Cognitive Behavior Therapy
Serving San Jose, Sacramento & all of California
Cognitive Behavior Therapy
CBT for Practical Skills that Help You Now
Cognitive Behavior Therapy for Anxiety and OCD
Cognitive behavior therapy is a practical, goal-oriented therapy. Ask yourself these questions to see if it might be for you.
- Do you feel stuck in cycles of worry, doubt, or negative thinking that you can’t seem to break?
- Do your thoughts sometimes spiral into the worst-case scenario, even when nothing is wrong?
- Do you find yourself avoiding situations out of fear they’ll be overwhelming?
- Do you wish you had clear, practical tools to handle anxiety or OCD instead of feeling trapped by them?
If these questions sound familiar, CBT may be the right approach for you. It’s one of the most effective therapies available, backed by decades of research showing real and lasting results. Finding a certified CBT therapist who specializes in anxiety and OCD can be hard. Laura Johnson, LMFT, LPCC, can provide you with cognitive behavior therapy for anxiety and OCD if you live anywhere in California including San Jose, San Francisco, Sacramento, Los Angeles, and San Diego.
What is Cognitive Behavior Therapy?
Cognitive Behavior Therapy is one of the most widely studied and proven approaches in mental health. It’s based on the simple but powerful idea that your thoughts, feelings, and behaviors are all connected: the way you interpret situations affects how you feel, and how you feel shapes what you do.
In CBT, you’ll learn to:
- Recognize patterns that fuel anxiety, depression, or OCD.
- Understand how behaviors like avoiding, checking, or over-preparing keep the problem alive.
- Develop practical strategies to shift both your thinking and your actions so you can break free from the cycle.
Unlike traditional talk therapy, CBT is structured, active, and goal-oriented. Each session is focused on building tools you can immediately apply to your daily life—so you’re not just gaining insight, you’re creating real change.
How Does CBT work?
CBT works by interrupting the cycles that keep you stuck. Here’s how the process typically unfolds:
- Identify the cycle. Together we map out how your thoughts, emotions, and behaviors influence each other. For example: “My heart races → I think I’m having a heart attack → I panic → I avoid exercising.” Once you see the cycle, you can begin to change it.
- Spot distortions. You’ll learn to notice “thinking traps” like catastrophizing or mind reading that make situations feel more dangerous or hopeless than they really are.
- Test your thoughts. Instead of accepting anxious or self-critical thoughts as facts, you’ll examine the evidence and build more balanced perspectives.
- Change behaviors. We’ll reduce unhelpful habits like avoidance, checking, or reassurance-seeking. Often this includes exposure therapy—facing fears in gradual steps until they lose their power.
- Build long-term skills. You’ll learn strategies like problem-solving, relaxation, mindfulness, and thought records that keep progress going long after therapy ends.
CBT is collaborative—you and your therapist work as a team. You bring in your real-life challenges, and we experiment with strategies until you find what truly works. Clients often say CBT feels empowering because it gives them concrete tools and a sense of control they haven’t felt in years.
What are the 10 most common thinking traps?
Thinking traps (cognitive distortions) are automatic, unhelpful ways of thinking that fuel anxiety and depression. CBT gives you practical tools to catch these traps in real time and replace them with more balanced, helpful ways of thinking.
Some common thinking traps are:
Why Work with Me for CBT
I’m one of the few therapists in California who is a Certified Cognitive Behavior Therapist—meaning I’ve completed advanced training and credentialing to deliver CBT at the highest professional standard. Many therapists use CBT-inspired techniques, but few have earned full certification through rigorous evaluation and supervision.
I’m also an Advanced Certified Schema Therapist, which allows me to go deeper when long-standing patterns keep problems from fully resolving. This rare combination means you’ll get practical, evidence-based CBT tools for immediate progress—and Schema Therapy when deeper transformation is needed.
Frequently Asked Questions about CBT
How long does CBT take?
Most people notice improvement in 12–20 sessions (3–6 months). More complex issues may take longer, but the skills last a lifetime.
What’s the difference between CBT and Schema Therapy?
CBT is short-term and skill-based, targeting unhelpful thoughts and behaviors. Schema Therapy goes deeper, addressing lifelong patterns, unmet needs, and relationship dynamics.
Is CBT more effective than talk therapy?
Yes—research shows CBT is more effective than unstructured talk therapy. Studies find 60–80% of people improve with CBT, especially for anxiety, OCD, and depression.
Is CBT just “positive thinking”?
No—CBT is about realistic thinking, not sugarcoating. You’ll learn to see situations as they truly are.
What problems does CBT treat?
CBT is effective for anxiety, depression, OCD, phobias, panic disorder, health anxiety, and more.
Do I have to do homework?
Yes—practicing skills between sessions makes CBT more effective. Think of it as training your brain like a muscle.
Can CBT be done over video?
Yes—CBT works seamlessly over video, giving you access to specialized care without commuting.
How many research studies have been done on CBT?
CBT is one of the most researched therapies in the world, with over 2,000 clinical trials supporting its effectiveness across conditions like anxiety, depression, and OCD.
Take the First Step to Getting Help with CBT
You don’t have to stay stuck in cycles of worry or self-doubt. CBT gives you practical, proven tools to feel calmer, more confident, and in control of your life. I offer secure video therapy for clients across California—including San Jose, Sacramento, San Francisco, Los Angeles, Orange County, and San Diego—so you can access expert CBT care wherever you are. Reach out today to take your first step toward lasting change.

