Cognitive Behavioral Therapy (CBT):

These interventions are commonly used by cognitive behavioral therapists, and by Dr. Osgood-Hynes at the OCD and Anxiety Treatment Center-Asheville, PLLC. This is not a complete list of all therapeutic functions that a cognitive behavioral therapist performs. Keep in mind that all individuals are unique, and treatment plans will vary from individual to individual, and according to differential responses to treatment. The information provided here is for education purposes and should not substitute for meeting with a mental health professional to develop your own individualized treatment plan.

  • Exposure and Response Prevention (E&RP)
  • Cognitive Therapy (CT)
  • Flooding (in-vivo and imaginal)
  • Habit Reversal Training
  • Systematic Desensitization
  • Interoceptive (body-focused) Desensitization
  • Relaxation and Stress Management Training
  • Mindfulness Training
  • Dialectical Behavior Therapy (DBT)
  • Acceptance and Commitment Therapy (ACT)
  • Assertiveness Training
  • Social Skills Training
  • Problem-Solving Skills Training
  • Communication & Relationship Skills Building
  • Pleasant Activity Assessment and Practice
  • Healthy Lifestyle Assessment and Practice

What is Cognitive Behavioral Therapy?

CBT puts the focus on current symptoms and difficulties experienced, with the goal of developing solutions. Therapy emphasizes educating and training an individual (or family) in methods, strategies, and tools, which are used to reduce symptoms, reduce distress, and enhance quality of life. CBT uses what research has shown to be most effective for treating specific concerns (empirically validated results). When people enter therapy, they know a change is needed. However, they may not know what needs to change or how to make changes. It is the therapist’s job to figure this out and to train a client how to help themselves. These strategies help people achieve specific goals, the aim being for a person to have more control over their life. It is common for CBT therapists to assign tasks to be done between sessions so as to continue the education and therapy process.

CBT is made up of cognitive therapy and behavior therapy, but this can include many different interventions. Following is just a brief description of the basis of CBT. Cognitive therapy believes that how a person feels is based in how a person thinks. Thoughts, ideas, and beliefs can be about: oneself, others, and/or a situation (a situation in the present, future and/or the past). In life, some thoughts are productive, while others are unproductive. We may be aware of these thoughts, but many times these thoughts are automatic and may not be easily recognized. Unproductive or dysfunctional thoughts contribute to unwanted negative emotions or moods. Our mood can influence our behavioral choices in a variety of situations. The goal of cognitive therapy is to increase awareness of unproductive thoughts, and determine strategies to modify these thoughts. When these thinking patterns change, there are changes in mood and behavior.

Behavior therapy is based in learning theory. Behavior therapy looks at patterns of learning (past or present) which can influence behavioral choices currently. Historical events, as well as present experiences (both situations and relationships) have the power to influence us. Some of these learned patterns are productive and useful. Other patterns are unproductive and interfere in life. These behaviors can influence our mood, future behavior, and quality of life. CBT goals focus on changing a way of thinking, a way of feeling, and a way of behaving. CBT focuses on changing life situations, and exploring methods to obtain a healthier lifestyle. CBT also helps people develop tools to cope with situations that cannot be changed.


A brief comment regarding medication. It should be noted that many individuals find that CBT, combined with medication, can provide the best combination for relief from symptoms. Using medication along with CBT is a beneficial approach for many areas of concern. Taking medication for mental health concerns is a personal choice. Please note that Dr. Osgood-Hynes does not prescribe medications. Also, medications are not needed before starting cognitive behavioral treatment. Dr. Osgood-Hynes is available to discuss information about the choice of medication, however for a more detailed consult, please speak to a primary care physician, psychiatrist or clinical nurse specialist. Medication consideration is part of an overall biopsychosocial approach to assessment of an individual. It is important to assess all biological factors, psychological factors, and social factors influencing an individual, to develop an effective treatment plan.