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Cognitive Behavioral Therapy (CBT)

CBT is a therapeutic approach that emphasizes the potential of the present moment. It focuses on the interplay of our thoughts, our emotional responses, and our behaviors as we experience each moment.

CBT is a time limited therapy usually consisting of 15 sessions. These sessions build on each other as a mutual understanding of a problem is constructed with your therapist.  As therapy progresses this understanding is the foundation for individualized interventions designed to challenge automatic thoughts and apply new behavioral strategies to increase personal volition.

CBT is an evidence based practice, relying on empirical evidence to effectively address anxiety, depression, trauma, personality disorders, psychosis, and a myriad of human experience. CBT is flexible and tolerant of various cultural and spiritual beliefs, it can be applied in conjunction with medications, natural remedies, spiritual guidance, and other supportive strategies.


Will I need to talk about my past?

The short answer is yes if you want to address it.  The long answer is probably a little in order to understand the development of your thinking and behavioral responses.  The focus of therapy will be on the present moment, what is happening now. 

Will I need therapy forever?

Probably not.  The power of CBT is its session structure and short term commitment.  With most situations 15 sessions of CBT is helpful to bring desired outcomes to fruition.  Symptoms of Psychosis and a few other experiences may require more sessions. 

What can I expect in therapy?

Therapy begins with relationship. This means engaging in conversation with your therapist to explore your experience, and not just the “problem areas” but as much of your experience as we need to cover to build a mutual understanding. Once this is accomplished your therapist will help you examine angles of approach to thinking and behaving. You can expect to have homework and to review this with your therapist as interventions are designed and implemented.  Throughout your short time in therapy your experience will be measured using a variety of techniques so that at the end of your therapy the change you see will be measurable as well as experienced.

More About Patrick

Patrick is an Associate Licensed Independent Clinical Social Worker (LSWAIC) with extensive experience providing supportive counseling, case management, crisis intervention and counseling, abnormal aging support, and CBT. Patrick has a variety of administrative experience including grant writing, program design, implementation and management, and clinical supervision. Patrick has a BA in Human Services from Western Washington University and a Master's of Social Work from Eastern Washington University. Patrick is currently receiving licensure supervision by Jefferey Roskelley, LICSW.  Please visit for information regarding Jeffery and North Cascade Recovery. Additionally, Patrick enjoys being a husband, a father, a doggy dad, and finding spare time for various hobbies. For more information please contact 

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