Cognitive Behavioral (CBT) Therapists in Putnam County, NY
Zoey Altis
Licensed Master Social Worker, LMSW
Verified Verified
Carmel, NY 10512
Zoey Altis is a Licensed Master Social Worker in New York who has been practicing since 2022. Zoey provides therapeutic and clinical services including talk therapy, CBT, DBT, trauma informed and personcentered practice. She comes from a diverse background including working with adults in residential settings, to children in therapeutic day settings, to adolescents in clinic settings. Outside of work, Zoey enjoys reading, going on walks and hikes, pickleball, hosting, trying different coffee shops, cooking, baking, and board games!.
Zoey Altis is a Licensed Master Social Worker in New York who has been practicing since 2022. Zoey provides therapeutic and clinical services including talk therapy, CBT, DBT, trauma informed and personcentered practice. She comes from a diverse background including working with adults in residential settings, to children in therapeutic day settings, to adolescents in clinic settings. Outside of work, Zoey enjoys reading, going on walks and hikes, pickleball, hosting, trying different coffee shops, cooking, baking, and board games!.
Jenny C. Carmona-Padilla
Clinical Social Work/Therapist, MSW, LCSW, BC-TMH
Verified Verified
Mahopac, NY 10541 (Online Only)
Jenny is clinically trained in Trauma-informed Care and Personality Disorders, utilizing numerous evidence-based therapeutic approaches as appropriate to the individual's needs: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing, and Positive Psychology.
As a Board Certified Telemental Health Clinician, I am excited to meet you and honored to join with you on your experiential journey towards enlightenment, strength-building, and tranquility! I provide support with a clinical and holistic lens, as well as wellness coach. My goal is to forge a therapeutic alliance with you, understand your challenges, and establish appropriate treatment goals individualized to your specific needs. I strive to assure that diversity and cultural norms are considered throughout my treatment efforts. Let us focus on managing the symptoms, not the labels. I also provide Clinical Supervision.
Jenny is clinically trained in Trauma-informed Care and Personality Disorders, utilizing numerous evidence-based therapeutic approaches as appropriate to the individual's needs: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing, and Positive Psychology.
As a Board Certified Telemental Health Clinician, I am excited to meet you and honored to join with you on your experiential journey towards enlightenment, strength-building, and tranquility! I provide support with a clinical and holistic lens, as well as wellness coach. My goal is to forge a therapeutic alliance with you, understand your challenges, and establish appropriate treatment goals individualized to your specific needs. I strive to assure that diversity and cultural norms are considered throughout my treatment efforts. Let us focus on managing the symptoms, not the labels. I also provide Clinical Supervision.
David J. Parr
Psychologist, PsyD
Verified Verified
1 Endorsed
Brewster, NY 10509
From this foundation, I find coping strategies and approaches (DBT, CBT, IFS and Buddhist Psychology) very effective in helping people adapt, grow and thrive.
If you are experiencing personal conflict or crisis, or find that a problem continues to surface in your life despite your best efforts to solve it, I can help. My principal goal is to help you and/or your family members find effective solutions to get through difficult times and get back on track. I am a licensed clinical psychologist with extensive specialized training and over 23 years of experience in crisis management and teaching practical coping and interpersonal skills. I provide a solution-focused, flexible and time-limited approach to problem solving in a safe, supportive, non-judgmental and private setting.
From this foundation, I find coping strategies and approaches (DBT, CBT, IFS and Buddhist Psychology) very effective in helping people adapt, grow and thrive.
If you are experiencing personal conflict or crisis, or find that a problem continues to surface in your life despite your best efforts to solve it, I can help. My principal goal is to help you and/or your family members find effective solutions to get through difficult times and get back on track. I am a licensed clinical psychologist with extensive specialized training and over 23 years of experience in crisis management and teaching practical coping and interpersonal skills. I provide a solution-focused, flexible and time-limited approach to problem solving in a safe, supportive, non-judgmental and private setting.
Gary J Edelstein
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Brewster, NY 10509
My approach to therapy draws on recent developments in neuro-cognitive science, and seeks to understand psychological distress from both the emotional and neuro-cognitive perspectives.
My clinical areas of specialization include: the treatment of neuro-psychological and developmental disorders, anxiety, depression, attention deficit disorders, and the management of emotional and behavioral dysregulation in children, adolescents, and adults. I utilize a range of strategies and techniques to address these problems including: structured family therapy, strategic therapy, interpersonal therapy, and cognitive behavior interventions. A large portion of my practice is devoted to helping families and couples resolve conflicts and relate in a more meaningful and positive manner. It is my belief that healthy family relationships are the basis of mental health and well being.
My approach to therapy draws on recent developments in neuro-cognitive science, and seeks to understand psychological distress from both the emotional and neuro-cognitive perspectives.
My clinical areas of specialization include: the treatment of neuro-psychological and developmental disorders, anxiety, depression, attention deficit disorders, and the management of emotional and behavioral dysregulation in children, adolescents, and adults. I utilize a range of strategies and techniques to address these problems including: structured family therapy, strategic therapy, interpersonal therapy, and cognitive behavior interventions. A large portion of my practice is devoted to helping families and couples resolve conflicts and relate in a more meaningful and positive manner. It is my belief that healthy family relationships are the basis of mental health and well being.
Scott W. Stern
Clinical Social Work/Therapist, LCSW, Speaker, Writer
Verified Verified
Brewster, NY 10509
I am an award winning mental health & addictions therapist; a former contractor for the CDC. Therapy integrates empowerment techniques into a spectrum of evidence based approaches tailored to suit your needs. Treatment is primarily focused on empowering clients with new cognitive perspectives, conflict management, self-reconditioning and behavior modification for mood disorders, substance misuse and addictive behaviors. Clients are encouraged to be proactive in therapy so we can build upon your strengths to develop new skills, an informed knowledge base (knowledge is power) & greater sense of autonomy. See www.SWS-Empower.com.
I am an award winning mental health & addictions therapist; a former contractor for the CDC. Therapy integrates empowerment techniques into a spectrum of evidence based approaches tailored to suit your needs. Treatment is primarily focused on empowering clients with new cognitive perspectives, conflict management, self-reconditioning and behavior modification for mood disorders, substance misuse and addictive behaviors. Clients are encouraged to be proactive in therapy so we can build upon your strengths to develop new skills, an informed knowledge base (knowledge is power) & greater sense of autonomy. See www.SWS-Empower.com.
Erica Chambers
Clinical Social Work/Therapist, LCSW
Verified Verified
Mahopac, NY 10541
Do you want to FEEL MORE EMPOWERED? Is the stress of daily life overwhelming you? Would you like to learn skills to help you cope better with life's challenges and feel more confident in your choices? During my 30 + years of experience I have been helping people overcome difficulties in their lives. I have treated people with anxiety, depression, relationship issues, trauma and problems with anger. I utilize cognitive behavioral therapies such as DBT and trauma related therapies such as EMDR to help clients achieve a more satisfying life.
Do you want to FEEL MORE EMPOWERED? Is the stress of daily life overwhelming you? Would you like to learn skills to help you cope better with life's challenges and feel more confident in your choices? During my 30 + years of experience I have been helping people overcome difficulties in their lives. I have treated people with anxiety, depression, relationship issues, trauma and problems with anger. I utilize cognitive behavioral therapies such as DBT and trauma related therapies such as EMDR to help clients achieve a more satisfying life.
Heather Anne Zuckerman
Clinical Social Work/Therapist, LCSW
Verified Verified
Garrison, NY 10524
I can work with you to let go of past feelings and traumas that may be holding you back through EMDR as well as DBT, CBT, and mindfulness-based interventions.
Transitions are difficult and overwhelming at any age. You feel stuck, and unable to think clearly. Many days you are experiencing anxiety, depression, mood swings, and irritability. Past traumas and the heavy weight of life are being triggered and getting in the way of your best self. Picture what it would look like to have a more positive, and stress-free life where you can move forward. I work with children and adults through issues that are causing anger, mood swings and problems with friends and relationships.
I can work with you to let go of past feelings and traumas that may be holding you back through EMDR as well as DBT, CBT, and mindfulness-based interventions.
Transitions are difficult and overwhelming at any age. You feel stuck, and unable to think clearly. Many days you are experiencing anxiety, depression, mood swings, and irritability. Past traumas and the heavy weight of life are being triggered and getting in the way of your best self. Picture what it would look like to have a more positive, and stress-free life where you can move forward. I work with children and adults through issues that are causing anger, mood swings and problems with friends and relationships.
Kathleen O'Connor Hoekstra
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Putnam Valley, NY 10579
Providing cognitive behavioral therapy over a 40 year career has armed me to help clients identify both internal (psychological) and external (situational) obstacles to their innate human capacity to adapt, whatever the situation.
What's the bottom line in therapy? To help a client to take control of his or her own life. As an advanced level, PhD clinical social worker, (Columbia University), I apply only evidence-based techniques known to help clients learn how to live more satisfying lives, at work, school or at home. Widely trained in cognitive behavioral therapy, I work in the most direct way to evaluate how they interact with others, and to identify where and how changes could be made, and where support is available. Additional training allows me to integrate the visual arts to enhance self awareness and problem solving where appropriate.
Providing cognitive behavioral therapy over a 40 year career has armed me to help clients identify both internal (psychological) and external (situational) obstacles to their innate human capacity to adapt, whatever the situation.
What's the bottom line in therapy? To help a client to take control of his or her own life. As an advanced level, PhD clinical social worker, (Columbia University), I apply only evidence-based techniques known to help clients learn how to live more satisfying lives, at work, school or at home. Widely trained in cognitive behavioral therapy, I work in the most direct way to evaluate how they interact with others, and to identify where and how changes could be made, and where support is available. Additional training allows me to integrate the visual arts to enhance self awareness and problem solving where appropriate.
Frances Anastasi
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Brewster, NY 10509
I am psychoanalytically trained, and also use cognitive/behavioral approaches where appropriate.
I believe that many difficulties are related to our unconscious thoughts, feelings, and experiences, and the unhealthy defenses that we erect, usually in childhood, to protect ourselves against hurt. Once helpful, but now outdated, these defenses prevent self-awareness and the constructive resolution of our problems. These blocks to awareness can contribute to symptoms such as low self-esteem, anxiety, depression, interpersonal problems, addictive behaviors, etc. I can assist you in developing healthier coping skills, i.e, to identify your defenses, explore your underlying feelings, and rediscover your authentic self.
I am psychoanalytically trained, and also use cognitive/behavioral approaches where appropriate.
I believe that many difficulties are related to our unconscious thoughts, feelings, and experiences, and the unhealthy defenses that we erect, usually in childhood, to protect ourselves against hurt. Once helpful, but now outdated, these defenses prevent self-awareness and the constructive resolution of our problems. These blocks to awareness can contribute to symptoms such as low self-esteem, anxiety, depression, interpersonal problems, addictive behaviors, etc. I can assist you in developing healthier coping skills, i.e, to identify your defenses, explore your underlying feelings, and rediscover your authentic self.
Attiya Awadallah
Art Therapist, MS, LCAT, ATR-BC
Verified Verified
1 Endorsed
Cold Spring, NY 10516 (Online Only)
My approach combines art therapy, EMDR, somatic and cognitive therapy to fit your needs.
If you're trying to make it all work, while dealing with difficult emotions, uncertainty and lack of support, you're not alone. I specialize in helping young adults with anxiety, depression and past trauma. Today's issues can be overwhelming, and your emotional and mental health are fundamental to the rest of your wellbeing. My aim is to help you develop the tools to heal from the past, manage your stress, and move forward feeling confident and connected. When you have the right supports in place you can build a strong foundation for your future and live a life aligned with your values and aspirations.
My approach combines art therapy, EMDR, somatic and cognitive therapy to fit your needs.
If you're trying to make it all work, while dealing with difficult emotions, uncertainty and lack of support, you're not alone. I specialize in helping young adults with anxiety, depression and past trauma. Today's issues can be overwhelming, and your emotional and mental health are fundamental to the rest of your wellbeing. My aim is to help you develop the tools to heal from the past, manage your stress, and move forward feeling confident and connected. When you have the right supports in place you can build a strong foundation for your future and live a life aligned with your values and aspirations.
Michelle Scolaro
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Carmel, NY 10512 (Online Only)
We’ll use a unique blend of coaching, CBT, and solution-focused therapy techniques.
As a high-achieving woman, no one would know that you suffer from persistent anxiety. You're healthy, happy, successful, and according to your social media profile, you are "killin' it." So, why don’t you feel you’re doing as well as you should be? Imposter syndrome kicks in, and you're constantly comparing yourself to others, and you never seem to measure up. It takes a toll on you when you are always worrying, doubting yourself, and overthinking everything. Your relationships, self-confidence, and health pay that toll. You don't want to keep feeling this way, but you don’t know how to change things. You're ready for a breakthrough
We’ll use a unique blend of coaching, CBT, and solution-focused therapy techniques.
As a high-achieving woman, no one would know that you suffer from persistent anxiety. You're healthy, happy, successful, and according to your social media profile, you are "killin' it." So, why don’t you feel you’re doing as well as you should be? Imposter syndrome kicks in, and you're constantly comparing yourself to others, and you never seem to measure up. It takes a toll on you when you are always worrying, doubting yourself, and overthinking everything. Your relationships, self-confidence, and health pay that toll. You don't want to keep feeling this way, but you don’t know how to change things. You're ready for a breakthrough
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Christy M Gotto
Clinical Social Work/Therapist, LCSWR
Verified Verified
Brewster, NY 10509
Waitlist for new clients
I utilize various treatment approaches / interventions including CBT ,DBT, process oriented , solution oriented mindfulness and relaxation techniques to reduce stress and anxiety .
I am fortunate to work in a field where I have met amazing people on their path of self discovery . I am a therapist / clinical social worker with over twenty years I enjoy working with various populations at developmental stages . My focus is on helping clients identify goals and develop strategies and coping skills that will help them overall . We all have strengths and areas that we can improve . My approach is solution based with symptom relief as a primary focus , my style is collaborative and interactive . Establishing a rapport with someone in a safe supportive environment is so important when beginning therapy .
I utilize various treatment approaches / interventions including CBT ,DBT, process oriented , solution oriented mindfulness and relaxation techniques to reduce stress and anxiety .
I am fortunate to work in a field where I have met amazing people on their path of self discovery . I am a therapist / clinical social worker with over twenty years I enjoy working with various populations at developmental stages . My focus is on helping clients identify goals and develop strategies and coping skills that will help them overall . We all have strengths and areas that we can improve . My approach is solution based with symptom relief as a primary focus , my style is collaborative and interactive . Establishing a rapport with someone in a safe supportive environment is so important when beginning therapy .
Amy Rubin Morey
Counselor, MS, LMHC, BCB
Verified Verified
Cold Spring, NY 10516
I have extensive training in stress management and cognitive behavioral therapy and incorporate that in short and long term work with you.
Life can be very challenging at times and our usual way of managing doesn't work as effectively as it used to. Our coping skills aren't helping us to feel a sense of control and well-being and we end up feeling overwhelmed, stuck, anxious, we can't sleep well, we under eat or overeat, experience mood changes and possible difficulties managing work, relationships and home life.
I am committed to helping you understand what you are going through, developing strategies to make changes, assisting you with stress reduction so that you feel more comfortable within yourself and your life.
I have extensive training in stress management and cognitive behavioral therapy and incorporate that in short and long term work with you.
Life can be very challenging at times and our usual way of managing doesn't work as effectively as it used to. Our coping skills aren't helping us to feel a sense of control and well-being and we end up feeling overwhelmed, stuck, anxious, we can't sleep well, we under eat or overeat, experience mood changes and possible difficulties managing work, relationships and home life.
I am committed to helping you understand what you are going through, developing strategies to make changes, assisting you with stress reduction so that you feel more comfortable within yourself and your life.
Michael McKee
Psychologist, PhD
Verified Verified
Garrison, NY 10524 (Online Only)
As a cognitive behavioral research psychotherapist for the past 19 years at the New York State Psychiatric Institute, I have received specialized training in the most effective therapies for a variety of psychological problems.
I specialize in the treatment of anxiety disorders and depression. I am trained in the use of effective treatments, which are based on sound research. Social anxiety, panic attacks, worry, obsessive-compulsive disorder, coping with health problems or excessive health concerns, understanding emotions are all treated in an atmosphere of careful collaboration and empathy. I rely on a patient-centered approach that takes into account clients' lifestyles to set attainable goals.
As a cognitive behavioral research psychotherapist for the past 19 years at the New York State Psychiatric Institute, I have received specialized training in the most effective therapies for a variety of psychological problems.
I specialize in the treatment of anxiety disorders and depression. I am trained in the use of effective treatments, which are based on sound research. Social anxiety, panic attacks, worry, obsessive-compulsive disorder, coping with health problems or excessive health concerns, understanding emotions are all treated in an atmosphere of careful collaboration and empathy. I rely on a patient-centered approach that takes into account clients' lifestyles to set attainable goals.
Jacqueline K. Lintzeris
Clinical Social Work/Therapist, LCSW
Verified Verified
Brewster, NY 10509
Are you struggling with anxiety or depression, substance use, relationship issues, trauma, or feel like you can't manage stress lately? At Serene Soul, I address these concerns with client centered compassionate care to help guide you through the therapeutic process. I use (CBT) Cognitive Behavioral Therapy, (ACT) Acceptance and Commitment Therapy, and (MI) Motivational Interviewing, as well as holistic elements to treat adults in individual and group therapy sessions. I've been a practicing therapist for 8 years and I believe my success comes from my authenticity with clients.
Are you struggling with anxiety or depression, substance use, relationship issues, trauma, or feel like you can't manage stress lately? At Serene Soul, I address these concerns with client centered compassionate care to help guide you through the therapeutic process. I use (CBT) Cognitive Behavioral Therapy, (ACT) Acceptance and Commitment Therapy, and (MI) Motivational Interviewing, as well as holistic elements to treat adults in individual and group therapy sessions. I've been a practicing therapist for 8 years and I believe my success comes from my authenticity with clients.
Riverview Psychological Services
Psychologist, PhD
Verified Verified
Carmel, NY 10512
Riverview Psychological Services offers an experienced and dedicated staff of mental health professionals with diverse backgrounds, interests, and skills. We provide therapeutic services and psychological / neuropsychological assessment for children, adolescents, adults, families, and couples. Conveniently located in Fishkill and Carmel, NY, we accept many insurance plans and Medicare. Immediate appointments available. ........................OVER 65 and on Medicare? Ask about NO-COST memory / cognitive testing. You will receive a free report with your results and recommendations to help preserve or improve your thinking skills.
Riverview Psychological Services offers an experienced and dedicated staff of mental health professionals with diverse backgrounds, interests, and skills. We provide therapeutic services and psychological / neuropsychological assessment for children, adolescents, adults, families, and couples. Conveniently located in Fishkill and Carmel, NY, we accept many insurance plans and Medicare. Immediate appointments available. ........................OVER 65 and on Medicare? Ask about NO-COST memory / cognitive testing. You will receive a free report with your results and recommendations to help preserve or improve your thinking skills.
Michael Braverman
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Garrison, NY 10524
I specialize in Cognitive Behavior Therapy (CBT) with a mindfulness component.
I am skilled at helping people navigate a variety of challenges. Anxiety is my specialty. Whether it’s a constant background feeling, social anxiety, or a sense of being an “imposter,” who will inevitably be discovered, I can help you. I also work with people struggling with life transitions and those who struggle with depression. No matter what challenges you are facing, the big picture is always composed of many little components. We’ll tackle those one by one, until the big picture looks very different from where it started.
I specialize in Cognitive Behavior Therapy (CBT) with a mindfulness component.
I am skilled at helping people navigate a variety of challenges. Anxiety is my specialty. Whether it’s a constant background feeling, social anxiety, or a sense of being an “imposter,” who will inevitably be discovered, I can help you. I also work with people struggling with life transitions and those who struggle with depression. No matter what challenges you are facing, the big picture is always composed of many little components. We’ll tackle those one by one, until the big picture looks very different from where it started.
Ashley Kile
Art Therapist, MA, MSW
Verified Verified
Cold Spring, NY 10516
I also have experience in CBT and DBT.
My approach is client-centered, relational, and strengths-based. I blend creative arts approaches with other evidence-based practices to engage clients in their therapeutic process.
I also have experience in CBT and DBT.
My approach is client-centered, relational, and strengths-based. I blend creative arts approaches with other evidence-based practices to engage clients in their therapeutic process.
Donald Merriman
Psychologist, PhD
Verified Verified
Mahopac, NY 10541
I incorporate a cognitive-behavioral approach, drawing upon a variety of styles and techniques to incorporate what will be most helpful for each client.
I am a Licensed Psychologist and Certified School Psychologist specializing in individual and group counseling for children, adolescents and young adults. I have over nine years of experience as a clinician working with a broad spectrum of clients. My areas of special training and expertise include working with individuals with anxiety, depression, AD/HD, oppositional/defiant behavior, developmental disabilities, academic difficulties, peer related issues; providing parent training; and conducting psychoeducational and neuropsychological evaluations.
I incorporate a cognitive-behavioral approach, drawing upon a variety of styles and techniques to incorporate what will be most helpful for each client.
I am a Licensed Psychologist and Certified School Psychologist specializing in individual and group counseling for children, adolescents and young adults. I have over nine years of experience as a clinician working with a broad spectrum of clients. My areas of special training and expertise include working with individuals with anxiety, depression, AD/HD, oppositional/defiant behavior, developmental disabilities, academic difficulties, peer related issues; providing parent training; and conducting psychoeducational and neuropsychological evaluations.
Samantha Schnell
Counselor, LMHC, MS
Verified Verified
1 Endorsed
Brewster, NY 10509
I take a mindful approach to therapy and I use a combination of cognitive behavioral therapy and psychodynamic psychotherapy.
My approach is to not only develop a warm relationship with every client, based on trust, honesty, and understanding; but to also apply treatment methods that work and help improve your quality of life. I believe therapy can help every person reduce negative thoughts and emotions, improve relationships, and increase personal insight and awareness. Most people who are looking for a therapist are searching for an ally and someone who can help them get relief as soon as possible. I work with every client to develop attainable goals and bring about the change you have been looking for.
I take a mindful approach to therapy and I use a combination of cognitive behavioral therapy and psychodynamic psychotherapy.
My approach is to not only develop a warm relationship with every client, based on trust, honesty, and understanding; but to also apply treatment methods that work and help improve your quality of life. I believe therapy can help every person reduce negative thoughts and emotions, improve relationships, and increase personal insight and awareness. Most people who are looking for a therapist are searching for an ally and someone who can help them get relief as soon as possible. I work with every client to develop attainable goals and bring about the change you have been looking for.
See more therapy options for Putnam County
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.