If Transcranial Magnetic Stimulation (TMS) hasn’t led to meaningful improvement by session 20, I carefully reassess coil position, motor threshold, and dosing, and, if tolerated, increase settings to a clearly therapeutic level. At this point, I also encourage adding...

Behavioral Activation is a practical form of behavioral therapy that focuses on what you do, not just what you think or feel. The first steps in this approach are often much smaller and more manageable than people expect. Practical First Steps in Behavioral Activation...

As a psychiatrist, I like behavioral activation because it is practical and concrete. It is not about waiting until you magically feel better. Instead, it focuses on gently changing what you do, even when your mood is low, and trusting that your emotions will...

What Other Techniques Do You Do With CBT? CBT often overlaps with other therapeutic approaches, each contributing unique strengths: Dialectical Behavior Therapy (DBT): Focuses on emotional regulation and mindfulness. Exposure Therapy: Helps people gradually face and...

How Long Should a CBT Session Last?  Therapy takes time and consistency. In most cases, meaningful progress begins after six to twelve months of regular sessions, usually every one to two weeks. For more complex cases—such as trauma recovery—therapy may extend over...

The Role of Practice Outside Therapy Therapy doesn’t end when you leave the session. CBT is highly practical, so I often give patients structured “homework.” This might include: Journaling to identify recurring thoughts and emotions. Practicing exposure exercises,...