Cognitive Behavioral Therapy is one of the most researched and effective forms of therapy available. Here's what it is, how it works, and who it can help.
The Foundation of CBT
Cognitive Behavioral Therapy — commonly known as CBT — is a structured, evidence-based form of psychotherapy that focuses on the relationship between thoughts, feelings, and behaviors.
The central premise is straightforward: how we think shapes how we feel, and how we feel influences how we behave.
By identifying and challenging unhelpful thought patterns, CBT helps people develop more adaptive ways of responding to life's challenges.
How CBT Works in Practice
Unlike some therapeutic approaches that focus primarily on the past, CBT is largely present-focused. Sessions are collaborative, goal-oriented, and often include structured exercises to practice between appointments.
A typical CBT session might involve:
- Identifying a specific situation that triggered distress
- Examining the automatic thoughts that arose in that moment
- Evaluating the evidence for and against those thoughts
- Developing a more balanced, realistic perspective
- Practicing new behavioral responses
Cognitive Distortions: The Patterns That Keep Us Stuck
CBT identifies specific thinking patterns — called cognitive distortions — that contribute to emotional distress. Common examples include:
- **All-or-nothing thinking:** Seeing situations in black and white, with no middle ground
- **Catastrophizing:** Assuming the worst possible outcome will occur
- **Mind reading:** Assuming you know what others are thinking
- **Personalization:** Taking excessive responsibility for events outside your control
- **Overgeneralization:** Drawing broad conclusions from a single event
Recognizing these patterns is the first step toward changing them.
Who Can Benefit from CBT?
CBT has been shown to be effective for a wide range of concerns, including:
- Anxiety and panic disorders
- Depression
- Trauma and PTSD
- Relationship difficulties
- Low self-esteem
- Grief and loss
"CBT doesn't just help you feel better — it teaches you how to think differently, so you can continue growing long after therapy ends."
CBT at The Transformation Lab
Dr. Zerek Mayes integrates CBT principles into a culturally responsive framework — one that honors the full context of your life, including race, identity, community, and lived experience.
Healing is not one-size-fits-all. The tools of CBT become most powerful when they are applied within a therapeutic relationship built on trust, respect, and genuine understanding.

Dr. Zerek Mayes, EdD, LCSW
Founder of The Transformation Lab. Licensed Clinical Social Worker and educator with 15+ years of experience in therapy, identity development, and organizational equity consulting.
Learn more about Dr. Mayes