San Francisco Peaks Counseling
Counselor, LMHC
Verified Verified
Tacoma, WA 98466  (Online Only)
My therapeutic modality is a blend of Cognitive Behavioral Therapy, Mindfulness, Solution Focused Therapy and Person/Client Centered Therapy.
How can I help? I personally believe that therapy is about finding your authentic self, turning suffering into joy and eventually happiness. It is my passion to develop a genuine relationship with my clients, build rapport and safely have difficult conversations, resolve conflicts, with experiencing your authentic self, including your pain. I will work with you to tune into your true self, recognize your unfavorable coping mechanisms and, discover self-compassion. The spiritual journey involves finding and exploring our particular spiritual path and seeking experiences that open us to the vastness of an individual’s potential.
My therapeutic modality is a blend of Cognitive Behavioral Therapy, Mindfulness, Solution Focused Therapy and Person/Client Centered Therapy.
How can I help? I personally believe that therapy is about finding your authentic self, turning suffering into joy and eventually happiness. It is my passion to develop a genuine relationship with my clients, build rapport and safely have difficult conversations, resolve conflicts, with experiencing your authentic self, including your pain. I will work with you to tune into your true self, recognize your unfavorable coping mechanisms and, discover self-compassion. The spiritual journey involves finding and exploring our particular spiritual path and seeking experiences that open us to the vastness of an individual’s potential.
(253) 600-4095 View (253) 600-4095
Photo of Gregory Scea - Confidential Associates, LLC, MA, LMHC, NCC, Counselor
Confidential Associates, LLC
Counselor, MA, LMHC, NCC
Verified Verified
Tacoma, WA 98405
Our treatment modalities include cognitive and emotional components, in order to have specialized and comprehensive treatment for each patient's needs.
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
Our treatment modalities include cognitive and emotional components, in order to have specialized and comprehensive treatment for each patient's needs.
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
(253) 242-6789 View (253) 242-6789
Photo of Carmen M Bryant - Psychological Health Consultants & Services, LLC, EdD, LMHC, CCTP, Counselor
Psychological Health Consultants & Services, LLC
Counselor, EdD, LMHC, CCTP
Verified Verified
Tacoma, WA 98409  (Online Only)
I am a retired Senior Leader of the US Army. I consider myself an eclectic therapist with a sense of humor and do not believe one size fits all. I draw from various theories and use different therapeutic approaches such as Cognitive Behavior Therapy, Exposure Therapy, Family Systems Theories, Solution Focused, Brief Solution Focused as well as Behavior Activation techniques. I use the client center approach and use resources and support systems available for the client. I also assist with providing resources and connecting clients to their community. My specialization is in narcissist abuse education and recovery.
I am a retired Senior Leader of the US Army. I consider myself an eclectic therapist with a sense of humor and do not believe one size fits all. I draw from various theories and use different therapeutic approaches such as Cognitive Behavior Therapy, Exposure Therapy, Family Systems Theories, Solution Focused, Brief Solution Focused as well as Behavior Activation techniques. I use the client center approach and use resources and support systems available for the client. I also assist with providing resources and connecting clients to their community. My specialization is in narcissist abuse education and recovery.
(253) 259-3315 View (253) 259-3315
Photo of Elizabeth M Humes, MA, LMHC, CEDS
Elizabeth M Humes
Mental Health Counselor, MA, LMHC, CEDS
Verified Verified
Tacoma, WA 98466
Life can be very confusing at times for all of us. I welcome you to take the time for yourself to gain perspective on life's struggles. There can be great benefits in the process! I treat depression/anxiety, trauma, ADHD, Eating Disorders, and marital issues. My office is warm and cozy as we journey together thru the healing process. I use a narrative, solution-focused, CBT modality, Lifespan Integration for clearing trauma, along with a bit of humor over life's bumps. You are welcome to join me for your heart, soul, and body health!
Life can be very confusing at times for all of us. I welcome you to take the time for yourself to gain perspective on life's struggles. There can be great benefits in the process! I treat depression/anxiety, trauma, ADHD, Eating Disorders, and marital issues. My office is warm and cozy as we journey together thru the healing process. I use a narrative, solution-focused, CBT modality, Lifespan Integration for clearing trauma, along with a bit of humor over life's bumps. You are welcome to join me for your heart, soul, and body health!
(253) 214-3668 View (253) 214-3668
Photo of David D Moore, PhD, MEd, Psychologist
David D Moore
Psychologist, PhD, MEd
Verified Verified
2 Endorsed
Tacoma, WA 98422
CBT (cognitive behavioral) is built on what an AVERAGE person will achieve if they use the SAME strategies that the AVERAGE RESEARCH SUBJECT used when building a program.
I am the Agency Psychologist for the Center for Systematic Therapy and Research Services (CSTARS). I work full-time after a career in research (University of Washington 1987-2004) and faculty appointment (John's Hopkins, Department of Mental Health [2004-2007]). I currently focus on directing two clinical programs with Clinical Director Melissa Byrd: 1) Relapse Prevention for advanced recovery in addiction and codependency (Group and Individual), 2) Sexual Victimization recovery from childhood and young adult PTSD (Group and Individual). I conduct neurodevelopmental assessments for Dr. Stumme-Parks' work with CSTARS' ADHD clients.
CBT (cognitive behavioral) is built on what an AVERAGE person will achieve if they use the SAME strategies that the AVERAGE RESEARCH SUBJECT used when building a program.
I am the Agency Psychologist for the Center for Systematic Therapy and Research Services (CSTARS). I work full-time after a career in research (University of Washington 1987-2004) and faculty appointment (John's Hopkins, Department of Mental Health [2004-2007]). I currently focus on directing two clinical programs with Clinical Director Melissa Byrd: 1) Relapse Prevention for advanced recovery in addiction and codependency (Group and Individual), 2) Sexual Victimization recovery from childhood and young adult PTSD (Group and Individual). I conduct neurodevelopmental assessments for Dr. Stumme-Parks' work with CSTARS' ADHD clients.
(253) 292-9519 View (253) 292-9519
Photo of Jennifer R Trefonas, MS, LMHC, MHP, Counselor
Jennifer R Trefonas
Counselor, MS, LMHC, MHP
Verified Verified
Tacoma, WA 98405
Waitlist for new clients
I use ASSERTIVENESS training, BUILDING COMMUNICATION & INTERPERSONAL EFFECTIVENESS, art therapy, hypnosis, CBT, MOTIVATIONAL Interviewing, role-playing, and other techniques to help you.
Hello, I am Jennifer R. Trefonas, MS, LMHC, MHP. I was initially licensed in FL in 1992, moved to WA 2002; licensed WA 2001. I ENJOY assisting INDIVIDUALS, FAMILIES, COUPLES, & CHILDREN in overcoming obstacles. I AM ACCEPTING NEW CLIENTS. Contact me for HELP with anxiety, depression, relationship issues, addiction issues, bullying, grief, feeling shamed, taken advantage of, abuse of any kind, trouble at work, getting along with others, HOW TO BE HAPPY and POSITIVE, hypnosis, and most anything! I'm NOT PARANOID, but that is funny,,,:)
I use ASSERTIVENESS training, BUILDING COMMUNICATION & INTERPERSONAL EFFECTIVENESS, art therapy, hypnosis, CBT, MOTIVATIONAL Interviewing, role-playing, and other techniques to help you.
Hello, I am Jennifer R. Trefonas, MS, LMHC, MHP. I was initially licensed in FL in 1992, moved to WA 2002; licensed WA 2001. I ENJOY assisting INDIVIDUALS, FAMILIES, COUPLES, & CHILDREN in overcoming obstacles. I AM ACCEPTING NEW CLIENTS. Contact me for HELP with anxiety, depression, relationship issues, addiction issues, bullying, grief, feeling shamed, taken advantage of, abuse of any kind, trouble at work, getting along with others, HOW TO BE HAPPY and POSITIVE, hypnosis, and most anything! I'm NOT PARANOID, but that is funny,,,:)
(253) 352-3122 View (253) 352-3122
Photo of Natalie Zamudio - Zana Counseling Services PLLC, MS, LSWAIC, Clinical Social Work/Therapist
Zana Counseling Services PLLC
Clinical Social Work/Therapist, MS, LSWAIC
Verified Verified
Tacoma, WA 98402  (Online Only)
I utilize a combination of cognitive behavioral therapy, somatic therapy, humanistic therapy, and a wellness model that encompasses the entire being.
At Zana Counseling Services, I am dedicated to providing compassionate and empathetic support to adult clients navigating the challenges of depression and anxiety. My approach centers on understanding and guiding you through your emotions and feelings, helping to alleviate symptoms and foster a more fulfilling life. With a foundation of kindness and love, I strive to create a safe and nurturing environment where healing and growth can flourish. Together, we will work towards improving your well-being and achieving the life you deserve.
I utilize a combination of cognitive behavioral therapy, somatic therapy, humanistic therapy, and a wellness model that encompasses the entire being.
At Zana Counseling Services, I am dedicated to providing compassionate and empathetic support to adult clients navigating the challenges of depression and anxiety. My approach centers on understanding and guiding you through your emotions and feelings, helping to alleviate symptoms and foster a more fulfilling life. With a foundation of kindness and love, I strive to create a safe and nurturing environment where healing and growth can flourish. Together, we will work towards improving your well-being and achieving the life you deserve.
(970) 517-2892 View (970) 517-2892
Photo of Itzel Melissa Godoy, RMHCI, LMHCA, SLP-A , Counselor
Itzel Melissa Godoy
Counselor, RMHCI, LMHCA, SLP-A
Verified Verified
2 Endorsed
Tacoma, WA 98402  (Online Only)
Most of my training is in CBT but I have always been more eclectic by nature.
E kaaro! Hello and I thank you for taking the time to visit this page. My name is Itzel Godoy and I very much hope to build a relaxed and positive therapeutic relationship with you. I have over 15 years in the therapy world working primarily with adolescent/young adults and neurodivergent population. I am a strong advocate for ADHD, single parents, work/life balance, anxiety, and depression. My goal is to teach clients to embrace who they are and foster positive self-image and confidence. It is my hope to help you achieve mental clarity and peace of mind!
Most of my training is in CBT but I have always been more eclectic by nature.
E kaaro! Hello and I thank you for taking the time to visit this page. My name is Itzel Godoy and I very much hope to build a relaxed and positive therapeutic relationship with you. I have over 15 years in the therapy world working primarily with adolescent/young adults and neurodivergent population. I am a strong advocate for ADHD, single parents, work/life balance, anxiety, and depression. My goal is to teach clients to embrace who they are and foster positive self-image and confidence. It is my hope to help you achieve mental clarity and peace of mind!
(509) 213-0019 View (509) 213-0019
Photo of Madison Galliano, LMHC, Counselor
Madison Galliano
Counselor, LMHC
Verified Verified
Tacoma, WA 98401  (Online Only)
If you are struggling, you do not need to walk alone. I'm here to provide you with guidance and support. I have over two years of experience in private and community mental health settings. I utilize a person-centered, CBT, mindfulness, and psychoeducational approach with my patients. We will work together taking it one step at a time, moving at your speed.
If you are struggling, you do not need to walk alone. I'm here to provide you with guidance and support. I have over two years of experience in private and community mental health settings. I utilize a person-centered, CBT, mindfulness, and psychoeducational approach with my patients. We will work together taking it one step at a time, moving at your speed.
(425) 537-6954 View (425) 537-6954
Photo of Paul Hunziker, MA, LMFT, SUDP, Marriage & Family Therapist
Paul Hunziker
Marriage & Family Therapist, MA, LMFT, SUDP
Verified Verified
1 Endorsed
Tacoma, WA 98403
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
(253) 237-8351 View (253) 237-8351
Photo of Kay Kessel-Hanna, LMFT, Marriage & Family Therapist
Kay Kessel-Hanna
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98467
Kay Kessel-Hanna is a Licensed Marriage and Family Therapist in Washington with 27 years of experience. She has a Master of Arts degree in Applied Behavioral Science, specializing in Systems Counseling from Bastyr University, a post-graduate certification in Marriage and Family Therapy from the Presbyterian Counseling Service Marriage and Family Training, and a Master of Arts degree in Transforming Spirituality from Seattle University. Kay believes that an individual's struggles are often a sign of stressors within the larger context of relationships.
Kay Kessel-Hanna is a Licensed Marriage and Family Therapist in Washington with 27 years of experience. She has a Master of Arts degree in Applied Behavioral Science, specializing in Systems Counseling from Bastyr University, a post-graduate certification in Marriage and Family Therapy from the Presbyterian Counseling Service Marriage and Family Training, and a Master of Arts degree in Transforming Spirituality from Seattle University. Kay believes that an individual's struggles are often a sign of stressors within the larger context of relationships.
(253) 785-2458 View (253) 785-2458
Photo of Stephanie Reyes, MSW, LCSW, DSW, Clinical Social Work/Therapist
Stephanie Reyes
Clinical Social Work/Therapist, MSW, LCSW, DSW
Verified Verified
Tacoma, WA 98407  (Online Only)
Let’s face it, life can be tough. This can result in you feeling overwhelmed, frustrated, maybe even defeated. You long for a happier, less complicated, more fulfilling life but aren’t sure how to make that happen! Don’t give up, I am here to help! Using a strengths based approach intended to both empower and build resilience, we will work together to overcome these challenges and the mindset that keeps you stuck there. Creating change is never easy of course, but it is possible once you have the tools and confidence to make it happen. Let me help you get from where you are now to where you would like to be!
Let’s face it, life can be tough. This can result in you feeling overwhelmed, frustrated, maybe even defeated. You long for a happier, less complicated, more fulfilling life but aren’t sure how to make that happen! Don’t give up, I am here to help! Using a strengths based approach intended to both empower and build resilience, we will work together to overcome these challenges and the mindset that keeps you stuck there. Creating change is never easy of course, but it is possible once you have the tools and confidence to make it happen. Let me help you get from where you are now to where you would like to be!
(253) 453-5510 View (253) 453-5510
Photo of Troy Huffman, MA, LMFT, Marriage & Family Therapist
Troy Huffman
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98408
I enjoy working with couples, families and individuals. As a therapist, I look to identify your strengths and utilize those to find solutions to the specific problems you are experiencing. Some of the ways we will accomplish this are by looking at the various ways that thoughts and emotions may be driving your behaviors. I also like to explore the context of your life and situations that may be contributing to the problem in ways you may not have recognized. We'll use the insights, information, and strengths to help you transition more into your solutions.
I enjoy working with couples, families and individuals. As a therapist, I look to identify your strengths and utilize those to find solutions to the specific problems you are experiencing. Some of the ways we will accomplish this are by looking at the various ways that thoughts and emotions may be driving your behaviors. I also like to explore the context of your life and situations that may be contributing to the problem in ways you may not have recognized. We'll use the insights, information, and strengths to help you transition more into your solutions.
(253) 766-5537 View (253) 766-5537
Photo of Gaaren Anderson - Gaaren Anderson MFT, MEd, LMFT, LMHC, Marriage & Family Therapist
Gaaren Anderson MFT
Marriage & Family Therapist, MEd, LMFT, LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
We will not try to make you do what somebody else wants you to do. We start with your goals & find ways to help you develop the necessary skills. We have found that, if a person's individual wishes are not represented in the solution, it will not work in the long run. So there is a strong emphasis on helping each person take responsibility and control over their own happiness. Some things are better handled individually, and some things are better handled with both people in the room. Our unique blend of individual & couples therapy is quite effective.
We will not try to make you do what somebody else wants you to do. We start with your goals & find ways to help you develop the necessary skills. We have found that, if a person's individual wishes are not represented in the solution, it will not work in the long run. So there is a strong emphasis on helping each person take responsibility and control over their own happiness. Some things are better handled individually, and some things are better handled with both people in the room. Our unique blend of individual & couples therapy is quite effective.
(206) 745-0931 View (206) 745-0931
Photo of Tara Hollander - Tara Hollander, MSW, ACSW, LICSW, Clinical Social Work/Therapist
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98407
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720
Photo of Tim McTighe, MS, LMFT, Marriage & Family Therapist
Tim McTighe
Marriage & Family Therapist, MS, LMFT
Verified Verified
Tacoma, WA 98403
I have been a licensed marriage and family therapist for 34 years. Although specializing in children and adolescents, I have experience with juvenile and adult offenders, substance abusers, and those experiencing depression, anxiety, anger management and adjustment issues. I have extensive background in providing therapy to those in our law enforcement and military communities. I am equally comfortable and experienced in providing individual, couples, and family services. In addition to private practices in Tacoma and Vashon, I am employed as a therapist at Vashon Youth and Family Services. I
I have been a licensed marriage and family therapist for 34 years. Although specializing in children and adolescents, I have experience with juvenile and adult offenders, substance abusers, and those experiencing depression, anxiety, anger management and adjustment issues. I have extensive background in providing therapy to those in our law enforcement and military communities. I am equally comfortable and experienced in providing individual, couples, and family services. In addition to private practices in Tacoma and Vashon, I am employed as a therapist at Vashon Youth and Family Services. I
(206) 745-6192 View (206) 745-6192
Photo of Annette Kay Perry - Ignite A Path to Wellness
Ignite A Path to Wellness
Verified Verified
1 Endorsed
Tacoma, WA 98402
Counseling is most effective when taking a collaborative and holistic approach. The Ignite team strives to create a strong, therapeutic relationship built on trust, respect, responsibility, empathy, and open-mindedness. We offer a safe and supportive space to explore aspects of the 'self' and life experiences that make up the 'self'. Our staff is trauma-trained and trauma informed. We value our ability to hear the unheard and to help clients find their voice of empowerment.
Counseling is most effective when taking a collaborative and holistic approach. The Ignite team strives to create a strong, therapeutic relationship built on trust, respect, responsibility, empathy, and open-mindedness. We offer a safe and supportive space to explore aspects of the 'self' and life experiences that make up the 'self'. Our staff is trauma-trained and trauma informed. We value our ability to hear the unheard and to help clients find their voice of empowerment.
(253) 242-8587 View (253) 242-8587
Photo of Karen Jimenez - Circle in a Square Counseling, LMHC, Counselor
Circle in a Square Counseling
Counselor, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98466
No matter what a person is put through in life, the power to transform is infinite.
No matter what a person is put through in life, the power to transform is infinite.
(253) 336-8210 View (253) 336-8210
Photo of Issy Kleiman, MA, LMFT, Marriage & Family Therapist
Issy Kleiman
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98401
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
(206) 745-4691 View (206) 745-4691
Photo of Annie Hennig, MA, LMFT, Marriage & Family Therapist
Annie Hennig
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98406
Waitlist for new clients
As a Marriage and Family Therapist, I enjoy working with a variety of clients seeking guidance and support in managing challenges or transitions in life and within relationships. I work with individuals, couples, parents, and families who are seeking to improve their communication, coping, and ability to find satisfaction and confidence in working through challenges that affect them. My areas of interest include couples, maternal mental health, pregnancy-related issues, parenting, and self esteem.
As a Marriage and Family Therapist, I enjoy working with a variety of clients seeking guidance and support in managing challenges or transitions in life and within relationships. I work with individuals, couples, parents, and families who are seeking to improve their communication, coping, and ability to find satisfaction and confidence in working through challenges that affect them. My areas of interest include couples, maternal mental health, pregnancy-related issues, parenting, and self esteem.
(253) 993-4655 View (253) 993-4655
1
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.