Cognitive Behavioral Therapy

Evidence-based CBT for anxiety, depression, phobias, pain, and negative thinking in Arlington, MA and across Massachusetts

Brain injuries — including concussions and traumatic brain injuries (TBI) — can affect attention, memory, mood, energy, sleep, and emotional regulation long after the initial injury. At Integrative Psychology, our fully licensed psychologists and counselors offer integrative psychotherapy for brain injury and TBI, supporting recovery through neuroscience-informed, mind-body approaches alongside medical and rehabilitative care.

Cognitive Behavioral Therapy That Helps You Change Unhelpful Patterns—Thoughtfully and Effectively

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CBT is a structured, evidence-based therapy that focuses on the relationship between thoughts, emotions, behaviors, and physiological responses.

CBT helps people:
 • Identify unhelpful or inaccurate thinking patterns
 • Understand how behaviors reinforce distress
 • Develop more adaptive coping strategies
 • Reduce avoidance and increase flexibility
 • Build confidence and self-efficacy
CBT is practical and skills-oriented, but it is not shallow or rigid. At its best, in the hands of our experienced therapists, CBT is collaborative, curious, and deeply respectful of individual context.






What Is Cognitive Behavioral Therapy (CBT)?

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CBT is commonly used to treat:
• Anxiety disorders, social anxiety
 • Depression and low mood
 • Panic attacks
 • Phobias and fears
 • Obsessive or ruminative thinking
 • Stress-related symptoms
 • Perfectionism and self-criticism
 • Behavioral avoidance
 • Trauma-related symptoms (when appropriately integrated)
CBT can be effective as a standalone treatment or combined with other therapeutic approaches.


What CBT Can Help With

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At Integrative Psychology, CBT is never delivered as a rigid manual or checklist. We use CBT as a core framework, adapted thoughtfully based on the person, the problem, and the broader clinical picture.
Our CBT approach includes:

 • Collaborative formulation rather than one-size-fits-all protocols
 • Attention to emotional, cognitive, and physiological patterns
 • Integration with nervous system regulation and mind-body work
 • Flexibility to shift pace and focus as needed
 • Respect for values, identity, and lived experience

CBT is used as a potentially helpful tool for understanding and change—not as a way to invalidate emotion or “think positively.”

Our Integrative Approach to CBT

Core CBT Strategies We Use

Depending on your goals, CBT may include:

  • Cognitive Strategies
  • Identifying and modifying thought patterns such as jumping to conclusions, all-or-nothing thinking, overgeneralization, and excessive self-criticism.
  • Behavioral Strategies
  • Gradually changing behaviors that maintain distress, such as avoidance, withdrawal, or reassurance-seeking, in a supportive and intentional way.
  • Exposure-Based Approaches
  • When appropriate, CBT may include gradual and guided exposure to feared situations or sensations, helping reduce fear and increase confidence over time.
  • Skills for Emotional Regulation
  • CBT often incorporates practical tools for managing anxiety, mood shifts, and stress responses in real-world situations.




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CBT also includes evidence-based approaches specifically designed to treat nightmares.

CBT for Nightmares (CBT-N) focuses on:
 • Reducing nightmare frequency and intensity
 • Decreasing fear and anticipatory anxiety around sleep
 • Changing learned patterns that maintain distressing dreams
CBT-N is often used alongside trauma-informed therapy and sleep-focused treatments such as CBT-I for insomnia.




CBT for Nightmares (CBT-N)

CBT Within an Integrative Framework

At Integrative Psychology, CBT is often combined with:

• Anxiety Therapy
 • Grief & Depression treatment
 • Trauma Therapy (including EMDR)
 • Sleep & Insomnia Treatment
 • Stress Management & Burnout
 • Mindfulness-Based and Acceptance Approaches

This integrative approach allows CBT to be adapted to complex, overlapping concerns rather than applied in isolation.






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• Sessions are typically shorter-term, occurring weekly or bi-weekly
 • CBT is active and collaborative
 • Sessions may include discussion, skills practice, and reflection
 • Homework or between-session practice may be suggested
 • Progress is tracked and adjusted over time

Our experienced clinicians know that CBT works best when therapy feels like a partnership rather than a prescription.






What to Expect

Why Choose Integrative Psychology for CBT

If anxiety, worry, depression, negative thinking, or behavioral patterns are interfering with your quality of life, CBT may be a helpful option.

We offer Cognitive Behavioral Therapy for adults in Arlington, Massachusetts, and via telehealth across Massachusetts.
Schedule a free consultation to discuss your goals and explore whether CBT is the right fit.
Effective change doesn’t require perfection—just the right tools.





If you are navigating recovery from brain injury or TBI, integrative support is available.

Schedule a free consultation to explore whether this approach aligns with your recovery goals.





Getting Started