Cognitive Behavioral Therapy (CBT)

Many children and teens come to therapy feeling stuck in patterns of worry, overwhelm, or self-criticism that they don’t quite know how to change. For families, it can be hard to know how to help when emotions feel intense or everyday challenges start to feel bigger than they should.

Cognitive Behavioral Therapy (CBT) offers a structured, practical way to help young people understand the connection between their thoughts, feelings, and behaviors. We use CBT flexibly and individually — so it fits the child in front of us, not the other way around.

Teen girl looking worried, gazing down with hands near mouth
Yellow flower - Edith Schatz therapy, Maryland

When CBT Can Help

CBT may be helpful for children and teens experiencing:

  • Anxiety, worry, or overthinking

  • Negative self-talk or low confidence

  • Obsessive-compulsive disorder (OCD)

  • Emotional overwhelm or difficulty calming down

  • School-related stress or avoidance

  • Rigid or “stuck” thinking patterns

  • Behavioral challenges connected to anxiety or stress

  • Difficulty managing big emotions in daily life

Our Focus

We often use CBT to help children and teens notice unhelpful thought patterns and build practical, flexible ways to respond to challenges in their everyday lives.

Two people, a man and a little girl, touching their palms together, smiling outdoors.
Yellow flower - Edith Schatz therapy, Towson and Ellicott City

We use CBT as a tool to help children and teens understand how their thoughts, feelings, and behaviors are connected. CBT can be adapted to many ages and developmental stages, and we find that families are successfully able to support its structure at home. Here are some of the things we focus on:

How CBT Works at Our Practice

  • Learning to recognize unhelpful thinking patterns

  • Practicing more balanced, flexible thinking

  • Building coping strategies for anxiety and stress

  • Strengthening emotional regulation skills

  • Developing problem-solving skills for everyday situations

  • Practicing strategies in and outside of sessions

  • When appropriate, therapy may also incorporate specialized CBT approaches such as Exposure Therapy for anxiety or Inference-Based Cognitive Behavioral Therapy (iCBT) for OCD

Additional CBT Approaches

Our therapists tailor CBT to each child's unique needs. For some children, this may include:

Exposure Therapy

Exposure Therapy can be an effective treatment for anxiety. It’s a gradual, supportive approach that helps children and teens face fears step by step, building confidence while reducing anxiety.

Inference-Based Cognitive Behavioral Therapy (iCBT)

iCPT is a specialized approach for treating OCD. It that helps children and teens understand and respond differently to obsessive thoughts and compulsive behaviors.

Large hummingbird and small hummingbird hovering over yellow flower - Edith Schatz therapy art

Considering CBT for Anxiety or Emotional Challenges?

CBT can help children and teens better understand patterns of thought, emotion, and behavior while developing practical coping tools for everyday life. Our therapists tailor CBT strategies to each child’s age, personality, and emotional needs.