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Cognitive Behavioral Therapy (CBT)

Online Therapy Across Multiple States

Transform Your Thoughts, Transform Your Life with Evidence-Based Online CBT

If you're a high-functioning adult who appears successful on the outside but struggles with anxiety, depression, or burnout internally, you're not alone. Many accomplished individuals find themselves caught in cycles of negative thinking that hold them back from experiencing genuine fulfillment and peace. Through Cognitive Behavioral Therapy (CBT), I provide online therapy sessions to clients throughout Arizona, Connecticut, and across my entire PSYPACT practice area—including New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida and Illinois. Together, we'll recognize and reshape thought patterns, creating lasting positive change in both mindset and daily life.

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Understanding Cognitive Behavioral Therapy: A Practical Approach to Mental Wellness

Cognitive Behavioral Therapy represents one of the most extensively researched and effective therapeutic approaches available today. At its core, CBT explores the powerful connection between our thoughts, emotions, and behaviors. Rather than dwelling extensively on past experiences, this approach focuses on identifying current thought patterns that may be contributing to emotional distress and developing practical strategies to create meaningful change.


In my online practice, I integrate CBT with a trauma-informed and neurodivergent-affirming lens, recognizing that each person's brain and nervous system operates uniquely. This means I adapt traditional CBT techniques to match your specific processing style, ensuring that the strategies we develop together actually work for your particular way of thinking and experiencing the world. The flexibility of online therapy allows me to serve diverse clients across multiple states, from busy professionals in Washington DC and Northern Virginia to entrepreneurs in Colorado and executives in Connecticut.


The beauty of CBT lies in its collaborative nature. Together, we work as a team to identify thought patterns that may be keeping you stuck, examine the evidence for and against these thoughts, and develop more balanced, helpful ways of thinking. This isn't about positive thinking or ignoring real challenges – it's about developing a more accurate, nuanced understanding of your experiences that empowers you to respond effectively to life's demands.

How CBT Addresses Anxiety, Depression, and Burnout in Online Therapy

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Breaking the Anxiety Cycle


When working with anxiety through a CBT framework in our online sessions, I help clients identify the catastrophic thoughts and "what-if" scenarios that fuel their worry. We explore how anxiety often overestimates danger while underestimating your ability to cope. Through structured exercises and real-world practice, you'll learn to challenge anxious predictions, test them against reality, and develop more balanced perspectives that reduce the intensity and frequency of anxiety symptoms.


I particularly focus on helping high-achieving individuals recognize how perfectionism and fear of failure contribute to their anxiety. Whether you're a tech professional in Illinois, a healthcare provider in Maryland, or a financial executive in New Jersey, we'll work together to identify the specific triggers and thought patterns unique to your experience, developing personalized strategies that fit seamlessly into your busy life.

Lifting the Weight of Depression


Depression often involves persistent negative thoughts about yourself, your world, and your future – what CBT researchers call the "cognitive triad." In our online work together, I help clients recognize how depression distorts their thinking, making everything seem hopeless or pointless when that's rarely the complete picture.


Through CBT techniques tailored to your specific situation, we'll gently challenge these depressive thoughts, examining evidence that contradicts them and developing more balanced perspectives. We'll also focus on behavioral activation – strategically increasing activities that bring meaning, pleasure, or accomplishment to your life, even when motivation feels absent. The convenience of online therapy means you can access support from the comfort of your own space, whether you're in downtown Phoenix, coastal Rhode Island, or anywhere else within my practice states.

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Recovering from Burnout


For professionals experiencing burnout—a common challenge I see among clients from high-pressure environments in DC, Virginia's tech corridor, and Arizona's growing business centers—CBT offers powerful tools for examining the thought patterns that drive overwork and prevent adequate self-care. I help clients identify beliefs about productivity, worth, and success that may be contributing to unsustainable patterns. Together, we'll develop more flexible thinking about work-life balance and create behavioral changes that support sustained well-being rather than cycles of exhaustion.

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My Integrated Approach: CBT Enhanced with Complementary Modalities

When our nervous system is activated, it can be nearly impossible to think clearly. Anxiety, fear, or overwhelm can hijack our ability to use logic or challenge unhelpful thoughts. That's why it's so important to pair CBT with somatic and polyvagal approaches — grounding the body first, so the mind is in a place where new ways of thinking can actually take hold. This integrated approach translates beautifully to online therapy, where I can guide you through both cognitive and somatic techniques from wherever you feel most comfortable.


While CBT forms a strong foundation for our work, I enhance this approach by integrating complementary evidence-based modalities based on your unique needs and goals. This might include:


Drawing from Mindfulness-Based Cognitive Therapy (MBCT), I help clients develop present-moment awareness that allows them to observe thoughts without automatically believing or acting on them. This mindful approach to CBT proves particularly effective for preventing relapse in depression and managing chronic anxiety.


When appropriate, I incorporate elements of Dialectical Behavior Therapy (DBT) to enhance emotional regulation skills alongside cognitive restructuring. This combination proves especially helpful for clients who experience intense emotions or struggle with interpersonal relationships.


For clients dealing with trauma, I integrate Cognitive Processing Therapy (CPT) techniques, adapting CBT specifically to address trauma-related thoughts and beliefs. This trauma-informed approach ensures we're addressing not just surface-level thoughts but also deeper patterns rooted in past experiences.


I also weave in somatic awareness and polyvagal theory, helping you understand how thoughts affect your nervous system and vice versa. This body-mind integration makes CBT more effective, especially for neurodivergent individuals who may process information differently.

What Makes My Online CBT Approach Different

My clients often tell me that what sets my approach apart is my ability to truly "see" them – even through a screen. I notice subtle changes in emotion or energy and adapt our online session accordingly. I maintain awareness of both the immediate therapeutic process and your larger goals, ensuring we're always moving forward while meeting you exactly where you are in each moment.


I excel at translating complex psychological research into practical, understandable concepts that you can immediately apply to your life. Rather than overwhelming you with jargon or rigid protocols, I present CBT techniques in ways that make sense for your unique learning style and life circumstances. The online format allows me to share resources, worksheets, and tools digitally, making it easier for you to integrate our work into your daily routine.


This personalized approach means that if you need specific tools for an upcoming presentation that's triggering anxiety, we can focus there. If you're noticing deeper patterns that need attention, we can shift to address those. I keep your overall treatment goals in mind while remaining flexible enough to address what's most pressing for you in each session.

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The CBT Process in My Online Practice

Initial Connection and Assessment


Our journey begins with a free 15-minute online consultation where you can ask questions about my approach and I can learn about your needs. This initial conversation helps ensure we're a good therapeutic fit before you invest time and energy in the full evaluation process. Whether you're connecting from Connecticut, Colorado, or any of my other practice states, this consultation helps us determine if working together makes sense. If we decide to move forward, you'll receive intake paperwork and screening measures through my secure client portal, allowing me to tailor our first session to your specific concerns.


During our 90-minute online intake session (offered at my standard 50-minute rate), we'll explore your current challenges, relevant history, and treatment goals. I take care to understand not just your symptoms but also your strengths, values, and what success looks like for you. Following this comprehensive assessment, we'll have a feedback session where I'll share my clinical impressions and collaboratively develop a detailed treatment plan.

Ongoing Online CBT Treatment


Once we begin regular online sessions, you'll find that CBT in my practice is both structured and flexible. Each session typically includes:

  • Check-in and agenda setting: We'll briefly review your week and collaboratively decide on session priorities

  • Skill development and practice: Learning and practicing specific CBT techniques relevant to your goals

  • Application planning: Discussing how to implement new strategies in your daily life

  • Progress monitoring: Regularly assessing what's working and adjusting our approach as needed


Between sessions, I may suggest exercises or activities to reinforce our work, though I always meet you where you are. If life gets overwhelming or homework feels impossible, I understand and support you without judgment. You're the driver of your treatment, and my role is to provide guidance, tools, and encouragement while respecting your pace and capacity.

Real-World CBT Applications for High-Functioning Adults

​In my practice, I've found that high-achieving individuals often benefit from CBT techniques specifically adapted to their unique challenges. For instance, we might work on:

Reframing perfectionist thoughts that create impossible standards and chronic dissatisfaction. Together, we'll explore the difference between healthy striving and destructive perfectionism, developing more flexible standards that allow for both excellence and self-compassion

Challenging impostor syndrome by examining evidence of your competence and achievements, while developing a more balanced view of both strengths and areas for growth. This work helps you internalize your successes rather than dismissing them as luck or fooling others—particularly relevant for professionals in competitive environments like DC's policy sector or New Jersey's pharmaceutical industry.

Addressing productivity anxiety by questioning beliefs about worth being tied to output, exploring what "enough" looks like, and developing cognitive flexibility around rest and recovery as essential components of sustainable success.

Managing social and professional anxiety through cognitive restructuring combined with behavioral experiments that gradually expand your comfort zone while building confidence in your ability to handle challenging situations.

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Schedule Your Free Online Consultation Today

If you're ready to explore how Cognitive Behavioral Therapy can help you break free from limiting thought patterns and create lasting positive change, I invite you to reach out for your free 15-minute consultation. As a PSYPACT-credentialed therapist, I offer convenient online sessions to clients in Arizona, Connecticut, New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida and Illinois. This means you can access high-quality, specialized CBT therapy from the comfort and privacy of your own space, regardless of which state you call home.
 

During our consultation, we'll discuss your specific needs, answer any questions about the CBT process, and determine if we're a good therapeutic match. I believe in the importance of finding the right fit, and this no-pressure conversation helps ensure you feel confident moving forward.


Contact me today to learn more about scheduling and take the first step toward transforming your relationship with your thoughts, emotions, and behaviors. Together, we can work toward the clarity, balance, and fulfillment you deserve—all through the convenience and accessibility of online therapy.

phone: 203-212-8824

Dr. Katie Carhart is a licensed clinical psychologist providing online therapy for adults and couples under PSYPACT. She offers secure, HIPAA-compliant telehealth sessions for anxiety, depression, trauma, ADHD, neurodivergence, relationship stress, couple conflict, co-parenting, and burnout.

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Through PSYPACT authorization, I am licensed to provide telehealth evaluations in multiple states. Some of the key areas I serve include:

  • Arizona (Tucson, Phoenix, Scottsdale)

  • Connecticut (Greenwich, Stamford, Hartford)

  • Washington, D.C.

  • Virginia (Arlington, Alexandria, Fairfax)

  • Maryland (Bethesda, Baltimore)

  • New Jersey (Princeton, Newark)

  • Rhode Island (Providence)

  • Colorado (Denver, Boulder)

  • Illinois (Chicago, Naperville)

  • Instagram
  • TikTok
  • Spotify
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