CBT Programs and Services • Silicon Valley (San Jose/Saratoga) and Sacramento Valley (Roseville)

At the Cognitive Behavior Therapy Center of Silicon Valley and Sacramento Valley, we offer a number of different cognitive behavior therapy and schema therapy programs and services for anxiety disorders, OCD, eating disorders, personality issues and related problems. Please note we can not predict in advance how long therapy will last or guarantee specific outcomes.

Standard Cognitive Behavior Therapy  (CBT) for Specific Goals or Problems

Cognitive behavior therapy has been extensively researched for solving specific problems such as panic disorder, specific social anxiety, trichotillomania, recent-onset depression, insomnia, specific phobias, adjustment difficulties due to life changes or a new job, and many other issues. We will identify a concrete goal you want to achieve and follow the evidence-based guidelines used in research and shown to be effective for your specific problem. We may ask you to purchase a workbook and the therapist will guide you through in-session and homework exercises. After the initial assessment session, you and your therapist will identify a realistic treatment plan to achieve your goals. This will include a recommendation of the number of sessions and what you can expect to realistically achieve with that amount of therapy. Standard CBT is most appropriate if you have a well-defined problem that you want to solve and you are motivated to do the work necessary to make progress toward your goal in a limited number of sessions. While timing and progress will vary by person, standard CBT for a specific goal or problem is usually between 12-20 sessions over three to six months. With standard CBT, you will learn cognitive, behavioral and interpersonal skills that you must continue to practice after CBT ends to continue progress and make additional gains after therapy ends.

Comprehensive Cognitive Behavior Therapy (CBT) for Multiple or Complex Problems

If you have chronic, long term problems or more than one diagnosis, you may need a more comprehensive CBT approach over a longer period to address the complexity and/or variety of problems in your life. For example, you may be suffering from moderate to severe OCD, chronic anxiety, chronic depression, severe social anxiety or selective mutism, an eating disorder, post-traumatic stress disorder (PTSD) or a combination of diagnoses i.e. OCD, anxiety and depression. We will follow the evidence-based guidelines to the extent possible but treatment will involve more customization since there may not be an exact treatment protocol for your combination of problems. We will follow the standard CBT session structure, including agenda setting, self-monitoring, actively working on problems in every session, assigning homework and tracking results. You will learn standard CBT strategies that will help you with all of your problems as well as customized strategies that are specific to each of the various problems you have. Therapy will consist of  weekly sessions and may start with greater frequency if stabilization is needed. Treatment may last a year or longer, depending on the complexity of your problems and how actively involved you are with your treatment and completing homework in between sessions. You may also need longer term maintenance and relapse prevention counseling after the active treatment period ends.

Intensive Cognitive Behavior Therapy (CBT) for Anxiety Disorders

For people who have the time, resources and motivation to work hard in a short amount of time, we offer Intensive Cognitive Behavior Therapy for Anxiety Disorders. This can be helpful to solve a short-term problem quickly or to kick-start therapy for problems where therapist-guided exposures can help you like OCD, social anxiety, specific phobias and panic disorder. Your therapist will help you develop a hierarchy of situations you fear and guide you through exposures in and out of the office to help you face your fears using new coping skills. Intensive CBT consists of 2-3 sessions per week for 90 minutes to 2 hours per session. The intensive period of CBT usually lasts about two weeks to a month and your therapist will gradually reduce therapy as you improve enough to continue exposures on your own. After the initial intensive therapy period ends, weekly CBT is generally recommended to help you continue to make progress, generalize the learnings and prevent relapse.

Schema Therapy for Personality Change

Schema Therapy is a longer term integrative therapy with its roots in Cognitive Behavior Therapy. Schema therapy is designed to treat more challenging long term problems with its roots in childhood issues such as personality disorders. In addition, schema therapy can be added to CBT when the anxiety or depression has been long term and unresponsive to standard CBT or other therapies. Schema therapy is evidence-based for a variety of personality disorders including borderline personality, narcissistic personality, avoidant personality, obsessive compulsive personality, dependent personality and other personality disorders or styles. It can be very effective for partners and family members who have loved and been wounded by borderline or narcissistic types. It has been shown to be effective in research across many disorders. The goal of schema therapy is to help you get your needs met in the present so you will use more effective coping methods when your schemas are triggered. Schema therapy works on four levels: cognitive, behavioral, emotional and interpersonal. The first phase of schema therapy involves assessing your life history, relationships, family background, schemas and coping styles and developing a case conceptualization. The assessment phase usually takes about 7-8 sessions. Once the assessment phase is completed, schema therapy is weekly and lasts a minimum of one year and is usually a multi-year process for deeper personality change. A variety of strategies are used including imagery, role plays, behavioral experiments, schema diaries, schema flashcards, coping cards, dialogues between schema modes, chair work and many other techniques. Since the goal is to make personality change (vs symptom reduction), that is why schema therapy takes longer than standard CBT.

Additional Services

Other services we offer in addition to cognitive behavior therapy include:

  • Family Therapy
  • Couples Therapy
  • Case Management
  • School Consultation
How to Get Cognitive Behavior Therapy and Schema Therapy in San Jose/Saratoga and Sacramento/Roseville

The Cognitive Behavior Therapy Center in Silicon Valley (San Jose/Saratoga) and Sacramento Valley (Roseville) specializes in cognitive behavior therapy and schema therapy with adults, children and teenagers. Call us in Saratoga at (408) 384-8404 or in Roseville at (916) 778-0771 or Click to send an email for more information on how we can help you or your family members solve your problems using cognitive behavior therapy and schema therapy.

Silicon Valley and Sacramento Valley Communities We Serve

Cognitive Behavior Therapy Center of Silicon Valley offers evidence-based therapy for Anxiety, Obsessive Compulsive Disorder and Eating Disorders near the following Silicon Valley/San Jose communities:

San Jose Therapy CounselingSaratoga Therapy CounselingLos Gatos Therapy Counseling Monte Sereno Therapy Counseling • Cupertino Therapy CounselingCampbell Therapy CounselingMountain View Therapy CounselingLos Altos Therapy CounselingSunnyvale Therapy CounselingSanta Clara Therapy Counseling

Cognitive Behavior Therapy Center of Sacramento Valley offers evidence-based therapy for Anxiety, Obsessive Compulsive Disorder (OCD) and Eating Disorders near the following Sacramento Valley and Sierra communities:

Sacramento Therapy CounselingRoseville Therapy Counseling • Rocklin Therapy Counseling • Granite Bay Therapy Counseling • Lincoln Therapy CounselingFolsom Therapy Counseling • Citrus Heights Therapy Counseling •  El Dorado Hills Therapy Counseling • Loomis Therapy CounselingGrass Valley Therapy Counseling  • Auburn Therapy Counseling

Saratoga: (408) 384-8404
Roseville: (916) 778-0771
Click to send an email