Cognitive Behavioral (CBT) Therapists in Saint Paul, MN

Photo of Aaron Robert Elliott, Clinical Social Work/Therapist, MSW, LGSW, LADC
Aaron Robert Elliott
Clinical Social Work/Therapist, MSW, LGSW, LADC
Saint Paul, MN 55102
My approach blends evidence-based practices like Cognitive Behavioral Therapy ( CBT) and Acceptance and Commitment Therapy (ACT), along with trauma-responsive care that meets each client where they are.
Psychotherapy for Adults 18+ In-Person & Virtual in Minnesota, WI, CA, and FLA. I provide professional, compassionate psychotherapy for adults 18+ facing a wide range of mental health concerns, including depression, anxiety, social anxiety, addiction, low self-esteem, and relationship challenges. I also support other therapists who are seeking space to process and grow.
My approach blends evidence-based practices like Cognitive Behavioral Therapy ( CBT) and Acceptance and Commitment Therapy (ACT), along with trauma-responsive care that meets each client where they are.
Psychotherapy for Adults 18+ In-Person & Virtual in Minnesota, WI, CA, and FLA. I provide professional, compassionate psychotherapy for adults 18+ facing a wide range of mental health concerns, including depression, anxiety, social anxiety, addiction, low self-esteem, and relationship challenges. I also support other therapists who are seeking space to process and grow.
(651) 314-7340 View (651) 314-7340
Photo of Carley Saravia, Licensed Professional Counselor, LPCC, LSC
Carley Saravia
Licensed Professional Counselor, LPCC, LSC
2 Endorsed
Saint Paul, MN 55102
Waitlist for new clients
As a human, I know that we all suffer from past traumas and old programs installed by our culture, family or even our own selves. I have also learned the value of having a space to explore those burdens, become curious about where they came from and assess how they are affecting you in your current life. As a therapist, my goal is to provide you with a calm, open space to do just that. We can explore the things that weigh you down, learn the lessons they have provided you and work to set them down so you can free up space and energy within yourself to create more of what you do want in your life.
As a human, I know that we all suffer from past traumas and old programs installed by our culture, family or even our own selves. I have also learned the value of having a space to explore those burdens, become curious about where they came from and assess how they are affecting you in your current life. As a therapist, my goal is to provide you with a calm, open space to do just that. We can explore the things that weigh you down, learn the lessons they have provided you and work to set them down so you can free up space and energy within yourself to create more of what you do want in your life.
(651) 376-2532 View (651) 376-2532
Photo of Allison Guse, Clinical Social Work/Therapist, MSW, LGSW
Allison Guse
Clinical Social Work/Therapist, MSW, LGSW
3 Endorsed
Saint Paul, MN 55130
I utilize the following approaches: person-centered, cognitive-behavioral, psychodynamic, and solution-focused.
It all starts with a space where you can be your authentic self; where it's okay not to have all the answers. I bring genuine empathy and a sprinkle of humor to our sessions because I believe healing often begins with a shared smile or a good laugh. Life is hard, let's talk about it!
I utilize the following approaches: person-centered, cognitive-behavioral, psychodynamic, and solution-focused.
It all starts with a space where you can be your authentic self; where it's okay not to have all the answers. I bring genuine empathy and a sprinkle of humor to our sessions because I believe healing often begins with a shared smile or a good laugh. Life is hard, let's talk about it!
(651) 372-2181 x2272 View (651) 372-2181 x2272
Photo of Rebecca Smith, Counselor, MA, LPCC, ICP
Rebecca Smith
Counselor, MA, LPCC, ICP
1 Endorsed
Saint Paul, MN 55110
I offer psychotherapy to teens (16+) and adults seeking a holistic, transformative approach to mental health and personal growth. I offer support to younger individuals (under 16) through neurofeedback or emotional freedom technique (EFT) to address various concerns without traditional talk therapy. Additionally, I enjoy helping individuals overcome challenges with stress, anxiety, trauma, limiting beliefs, or life transitions, and those drawn to personal growth and integrative approaches, such as nature-based and energy healing methods. My clients value innovation, growth, and a personalized, whole-person approach to well-being.
I offer psychotherapy to teens (16+) and adults seeking a holistic, transformative approach to mental health and personal growth. I offer support to younger individuals (under 16) through neurofeedback or emotional freedom technique (EFT) to address various concerns without traditional talk therapy. Additionally, I enjoy helping individuals overcome challenges with stress, anxiety, trauma, limiting beliefs, or life transitions, and those drawn to personal growth and integrative approaches, such as nature-based and energy healing methods. My clients value innovation, growth, and a personalized, whole-person approach to well-being.
(651) 409-5080 View (651) 409-5080
Photo of Joe Groninga, Psychologist, PsyD, LP
Joe Groninga
Psychologist, PsyD, LP
2 Endorsed
Saint Paul, MN 55114
I use several different techniques under a treatment called Cognitive-Behavioral Therapy in which you and I will examine symptoms including emotions, behaviors, and thoughts.
I know choosing a therapist can be difficult. I like to provide an atmosphere that is nurturing and focused on helping you achieve your goals. I do this using easily understood techniques that have been consistently shown effective through research. We'll work together to understand your problems and implement practical solutions, all couched in collaboration and kindness. I'll work hard to help you and I welcome the opportunity to do so. Ultimately, I hope to help you feel empowered enough such that you no longer need me. I work with people as both individuals and couples, but family therapy isn't something I'm currently providing.
I use several different techniques under a treatment called Cognitive-Behavioral Therapy in which you and I will examine symptoms including emotions, behaviors, and thoughts.
I know choosing a therapist can be difficult. I like to provide an atmosphere that is nurturing and focused on helping you achieve your goals. I do this using easily understood techniques that have been consistently shown effective through research. We'll work together to understand your problems and implement practical solutions, all couched in collaboration and kindness. I'll work hard to help you and I welcome the opportunity to do so. Ultimately, I hope to help you feel empowered enough such that you no longer need me. I work with people as both individuals and couples, but family therapy isn't something I'm currently providing.
(651) 829-6040 View (651) 829-6040
Photo of Katey Cole - Katey Cole: Couples & Adults, Pre-Licensed Professional, MSW, MFT
Katey Cole: Couples & Adults
Pre-Licensed Professional, MSW, MFT
Saint Paul, MN 55114
I am excited to work with clients who are ready to risk stepping outside their own comfort zone to more fully understand themselves. I believe change begins with empathy. When we are empathetic and emotionally attuned with ourselves and others, we are able to change how we engage with others in order to genuinely connect with those around us and create sustainable changes that lead us to a richer life. I am eager to help those confronting relationship struggles, be it family, romantic, peer, or work relationships. My goal is always to provide a safe, non-judgmental, and compassionate space for clients to feel seen.
I am excited to work with clients who are ready to risk stepping outside their own comfort zone to more fully understand themselves. I believe change begins with empathy. When we are empathetic and emotionally attuned with ourselves and others, we are able to change how we engage with others in order to genuinely connect with those around us and create sustainable changes that lead us to a richer life. I am eager to help those confronting relationship struggles, be it family, romantic, peer, or work relationships. My goal is always to provide a safe, non-judgmental, and compassionate space for clients to feel seen.
(651) 409-8499 View (651) 409-8499
Photo of Martin J Schoen, Psychologist, PsyD, LP
Martin J Schoen
Psychologist, PsyD, LP
Saint Paul, MN 55113
I'm a psychologist assisting people with a wide variety of problematic situations. I have 40 years in the field of mental health counseling and consulting. My practice consists of Telehealth & (limited) home visits during the afternoons and evenings, and consulting in the community in institutional settings. My 4 decades in mental health have taught me the importance of critical lifestyle practices and habits that make or break our mental health, and our overall well being. These include circadian health, sleep hygiene, and a healthy relationship with food, movement, and good ol' Mother Nature.
I'm a psychologist assisting people with a wide variety of problematic situations. I have 40 years in the field of mental health counseling and consulting. My practice consists of Telehealth & (limited) home visits during the afternoons and evenings, and consulting in the community in institutional settings. My 4 decades in mental health have taught me the importance of critical lifestyle practices and habits that make or break our mental health, and our overall well being. These include circadian health, sleep hygiene, and a healthy relationship with food, movement, and good ol' Mother Nature.
(651) 356-6244 View (651) 356-6244
Photo of William D Sawyer, Clinical Social Work/Therapist, MSW, LICSW, LCSW
William D Sawyer
Clinical Social Work/Therapist, MSW, LICSW, LCSW
1 Endorsed
Online Only
Relationship expert, William Sawyer, is the kind, compassionate, queer, psychotherapist you want when you are coming out, transitioning, or struggling with mental health. Straight couples find their way to his practice for queer solutions to modern love. Known for his boundary pushing, sex positive approach, Will specializes in helping his clients navigate complex relationship dynamics, infidelity, and intimacy issues emphasizing the importance of self-awareness and communication for healthier more fulfilling relationships. Queer neurodivergent clients will find my
Relationship expert, William Sawyer, is the kind, compassionate, queer, psychotherapist you want when you are coming out, transitioning, or struggling with mental health. Straight couples find their way to his practice for queer solutions to modern love. Known for his boundary pushing, sex positive approach, Will specializes in helping his clients navigate complex relationship dynamics, infidelity, and intimacy issues emphasizing the importance of self-awareness and communication for healthier more fulfilling relationships. Queer neurodivergent clients will find my
(651) 400-2397 View (651) 400-2397
Photo of Andrew Hoistad, Pre-Licensed Professional, MA
Andrew Hoistad
Pre-Licensed Professional, MA
1 Endorsed
Saint Paul, MN 55104
I also have developed skills in CBT, Play Therapy, Narrative Therapy, Motivational Interviewing, Acceptance and Commitment Therapy (ACT), and am continuing to learn more.
I strive to work with individuals and help explore the systems that they live in. I use an eclectic approach that suits the needs of the individual that comes to therapy. I am grounded, mindful, great at listening, compassionate, and a hands-on learner. I value exploration, being in the moment, forming connections, existentialism, empathy, and compassion. I enjoy connecting with nature, being active, woodworking, trivia, playing with our foster animals, and any new experiences.
I also have developed skills in CBT, Play Therapy, Narrative Therapy, Motivational Interviewing, Acceptance and Commitment Therapy (ACT), and am continuing to learn more.
I strive to work with individuals and help explore the systems that they live in. I use an eclectic approach that suits the needs of the individual that comes to therapy. I am grounded, mindful, great at listening, compassionate, and a hands-on learner. I value exploration, being in the moment, forming connections, existentialism, empathy, and compassion. I enjoy connecting with nature, being active, woodworking, trivia, playing with our foster animals, and any new experiences.
(651) 888-8592 View (651) 888-8592
Photo of Elliot Rose, Counselor, MS, LPCC
Elliot Rose
Counselor, MS, LPCC
Saint Paul, MN 55104
Welcome! I’m Elliot, a licensed professional clinical counselor and owner of Innerspace Therapy, LLC. I work primarily with young adults and adults with concerns related to anxiety, stress, self-esteem, relationships, sexuality/gender, disordered eating, substance use, spirituality, and existential concerns. I have a fondness for working with LGBTQIA+ and neurodiverse folks, and enjoy exploring how our early relational experiences shape the way we show up with ourselves and others. I infuse my client interactions with compassion, empathy, and humor, while supporting clients as they work towards their goals.
Welcome! I’m Elliot, a licensed professional clinical counselor and owner of Innerspace Therapy, LLC. I work primarily with young adults and adults with concerns related to anxiety, stress, self-esteem, relationships, sexuality/gender, disordered eating, substance use, spirituality, and existential concerns. I have a fondness for working with LGBTQIA+ and neurodiverse folks, and enjoy exploring how our early relational experiences shape the way we show up with ourselves and others. I infuse my client interactions with compassion, empathy, and humor, while supporting clients as they work towards their goals.
(651) 800-7735 View (651) 800-7735
Photo of Nicole Rochelle Terlouw, Clinical Social Work/Therapist, MSW, LICSW, SEP
Nicole Rochelle Terlouw
Clinical Social Work/Therapist, MSW, LICSW, SEP
1 Endorsed
Saint Paul, MN 55108
Counseling is the place to face your deepest hurts, most pressing concerns, and past wounds. It's a place where healing, restoration, transformation, and victory can be found. A place where strategy, planning, and movement set the stage for growth and change. My goal is to provide a safe, compassionate, and nurturing environment where you can tackle your toughest troubles, whatever they might be. My role as your counselor is to partner with you on your journey, helping you realize your full, God-given potential.
Counseling is the place to face your deepest hurts, most pressing concerns, and past wounds. It's a place where healing, restoration, transformation, and victory can be found. A place where strategy, planning, and movement set the stage for growth and change. My goal is to provide a safe, compassionate, and nurturing environment where you can tackle your toughest troubles, whatever they might be. My role as your counselor is to partner with you on your journey, helping you realize your full, God-given potential.
(651) 350-0776 View (651) 350-0776
Photo of Maureen Rivord, Clinical Social Work/Therapist, MSW, LICSW
Maureen Rivord
Clinical Social Work/Therapist, MSW, LICSW
Saint Paul, MN 55102
I feel privileged to help guide clients on a journey toward living more fulfilling lives. Whether client's struggle with anxiety, OCD, perfectionism or an eating disorder, my therapeutic style is to take a compassionate and nonjudgmental approach in our work together. I strive to meet clients wherever they are, and help them move towards where they want to be based on their own goals and values. I believe connection, collaboration and humor are essential qualities to fostering a trusting and warm therapeutic environment where I will encourage vulnerability and risk taking to help client's move towards what is important to them.
I feel privileged to help guide clients on a journey toward living more fulfilling lives. Whether client's struggle with anxiety, OCD, perfectionism or an eating disorder, my therapeutic style is to take a compassionate and nonjudgmental approach in our work together. I strive to meet clients wherever they are, and help them move towards where they want to be based on their own goals and values. I believe connection, collaboration and humor are essential qualities to fostering a trusting and warm therapeutic environment where I will encourage vulnerability and risk taking to help client's move towards what is important to them.
(612) 260-8793 View (612) 260-8793
Photo of Sierra Ford-Washington, Clinical Social Work/Therapist, MSW, LGSW
Sierra Ford-Washington
Clinical Social Work/Therapist, MSW, LGSW
1 Endorsed
Saint Paul, MN 55104
Pulling from modalities like Cognitive Behavioral Therapy, Systems Theory, Somatic therapy, and Psychodynamic theory.
As a Black woman and therapist, I bring a grounded and compassionate presence to my work, drawing on my spiritual beliefs and lived experience to create space for healing, truth-telling, and restoration. I am particularly passionate about supporting members of the Black community throughout their lifespan but welcome individuals of all backgrounds.
Pulling from modalities like Cognitive Behavioral Therapy, Systems Theory, Somatic therapy, and Psychodynamic theory.
As a Black woman and therapist, I bring a grounded and compassionate presence to my work, drawing on my spiritual beliefs and lived experience to create space for healing, truth-telling, and restoration. I am particularly passionate about supporting members of the Black community throughout their lifespan but welcome individuals of all backgrounds.
(651) 564-7267 View (651) 564-7267
Photo of Nancy Avila, Clinical Social Work/Therapist, MSW, LICSW
Nancy Avila
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Online Only
I am trained in Narrative Therapy, NET, IFS, MI, and apply somatic interventions as well as CBT.
My name is Nancy, I am a Chicana/Mexica therapist who is bilingual in English and Spanish. My approach to wellness is rooted in ancestral  knowledge, Mi Dualidad, LLC honors the spiritual and emotional aspects of mental health. All parts of self are sacred, we all hold duality within, an understanding of how this exists is key to balance. Individuals have an innate ability to heal and possess the skills needed to support themselves along this process throughout their lives. Working together we can add more tools to your toolbox while maximizing on your strengths.
I am trained in Narrative Therapy, NET, IFS, MI, and apply somatic interventions as well as CBT.
My name is Nancy, I am a Chicana/Mexica therapist who is bilingual in English and Spanish. My approach to wellness is rooted in ancestral  knowledge, Mi Dualidad, LLC honors the spiritual and emotional aspects of mental health. All parts of self are sacred, we all hold duality within, an understanding of how this exists is key to balance. Individuals have an innate ability to heal and possess the skills needed to support themselves along this process throughout their lives. Working together we can add more tools to your toolbox while maximizing on your strengths.
(651) 564-9816 View (651) 564-9816
Photo of Kyle Edward Sundberg, Counselor, LPC
Kyle Edward Sundberg
Counselor, LPC
Saint Paul, MN 55114
Are you grappling with chronic pain, health conditions, anxiety, or depression? Seeking genuine relief from the complexities of both physical and emotional challenges? Do you desire effective tools to not only manage your conditions but also to alleviate distress and elevate your overall well-being? I understand the weight of these struggles, and I'm here to offer you a guiding hand. By providing individualized support, I am dedicated to helping you regain control over your life, fostering resilience that lasts, and assisting you in rediscovering a profound sense of purpose. Together, we'll navigate your journey towards healing.
Are you grappling with chronic pain, health conditions, anxiety, or depression? Seeking genuine relief from the complexities of both physical and emotional challenges? Do you desire effective tools to not only manage your conditions but also to alleviate distress and elevate your overall well-being? I understand the weight of these struggles, and I'm here to offer you a guiding hand. By providing individualized support, I am dedicated to helping you regain control over your life, fostering resilience that lasts, and assisting you in rediscovering a profound sense of purpose. Together, we'll navigate your journey towards healing.
(763) 203-7100 View (763) 203-7100
Photo of Sydney Schaefer, Pre-Licensed Professional, MA
Sydney Schaefer
Pre-Licensed Professional, MA
Saint Paul, MN 55114
The past few years have left many people feeling anxious, uncertain, or stuck. I work with adolescents, teens, and adults navigating trauma, anxiety, panic, depression, and questions of identity and meaning. My goal is to create a safe, supportive space where you don’t have to carry everything alone. I believe therapy works best when it’s collaborative. I bring curiosity, empathy, and practical tools to help you make sense of your experiences, manage distress, and feel more grounded and understood.
The past few years have left many people feeling anxious, uncertain, or stuck. I work with adolescents, teens, and adults navigating trauma, anxiety, panic, depression, and questions of identity and meaning. My goal is to create a safe, supportive space where you don’t have to carry everything alone. I believe therapy works best when it’s collaborative. I bring curiosity, empathy, and practical tools to help you make sense of your experiences, manage distress, and feel more grounded and understood.
(612) 662-4694 View (612) 662-4694
Photo of Catherine Scharlau - Collegiate Mental Wellness, Psychologist, PhD, LP
Collegiate Mental Wellness
Psychologist, PhD, LP
Saint Paul, MN 55116
Collegiate Mental Wellness offers clients ages 11-25 a supportive, positive setting. When facing stress, relationship/friendship issues, school adjustment, or mental health concerns we are here to assist. Customized individual therapy, family therapy, diagnostic visits, ADHD assessments and mental health medication management collaborative care. We offer in person appointments in St. Paul at the corner of Cleveland Avenue South and Ford Parkway in the Highland Park area. Teletherapy is also available in all PsyPact States and in Minnesota. In Network with Optum, Medica, United Health Care, Blue Cross, Health Partners and Cigna.
Collegiate Mental Wellness offers clients ages 11-25 a supportive, positive setting. When facing stress, relationship/friendship issues, school adjustment, or mental health concerns we are here to assist. Customized individual therapy, family therapy, diagnostic visits, ADHD assessments and mental health medication management collaborative care. We offer in person appointments in St. Paul at the corner of Cleveland Avenue South and Ford Parkway in the Highland Park area. Teletherapy is also available in all PsyPact States and in Minnesota. In Network with Optum, Medica, United Health Care, Blue Cross, Health Partners and Cigna.
(612) 482-9407 View (612) 482-9407
Photo of Laurie Koltes, Psychologist, MA, LP
Laurie Koltes
Psychologist, MA, LP
1 Endorsed
Online Only
There is a saying that refers to "the dark endless days and the dark endless nights" This can describe how life can feel at times- that there is no light at the end of the tunnel, no end to the sadness, anxiety, stress, or exhaustion. But there is hope.These feelings may be due to many things and that is where counseling can help. By working collaboratively with you and emphasizing your strengths, I will help you find relief, develop skills so you can face your struggles and improve your mental health and emotional well being. When you meet with me, you can expect counseling that is non- judgmental, open minded and collaborative.
There is a saying that refers to "the dark endless days and the dark endless nights" This can describe how life can feel at times- that there is no light at the end of the tunnel, no end to the sadness, anxiety, stress, or exhaustion. But there is hope.These feelings may be due to many things and that is where counseling can help. By working collaboratively with you and emphasizing your strengths, I will help you find relief, develop skills so you can face your struggles and improve your mental health and emotional well being. When you meet with me, you can expect counseling that is non- judgmental, open minded and collaborative.
(612) 249-7456 View (612) 249-7456
Photo of Dionne M Blood, Clinical Social Work/Therapist, MSW, LICSW
Dionne M Blood
Clinical Social Work/Therapist, MSW, LICSW
Saint Paul, MN 55104
Have you tried therapy before just haven't "clicked" with the provider or felt like you don't get anywhere new? Many of my clients describe past experiences the same way. Therapy can be different. I have a gentle yet straight-forward approach that allows us focus on what is not working for you in your life. Whether you are going through a big life transition, relationship difficulties, divorce, parenting issues, or just not happy with life; therapy can help. Together, we ill work to find new ways to cope and adjust to the challenges of life.
Have you tried therapy before just haven't "clicked" with the provider or felt like you don't get anywhere new? Many of my clients describe past experiences the same way. Therapy can be different. I have a gentle yet straight-forward approach that allows us focus on what is not working for you in your life. Whether you are going through a big life transition, relationship difficulties, divorce, parenting issues, or just not happy with life; therapy can help. Together, we ill work to find new ways to cope and adjust to the challenges of life.
(651) 302-7896 View (651) 302-7896
Photo of Jeff Riggenbach, Licensed Professional Counselor
Jeff Riggenbach
Licensed Professional Counselor
1 Endorsed
Online Only
But having trained at The Beck Institute of Cognitive Therapy and Research, I am one of the few certified cognitive therapists in Minnesota.
Do you feel like you’re constantly walking on eggshells around a high conflict person? Whether in our personal or professional lives, people with difficult personalities have a way of "rubbing their bad" onto us - leaving us feeling anxious, depressed, angry, or even traumatized - and sometimes influencing us to turn to unhealthy coping skills just to try to make it through the day. This is where I can help. For over 20 years, I ran personality disorder treatment programs in psychiatric hospitals and clinics, and today I specialize in empowering people whose lives have been negatively impacted by high-conflict individuals.
But having trained at The Beck Institute of Cognitive Therapy and Research, I am one of the few certified cognitive therapists in Minnesota.
Do you feel like you’re constantly walking on eggshells around a high conflict person? Whether in our personal or professional lives, people with difficult personalities have a way of "rubbing their bad" onto us - leaving us feeling anxious, depressed, angry, or even traumatized - and sometimes influencing us to turn to unhealthy coping skills just to try to make it through the day. This is where I can help. For over 20 years, I ran personality disorder treatment programs in psychiatric hospitals and clinics, and today I specialize in empowering people whose lives have been negatively impacted by high-conflict individuals.
(651) 371-5594 View (651) 371-5594

See more therapy options for Saint Paul

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.