trauma. Trauma disintegrates the parts that make up your whole self, which can leave aspects of who you are hidden from your awareness. Left unaddressed, anxiety and depression can worsen, which can rob you of the necessary connection that all human beings need to thrive. I aim to help you process unresolved trauma.
I draw upon CBT, IFS, somatic therapy, narrative therapy, and solution-focused therapy to support the processing of trauma, fostering a holistic healing experience that encompasses both mind and body.
Our life experiences can lead us to question our identity and purpose in the world we live in. This can lead us to anxiety, depression, and trauma. Do you want to improve how you face challenges, function in your relationships, and face overwhelming feelings? I place heavy importance on addressing trauma. Trauma disintegrates the parts that make up your whole self, which can leave aspects of who you are hidden from your awareness. Left unaddressed, anxiety and depression can worsen, which can rob you of the necessary connection that all human beings need to thrive. I aim to help you process unresolved trauma.
Sheila Rivera-Cardinelli
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Palo Alto, CA 94303 (Online Only)
I utilize an integrative, client-centered approach and utilize aspects of psychodynamic therapy and evidenced-based practices, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and mindfulness.
Sometimes life’s events can be overwhelming, making everyday activities and incidents even more difficult to handle. These experiences can lead to sadness, anxiety, insecurity, feelings of isolation, and even an immense feeling of loss or being lost. It is in these moments that having a safe, confidential and non-judgemental space to talk to someone can be the most helpful. As a therapist, I provide a space where we can work collaboratively to reflect and gain insight on these cycles, where they come from and how they impact our choices and behaviors to make healthy and sustainable changes in our lives.
I utilize an integrative, client-centered approach and utilize aspects of psychodynamic therapy and evidenced-based practices, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and mindfulness.
Sometimes life’s events can be overwhelming, making everyday activities and incidents even more difficult to handle. These experiences can lead to sadness, anxiety, insecurity, feelings of isolation, and even an immense feeling of loss or being lost. It is in these moments that having a safe, confidential and non-judgemental space to talk to someone can be the most helpful. As a therapist, I provide a space where we can work collaboratively to reflect and gain insight on these cycles, where they come from and how they impact our choices and behaviors to make healthy and sustainable changes in our lives.
Christina Miller-Martinez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Palo Alto, CA 94301
I utilize Cognitive Behavioral Therapy, Somatic approaches, as well as EMDR.
I imagine therapy as a means of deepening self knowledge and part of that is learning to recognize the messages that your body is sending you. Well-versed in the language of the body, I am skilled in facilitating the process of reintegration - learning to listen to what your body has to tell you, translating the messages from your own body, and utilizing the information of your lived somatic experience as part of your decision-making process.
I utilize Cognitive Behavioral Therapy, Somatic approaches, as well as EMDR.
I imagine therapy as a means of deepening self knowledge and part of that is learning to recognize the messages that your body is sending you. Well-versed in the language of the body, I am skilled in facilitating the process of reintegration - learning to listen to what your body has to tell you, translating the messages from your own body, and utilizing the information of your lived somatic experience as part of your decision-making process.
Rosemary Selby
Psychologist, PhD
Verified Verified
Palo Alto, CA 94306
With 20+ years in private practice as a psychologist, I have developed specialties in cognitive therapy, couples counseling, chemical dependency, relationship therapy, workplace/career issues, and sport psychology.
Are you looking for relief from anxiety, depression, or relationship problems? Want to move to a whole new plane of interpersonal and emotional functioning? I work interactively with clients blending cognitive therapy and attention to the client's past. Helping a client understand and change what is blocking his/her greater enjoyment of life is my specialty.
With 20+ years in private practice as a psychologist, I have developed specialties in cognitive therapy, couples counseling, chemical dependency, relationship therapy, workplace/career issues, and sport psychology.
Are you looking for relief from anxiety, depression, or relationship problems? Want to move to a whole new plane of interpersonal and emotional functioning? I work interactively with clients blending cognitive therapy and attention to the client's past. Helping a client understand and change what is blocking his/her greater enjoyment of life is my specialty.
Melanie Maddox
Associate Clinical Social Worker, ASW, EMDR
Verified Verified
Palo Alto, CA 94301
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
Karlie Guthrie
Marriage & Family Therapist, LMFT
Verified Verified
Palo Alto, CA 94301 (Online Only)
I am trained in evidence-based treatment approaches, including Dialectical Behavior Therapy (DBT) and Cognitive-Behavioral Therapy (CBT).
Life is complicated and sometimes we need a little help. Therapy provides a safe space and the support you need to navigate the challenges and stress you are experiencing. As we work together, you will learn strategies to help you cope and feel better.
I am trained in evidence-based treatment approaches, including Dialectical Behavior Therapy (DBT) and Cognitive-Behavioral Therapy (CBT).
Life is complicated and sometimes we need a little help. Therapy provides a safe space and the support you need to navigate the challenges and stress you are experiencing. As we work together, you will learn strategies to help you cope and feel better.
Crystal Corona Mendoza
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Palo Alto, CA 94303 (Online Only)
I use different tools like Cognitive Behavioral Therapy, Solution Focused, Strength-based and Narrative therapy.
I am a compassionate marriage and family therapist who is dedicated to providing a safe space for youth, adults and families to grow and heal through counseling. I have experience working with diverse populations in various settings and I'm passionate about providing services to individuals with diverse backgrounds and challenges including anxiety, depression, relationship challenges, life transitions and perinatal mental health.
I use different tools like Cognitive Behavioral Therapy, Solution Focused, Strength-based and Narrative therapy.
I am a compassionate marriage and family therapist who is dedicated to providing a safe space for youth, adults and families to grow and heal through counseling. I have experience working with diverse populations in various settings and I'm passionate about providing services to individuals with diverse backgrounds and challenges including anxiety, depression, relationship challenges, life transitions and perinatal mental health.
Shellye Sledge
Clinical Social Work/Therapist, LCSW
Verified Verified
Palo Alto, CA 94303
My approach combines cognitive-behavioral, humanistic, and solution-focused counseling in a positive and optimistic atmosphere.
The good news for you… I am Dr. Shellye Sledge, LCSW, CEAP, with considerable experience working with individuals, couples, and families for many years. My education and training include a PhD in Social Work from Norfolk State University, a Master of Social Work in Administration from San Diego State University, and a Bachelor of Science degree in Counseling/Psychology from Christian Heritage College in El Cajon, California.
My approach combines cognitive-behavioral, humanistic, and solution-focused counseling in a positive and optimistic atmosphere.
The good news for you… I am Dr. Shellye Sledge, LCSW, CEAP, with considerable experience working with individuals, couples, and families for many years. My education and training include a PhD in Social Work from Norfolk State University, a Master of Social Work in Administration from San Diego State University, and a Bachelor of Science degree in Counseling/Psychology from Christian Heritage College in El Cajon, California.
See more therapy options for Palo Alto
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Cognitive Behavioral (CBT) Therapists
How does cognitive behavioral therapy work?
Cognitive behavioral therapy works by exploring how your thoughts affect your emotions and experiences. CBT helps you identify distortions in your thinking. For example, you may tend to jump to the worst case scenario catastrophizing or think in extremes (all-or-nothing thinking). A therapist can teach you how to push back against those thoughts to ultimately change your feelings and behavior for the better. They can also provide coping skills to better deal with stressors and challenges.
When do I know to seek treatment with cognitive behavioral therapy?
It’s reasonable to consider cognitive behavioral therapy if you struggle to manage difficult emotions or behaviors to such an extent that you are not getting the most out of life on a day-to-day basis. If you want a shorter term, concrete, skills-based approach, CBT is a great option. (By contrast, other types of therapy may devote more time to exploring your past and its effects.) The decision to seek CBT also depends on the condition you’re treating; CBT is an effective treatment for anxiety, depression, trauma, and many other disorders.
How can I find a cognitive behavioral therapist for someone else?
To find a cognitive behavioral therapist for someone else, you may want to begin by discussing the person’s problem, researching cognitive behavioral therapy, and assessing whether the approach is the right fit. You could then reach out to a few cognitive behavioral therapists in this directory, explain the scenario, have a consultation with those available, and determine who could be a good match.
Why is CBT such a popular form of therapy?
CBT has become a popular form of therapy because it is effective and accessible. Robust research has demonstrated that CBT is an effective treatment for many mental health conditions. And CBT can be learned in relatively few sessions, which means that many people can engage in the process, afford it, and see results quickly. It involves learning concrete skills such as disputing unhelpful thoughts; these skills can also be taught and spread widely.