Specialties · Plano office and Texas telehealth
Practical, proven therapy for anxiety, worry, and stress. Learn to notice unhelpful thought patterns and change them.
In person or online
Plano office, Texas telehealth
Evidence-based
research-backed approaches
At a glance
Cognitive behavioral therapy (CBT) is a practical, well-researched kind of talk therapy. It is built on a simple idea: thoughts, feelings and actions all affect each other. When you learn to spot unhelpful thinking and try new ways of responding, your mood and your days start to change.
General talk therapy
CBT
Open conversation about what’s on your mind
A shared agenda and a clear goal for each session
Often the past and how it shaped you
Mostly the present: what keeps the problem going now
Talk and reflect
Learn skills and try them out between sessions
Felt over time
Tracked against the goals you set
Varies by approach
One of the most studied therapies for anxiety
For OCD, the CBT approach with the strongest research is exposure and response prevention (ERP).
On this page
Overview
Cognitive behavioral therapy (CBT) is a practical, well-researched kind of talk therapy. It’s built on a simple idea: our thoughts, feelings, and actions all affect each other. When you learn to spot unhelpful thinking and try new ways of responding, your mood and your days start to change.
At Layers Counseling Specialists, CBT is part of the work across our team, in Plano and online anywhere in Texas.
CBT may be a good fit if some of these sound like you:
CBT is active and goal-focused. Depending on what you’re working on, we may pair it with exposure and response prevention (ERP) for OCD or trauma-focused CBT (TF-CBT) for children and teens after trauma.
Who it's for
For worry, social anxiety, or panic, CBT gives you concrete skills that work in real life.
Performance pressure, procrastination, and perfectionism respond well to CBT’s practical tools.
If the same harsh thoughts keep holding you back, CBT helps you notice them and respond differently.
Caring for others is easier when you have tools for your own stress, too.
CBT is active and goal-focused. You leave each session with a clearer picture of your patterns and something small to practice.
You learn to notice what sets off anxiety or harsh thoughts, and what you tend to do next.
We check thoughts against the facts and find more balanced ways to see things.
Grounding, problem-solving and calming tools you can use anywhere.
You face what you have been avoiding gradually, at a pace you choose, and confidence grows.
Our therapists use CBT alongside dialectical behavior therapy (DBT) skills and acceptance and commitment therapy (ACT), choosing what fits you. For children and teens after trauma, we use trauma-focused CBT (TF-CBT).
Why Layers
Our therapists use CBT alongside ERP, acceptance and commitment therapy (ACT), and dialectical behavior therapy (DBT) skills, choosing what fits you.
You’ll leave sessions with a clearer picture of your patterns and something small to practice before next time.
Meet at our Plano office or by secure video from anywhere in Texas.
A 15-minute video call with the therapist. Ask about their approach, scheduling and fees. Most people start within about a week.
Fifty minutes on what brings you in, when things feel hardest and what you want to change.
Together you pick a few clear goals and the first skill to practice.
Each week you try something between sessions, and we look at what helped and adjust.
Who you'll work with
Read about each therapist’s experience and approach to care.
Karla recovered from OCD through exposure and response prevention (ERP) herself, and now helps adults stuck in what-if loops. She also offers Accelerated Resolution Therapy (ART) for trauma.
karla-pineda
https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1388690¤tTimeZone=America%2FChicago&preselected=true
Waitlist
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Rachel treats OCD in kids and adults and specializes in ARFID, when eating narrows to a few safe foods. Through SPACE, she coaches parents to help an anxious child, even one not ready for therapy.
rachel-tipsword
https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1532211¤tTimeZone=America%2FChicago&preselected=true
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Jessica, who has ADHD herself, offers neurodiversity-affirming care for ADHD, autism, and trauma, plus AutPlay for kids, in sensory-friendly sessions without forced eye contact.
jessica-morales
https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1667142¤tTimeZone=America%2FChicago&preselected=true
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Isaac offers ERP for OCD and anxiety in English or Spanish, plus trauma-informed care, for children, teens, and adults. His warm, structured style comes from 13 years in public schools.
isaac-rosas-lmsw
https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=2008557¤tTimeZone=America%2FChicago&preselected=true
Waitlist
Book a free consultNo. CBT aims for accurate, balanced thinking. Some thoughts are true and hard, and CBT helps you respond to them in ways that help.
Usually something small, like noticing a thought or trying one new step. Practice between sessions is where much of the change happens.
Yes. We adapt CBT for younger clients with games and concrete examples, and parents learn how to coach the skills. See anxiety therapy for more.
ERP is a specialized form of CBT for OCD and anxiety. It focuses on facing fears without doing the usual rituals or avoidance.
Yes. Sessions happen at our Plano office or by secure video from anywhere in Texas.
We are private pay, so nothing goes through your insurance unless you choose to submit it. We can give you a superbill for possible out-of-network reimbursement, and HSA and FSA cards work.
Next step
A free 15-minute video call with the clinician you want to work with. Ask anything about their approach, scheduling, or fees before you commit.
