CBT teaches you how to transform your negative thoughts, break patterns, and confront your deeply held sabotaging beliefs to take control of your life and create lasting positive change.
CBT teaches you how to transform your negative thoughts, break patterns, and confront your deeply held sabotaging beliefs to take control of your life and create lasting positive change.
CBT has been the most popular therapy system for decades for a reason.
Cognitive Behavioral Therapy (CBT) exploded in popularity in the 1990’s, but its development began in the 1950’s with two therapists who were becoming frustrated and disillusioned with how therapy worked. Albert Ellis first shared his ideas for a cognitive treatment model with his Rational Emotive Therapy system in the 1950’s, but Dr. Aaron Beck developed what became modern day Cognitive Behavioral Therapy in the 1960’s and 1970’s.
Dr. Beck began to develop CBT as a way to bring the scientific method to the therapy room. Therapists could finally know what actually worked based on research and generate more consistent results and therapeutic benefits for their clients. Dr. Beck’s noticed that his depressed clients often shared a consistent self-generated stream of negative thoughts. He began to experiment with ways to change thoughts, modify behaviors, and develop new coping mechanisms to help clients create the change they hoped to see. He published his first cognitive treatment model for depression in 1967, and then expanded his cognitive treatment methods to other mental health issues over the following years while improving and refining his understanding of effective cognitive therapy techniques.
The popularization of CBT therapy in the 1980’s and 1990’s was due to an overwhelming amount of research from decades of studies showing consistent, measurable improvements for most CBT clients in a relatively short amount of time. Whereas most other therapy systems may take years before the client experiences any benefits, CBT clients were often showing improvements in a few months or even a few weeks. CBT was proven to be effective for many of the most common mental health issues, and the results were easily replicated with different clients and different therapists time and time again. The combination of clear structure, easy implementation, and effective skills usage outside of the therapy office made CBT the first choice of many therapists for decades. Research has also proven that CBT is effective for almost all ages (3-70+ years old), all genders and sexual orientations, and all racial, ethnic, and cultural backgrounds as well.
Cognitive Behavioral Therapy (CBT) therapists often utilize specialized approaches for specific clients, mental health issues, and diagnoses. GearingUP offers many different forms of CBT including the following:
CBT treatment for depression addresses negative thinking patterns through different coping mechanisms, proactive cognitive strategies, and additional tools like thought disputation skills. Recurrent and relapsing depression often comes back because of how we think about and experience our lives, but CBT teaches us how to break these cycles of negative thinking and regain control of our lives.
With CBT’s focus on thinking patterns, we learn how to identify and manage our anxious thoughts while also confronting the belief systems that create those anxious thoughts. We learn how to use skills to handle our personal pattern of anxiety triggers, challenge worried thoughts, use relaxation techniques and physical exercises to calm down, and build confidence in our ability to face the challenges of the future.
Trauma Informed CBT therapy for PTSD and other trauma conditions first builds a sense of safety by learning new coping skills before addressing past traumatic experiences. With sensitivity to triggers and gradual exposure, we are able to process past traumas at our own pace while managing trauma triggers, reducing nightmares and flashbacks, challenging trauma related beliefs, and more through practical skills application.
CBT treatment for Obsessive Compulsive Disorder (OCD) utilizes multiple tools including cognitive techniques, exposure therapies, and more to help us address obsessive-compulsive thought cycles. We gradually learn how to challenge OCD beliefs, face our fears without compulsion responses, and how to proactively manage intrusive thoughts. Over time, we are able to regain control of our lives and restore our own sense of confidence and empowerment.
CBT addresses panic disorders by helping us understand early warnings in our minds and bodies, challenge our catastrophic thinking patterns, and over time confront the situations that cause us to panic through exposure and other techniques. We build a better toolbox of coping skills and strategies so we don’t need to avoid panic-inducing scenarios, and we can once again enjoy our lives without compromise.
CBT-ED helps break the cycle of eating disorders and disordered eating by challenging our distorted thoughts regarding food, weight, and body image. By identifying and disputing our negative beliefs, we are able to build healthier eating habits, develop more wholesome coping skills, and gradually change our behaviors to build a more balanced relationship with food.
CBT addresses addiction and substance use through identifying and changing our maladaptive thoughts, behaviors, and triggers that reinforce and maintain addiction cycles. You will learn how to challenge enabling beliefs, manage cravings, implement healthy coping skills, and create a toolbox of relapse prevention strategies. CBT also helps you address underlying emotional issues that can lead to relapse so you are ready to handle the challenges of the future.
CBT for Insomnia (CBT-I) helps you rebuild healthy sleep patterns by addressing sleep hygiene, stimulus control, and negative thought patterns like worry. Through proven techniques like sleep restriction and relaxation strategies, you will be able to identify and change the thoughts and behaviors that interrupt sleep, reset your body’s natural sleep-wake rhythm, and finally find long-term relief from insomnia without medication.
CBT for social anxiety helps you overcome the negative thoughts and beliefs about social situations that hold you back from connecting with others. Through gradual exposure, you and your CBT therapist will challenge and restructure your thoughts around issues such as anxiety-driven predictions, fear of judgment, and self-consciousness. You will learn how to use practical skills to develop social confidence, reduce avoidance, and build long lasting relationships.
CBT tackles specific phobias through a gradual, controlled exposure process augmented with skills to help you face your fears in a safe and manageable way. Your CBT therapist will help you challenge phobic thoughts, implement relaxation techniques, and work through irrational beliefs by building confidence through successful exposures at your pace. Let’s work together to face your fears and put your phobias in the past.
Cognitive Behavioral Therapy has also served as a foundation for the development of other newer therapies that build upon the framework and theories of CBT with different approaches and methodologies. These newer approaches include Dialectical Behavior Therapy (DBT), Mindfulness Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), and Exposure and Response Prevention Therapy (ERP).
While all versions of CBT share the same general characteristics, GearingUP’s CBT programs are catered to each age or type of client and their common issues, goals, and more. Here are some of the different versions of CBT available at GearingUP:
CBT for Adults engages with the complexities and life challenges of adults as well as their more mature cognitive abilities. Adults are able to work with more abstract concepts, engage in deep analysis of their thinking patterns, and apply skills and coping strategies on their own. Adult clients often utilize CBT skills to address challenges for their particular stage of life such as work stress, relationships, and family responsibilities.
CBT for teen clients adapts the standard CBT format to include both talk therapy as well as more active or creative elements. Teen clients are able to discuss issues more pertinent to their lives including school stress, identity formation, family struggles, and more. CBT for adolescents often includes a greater focus on emotions and impulse control, building independence and confidence, and better coping for adulthood.
CBT for children adapts the skills and strategies of CBT to make them more palatable for children through play and activities, art and creative expression, and stories and metaphors. Parents are often more involved in this form of CBT to coach their children at home and reinforce practice of the skills and strategies their child is learning. Instead of talk therapy with abstract concepts about thoughts, CBT therapists use rewards and praise, visual aids, and fun to help modify the child’s behavior directly.
Parenting programs with CBT often focus both on helping parents become CBT coaches for their children at home to reinforce their therapeutic growth, and also parents learn an abridged version of CBT to help them manage their own stress and emotions while working with their child. CBT therapists often help parents address family issues, discipline decisions, and communication strategies to help parents create a happier, more harmonious household.
By tracking distorted thoughts, triggers, and patterns, you and your therapist create a treatment plan with clear goals and how to achieve them.
Using proven strategies like looking for evidence and questioning negative assumptions, you are able to be more accurate and balanced in your thinking.
Regular practice of new coping skills and healthy habits helps you build new neural pathways to break negative thinking cycles.
CBT also equips you with a range of practical skills and tools like relaxation techniques, stress management skills, problem solving strategies, and more.
By practicing both in sessions and at home, you will master the CBT system over time to foster long-term growth and positive change!
Below are a small sample from over 100 key interventions from GearingUP’s Cognitive Behavioral Therapy program:
A critical early step is writing down every assumption, rule, “if-then” statement, “musts,” “should,” or rule that crosses your mind. Your CBT therapist will review these with you, discuss how much you believe each statement, and work with you to challenge your assumptions to see what’s truly valid or not.
You may be struggling with perfectionism even if you are not necessarily aware of your perfectionistic thoughts! This exercise helps you differentiate between progress vs perfection thinking, how it may be impacting your day-to-day life, and how to better accept progress instead of demanding perfection.
Your CBT therapist will show you how to identify judgmental and critical thoughts and how to transform them instead into curiosity and questions to create new opportunities. Instead of focusing on criticism such as, “I’m not good at public speaking,” you’ll learn how to use those thoughts to ask new questions like, “why is public speaking difficult for me?”
If you start with a negative thought, then you are likely only paying attention to negative outcomes. Confirmation bias reinforces negative thinking cycles since the brain usually interprets events based on past predictions, experiences, and outcomes. By tracking your own confirmation bias, you will begin to see how inaccurate your thoughts can be and why it’s important to change them.
Our brains often process choices in false dichotomies or all-or-nothing thinking patterns such as, “I”m either a winner or a loser.” This kind of “black or white” thinking is rarely accurate, but it can create false narratives, self-fulfilling prophecies, and belief systems that last for years to come. Your CBT therapist will help you to identify these overly simplistic thoughts and show you how to shift your perspective.
Worried thoughts create a lot of anxiety and uncertainty, but they never seem to have a specific event that happens, a due date, or anything solid beyond a vague sense of things being generally “wrong.” Your CBT therapist will work with you to turn your worries into predictions instead that can be tested, observed, and challenged to see what’s accurate and worth paying attention to or what is just a negative thought cycle.
Not all worrying is unhealthy – it’s more about what’s productive or unproductive. GearingUp’s CBT therapy will teach you how to tell the difference and how to test your worries to see what’s productive or unproductive. You will be able to determine what’s worth worrying about and what you can let go with specific questions like, “am I worrying about things over which I have little or no control?”
Schemas are deeply held beliefs about ourselves, other people, and the world that influence how we experience our lives. You will identify and examine your own schemas as a part of your CBT therapy at GearingUp through a simple question and answer process. Once your schemas are identified, your CBT therapist will work with you to analyze and challenge them to see what’s worth keeping and what you can let go.
Cognitive Behavioral Therapy (CBT) has a number of benefits compared to other therapy systems:
CBT is one of the most thoroughly researched and evidence-based therapies in the history of psychotherapy. It has been proven effective with most clients and most diagnoses, across ages and cultures, and it is still considered one of the most effective therapy approaches to this day.
CBT’s skills and tools can be easily used in the real world in the moment when upsetting events occur. The emphasis on practice and mastery of step by step instructions is intended for the client to be able to use skills on their own in the real world and for years or decades into the future.
Instead of giving you temporary solutions or skin deep explanations, CBT digs deep to address the root causes of your issues to truly address what brought you to therapy. Breaking negative cycles or self-sabotaging thought patterns requires real work, but the work also brings long lasting results.
CBT’s goal is to prepare and empower you for the future. Instead of continuously relying on a therapist to help you work through challenges for years to come, CBT equips you with the tools to solve problems on your own. Your therapist is always available if needed, but their goal is to prepare you for whatever may come in the future.
CBT works because clients work with a proven, structured curriculum that delivers real results. You may have tried non-directive therapy in the past and found that there was no clear direction or goals being pursued week to week. CBT creates a collaborative environment for you to work with your therapist to achieve your goals in a research based program.
CBT has been proven to be effective with a number of different mental health issues, and it is recommended for clients dealing with comorbidities, dual diagnosis, or even issues not related to mental health such as chronic pain, hypertension, or relationship issues. Learning how to work with our thoughts and behaviors brings a number of positive benefits to our lives.
GearingUP | Other online CBT therapists | Other in-person CBT therapists | |
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Directly trained by the founder of CBT, Dr. Aaron Beck’s clinical team | |||
Directly trained by Dr. Judith Beck, the daughter and successor of Dr. Aaron Beck | |||
Continuous exclusive evidence-based updates to CBT curriculum from new trainings | |||
Ongoing trainings in the latest CBT treatments and CBT related practices (Mindfulness, etc.) | |||
CBT Therapists with an average of 12 years of experience with CBT Therapy | |||
Specific CBT programs for each age and many diagnoses such as Insomnia, Substance Use, and more | |||
On-Staff Experts In Related Therapy Systems like MBCT, ACT, Advanced Mindfulness, and more | |||
Integration of Related Clinical Tools such as Trauma Informed Care, Gottman Relationship Research, Attachment Theory, and more | |||
CBT Curriculum Includes Supplemental Research in Neuroscience, Positivity, Optimism, and more | |||
Ability to Coordinate, Connect, and Integrate CBT Into Other Clinical Therapy Programs | |||
CBT Program Lead by Clinical Psychologists with over 40 Years of Clinical Experience | |||
Multiple CBT Options for Your Specific Needs and Schedule | |||
CBT Covered By Insurance |
Every CBT clinician at GearingUP has received extensive training and supervision in Cognitive Behavioral Therapy in an effort to deliver the best CBT therapy in Texas. Here is a summary of the different trainings and certifications completed by Dr. Sylvia Gearing and GearingUP’s CBT therapists:
Imagine having a personalized toolkit of proven strategies to handle life’s challenges. Through CBT, you’ll gain powerful techniques to manage stress, overcome obstacles, and build the life you want. Our clients don’t just survive; they thrive.
From handling workplace stress to managing relationship challenges, you’ll learn practical techniques that work in real-life situations. Our evidence-based approaches include thought disputation, anxiety reduction, and mood improvement tools you can use anywhere, anytime.
Develop a customized set of tools including:
Unlike traditional therapy that keeps you coming back without a plan or an end in sight, CBT empowers you to become your own advocate. You’ll learn skills that grow with you, adapting to new challenges as your life evolves.
Your journey with CBT creates lasting change. Our clients report continued improvement even after completing therapy, using their new skills to:
Think of CBT as an investment in your future self. The tools you’ll gain aren’t just for managing current challenges – they’re life skills that enhance every aspect of your world, from career growth to personal relationships.
Join the hundreds of clients who’ve transformed their lives through our CBT program. Every session brings you closer to becoming the confident, capable person you’re meant to be.
CBT’s effectiveness has been proven through thousands of studies over decades of research around the world. Here are some highlights of the typical outcomes of CBT treatment:
reduction of clinical depression symptoms in most clients.
success rate for treating panic disorders and social anxiety.
percent of General Anxiety cases showing improvement.
of clients maintain CBT improvements after a 1-year follow up.
of CBT clients reported functioning better at work and school.
of CBT clients report better sleep quality.
Have more questions? Here are some of the most frequently asked questions about Cognitive Behavioral Therapy (CBT).
Cognitive Behavioral Therapy (CBT) gets its name from its focus on both “cognitive” processes (our thoughts and how we think) and “behavioral” aspects (our actions and responses). The name reflects how the therapy works on both levels, helping people understand and change their thought patterns while also modifying their behaviors for better outcomes. Like having a skilled mechanic for your mind and daily habits, CBT helps you tune up both your thinking and your actions to get the results you want in life.
CBT might be right for you if you’re looking for a practical, results-focused approach to therapy. It’s particularly effective for anxiety, depression, stress, relationship issues, and just feeling stuck. Unlike therapies that focus mainly on past experiences, CBT helps you create positive change right now through actionable strategies and practical tools. Whether you’re struggling with relationships, work stress, or personal growth, our proven approach helps you build the skills to create the life you want. If you’re willing to actively participate in your mental health journey and want tools you can use long-term, CBT could be an excellent fit. The best part? You’ll see actual progress, not just endless talking. Most clients see progress within a few sessions. Ready to take that first step? Get Started Now
CBT stands out from other therapies through its practical, present-focused approach. While traditional therapies often explore childhood experiences or unconscious patterns, CBT concentrates on current challenges and concrete solutions. It’s structured and goal-oriented, typically seeing results within 12-20 sessions rather than continuing indefinitely with no end in sight. CBT provides specific tools and techniques you can practice between sessions, making it more actionable and science based than basic supportive therapy. You’ll learn to identify and change unhelpful thought patterns and behaviors, with measurable progress along the way.
CBT typically requires less time than traditional therapies, and research shows that it is effective for most clients within 3-12 months of treatment. Many clients start seeing positive changes within the first few sessions. The exact duration depends on your specific goals and challenges – some clients achieve their goals in just a few months, while others benefit from additional sessions or want to explore larger topics. Your therapist will work together with you to set clear objectives and regularly review your progress, ensuring therapy stays focused and effective. Unlike open-ended therapy approaches, CBT is designed to give you the tools you need to become your own advocate.
Most clients attend CBT sessions once per week, which provides enough time to practice new skills between sessions while maintaining steady progress. Some people may benefit from twice-weekly sessions depending on their goals, the issues they are working with, or during particularly challenging periods. The frequency is flexible and can be adjusted based on your needs, schedule, and progress. What’s most important is finding a rhythm that allows you to integrate the techniques into your daily life while staying engaged with the therapy process. Speak with a GearingUP therapist to determine what would be best for your needs.
You’ll notice CBT working in several concrete ways. Most clients report improved ability to handle daily challenges, better emotional regulation, and reduced symptoms of anxiety or depression. You’ll start recognizing unhelpful thought patterns and have specific tools to address them. We track progress using measurable goals and standardized assessments, so you’ll see clear evidence of your improvement through data. Many people find their friends and family notice positive changes too, like being calmer under pressure or communicating more effectively. Success looks different for everyone, but you should feel more capable and in control of your responses to life’s challenges.
A typical CBT session is structured to make the most of your session time. We’ll start by reviewing your progress and any challenges since your last session. Together, we’ll identify specific thought patterns or behaviors you’d like to work on, then discuss evidence-based skills and techniques to address them. You will regularly learn new coping strategies, work through current challenges, and set realistic goals. You’ll leave with practical homework exercises to try between sessions, helping you build confidence and skills in real-world situations.
We offer both in-person and online therapy sessions. Our secure telehealth platform makes it convenient to receive therapy from the comfort of your home, and research shows that online CBT can be just as effective as in-person sessions for many people.
Yes, CBT includes practical exercises to work on between sessions. Think of it more as “home practice” rather than homework. These practices might include tracking your thoughts in a journal, trying new coping strategies, or trying out relaxation techniques. This practice is crucial because it helps you apply what you learn in therapy to real-life situations so it’s ready when you need it. Think of it like learning a musical instrument – the weekly lesson is important, but it’s the practice between lessons that really builds your skills. Most exercises take just 10-15 minutes per day.
CBT is suitable for most adults, adolescents, and children seeking mental health support. It’s particularly effective for people experiencing anxiety, depression, stress, relationship issues, phobias, or just feeling stuck. While there’s no specific eligibility criteria, you’ll benefit most if you’re willing to actively participate in your treatment and practice new skills. CBT can be adapted for different ages, cultural backgrounds, and learning styles. The main requirement is being ready to engage in the process of changing thoughts and behaviors.
GearingUP offers multiple forms of CBT that are partially or fully covered by most insurance policies, but individual plan benefits will determine the cost for each client. GearingUP also offers self-pay pricing, cash discounts, and sliding scale pricing for those who qualify.
Yes, GearingUP has multiple versions of CBT that may be fully or partially covered by most insurance policies including Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Optum, Baylor Scott & White, and more. Our office would be happy to check your benefits for you to see if your plan covers CBT treatment at GearingUP. Contact us today to get started or Get Started Now
Getting started is simple. We often have same-day or next-day appointments available for new clients, but generally speaking your first therapy appointment will be within one week of contacting our office. Get Started Now