1.Vivian Tejera, Clinical Social Work/Therapist, MSW, LCSW, LICSWVerified
(321) 382-5192
Telehealth across Oregon
Anxiety · Codependency · Self Esteem
psychologytoday.com/profile/1053307 · orcounselors.com/provider/vivian-tejera-virtualtelehealth
Therapy approaches
Cognitive Behavioral (CBT) Therapists in Oregon
Find Oregon therapists who practice Cognitive Behavioral (CBT).
Cognitive Behavioral (CBT) also matches related specialties: Behavioral Issues, Cognitive Processing (CPT), CBT, Inference Based CBT (ICBT). Results below include all of them.
RelatedDialectical Behavior (DBT) (125)Mindfulness-Based (MBCT) (113)Behavioral Issues (72)Exposure Response Prevention (ERP) (42)Cognitive Processing (CPT) (31)Rational Emotive Behavior (REBT) (14)CBT (5)Inference Based CBT (ICBT) (5)
Cognitive Behavioral Therapy (CBT) is the most-researched form of psychotherapy in the world — the gold standard for anxiety, depression, OCD, panic disorder, insomnia, and many trauma presentations. As of April 2026, hundreds of therapists listed on Oregon Counselors on this directory practice CBT. Many offer telehealth (CBT translates well to virtual format), many accept Oregon Health Plan, many offer sliding-scale fees. CBT is structured, time-limited, and focused on the present — most clients see meaningful change in 12–20 weekly sessions. The work targets the specific thoughts, behaviors, and physical patterns that maintain distress, rather than excavating childhood. CBT branches include Cognitive Processing Therapy (CPT) for trauma, Exposure-and-Response Prevention (ERP) for OCD, Behavioral Activation for depression, and CBT-I for insomnia.
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Cognitive Behavioral (CBT)Related: Behavioral IssuesRelated: Cognitive Processing (CPT)
RuthAnne Alexander, LPC, is the founder and clinical director of Alexander Counseling Center, a trauma-informed group practice serving clients throughout Oregon. She oversees a team of therapists with diverse…
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$150–$210 /session
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Cognitive Behavioral (CBT)Related: Cognitive Processing (CPT)
Have you been feeling stuck, overwhelmed, unhappy, or alone in your life? Chronic stress, life transitions, loss, or emotional pain often leave us feeling helpless over our situations and limit our perspective…
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Cognitive Behavioral (CBT) — key facts & evidence
Researched data on this topic, every figure links to its source.
CBT is a family of interventions sharing the premise that mental disorders and psychological distress are maintained by cognitive factors, targeting current thoughts and behaviors.
Source: Hofmann et al., Cognitive Therapy and Research (PMC) (2012)A review of 269 meta-analyses found the strongest evidence base for CBT in anxiety disorders, somatoform disorders, bulimia, anger-control problems, and general stress.
Source: Hofmann et al., Cognitive Therapy and Research (PMC) (2012)A meta-analysis of 41 placebo-controlled trials (N=2,835) found moderate effects of CBT on anxiety-disorder symptoms (Hedges' g=0.56) and a response-rate odds ratio of 2.97 versus placebo.
Source: Carpenter et al., Depression and Anxiety (PMC) (2018)In a meta-analysis of 69 randomized trials (4,118 patients), CBT for anxiety disorders showed improved outcomes maintained at 1-6 and 6-12 months after treatment ended.
Source: van Dis et al., JAMA Psychiatry (PMC) (2019)NICE recommends individual CBT as a first-line option for depression in adults, typically about 16 sessions for more severe depression and around 8 sessions for less severe depression.
Source: NICE guideline NG222 (NCBI Bookshelf) (2022)The Oregon Health Plan covers behavioral health services, including treatment for mental health, substance use, and problem gambling, and no referral from a primary care provider is required.
Source: Oregon Health Authority (Oregon.gov)Frequently asked questions
Common questions about this coverage in Oregon.
What does a CBT session actually look like?
A typical CBT session has a clear structure: you set an agenda in the first few minutes, review homework from the previous week, work on one or two specific issues using a thought record or behavioral experiment, and agree on practice for the next week. Sessions are usually 50 minutes, mostly active conversation, and you'll leave with concrete tools (often worksheets) to practice between sessions.
How long does CBT therapy take?
CBT is short-term by design. Standard protocols run 12–20 weekly sessions, and most clients see meaningful change by session 6–8. Anxiety disorders often resolve in 8–12 sessions; depression in 16–20; OCD with ERP often in 12–16. CBT isn't open-ended — your therapist will set goals in the first 1–2 sessions and check progress every 4–6 weeks. If you're not seeing change after 8 sessions, that's a sign to talk with your therapist about adjusting the approach.
What's the difference between CBT and DBT?
CBT focuses on identifying and changing the thoughts and behaviors that maintain a problem (anxiety, depression, OCD, panic). DBT (Dialectical Behavior Therapy) is a CBT offshoot developed for chronic suicidality, BPD, and emotion-dysregulation patterns — it adds specific skills modules for mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, usually delivered in both individual sessions and weekly skills groups. For straightforward anxiety or depression, CBT is the more efficient fit; for emotion-dysregulation patterns, DBT.
Can CBT be done online or via telehealth?
Yes — CBT is the modality with the most research support for telehealth delivery. Outcomes for online CBT are comparable to in-person across anxiety, depression, OCD, and PTSD. The structured nature of CBT (worksheets, homework, clear agendas) actually translates well to video sessions — sometimes better than less-structured therapies.
Is CBT good for both depression and anxiety?
Yes — CBT is the first-line evidence-based treatment for both, and especially when they co-occur (which is common). The same therapist using the same general framework can address both, though specific protocols differ slightly: cognitive restructuring is more central for depression, while behavioral exposure is more central for anxiety. About half of clients on this directory have CBT in combination with at least one other modality (often EMDR, IFS, or mindfulness-based work) for cases that need additional depth.
Will my insurance cover CBT in Oregon?
Yes. Most also accept Kaiser, Moda, Providence, Regence, BlueCross, Cigna, Aetna, and PacificSource.
Is CBT just "thinking positive"?
No — that's a common misconception. CBT doesn't ask you to talk yourself into believing things you don't. It teaches you to notice the automatic interpretations your mind generates under stress, evaluate whether they're accurate or distorted, and respond more deliberately. The goal is realistic thinking, not positive thinking. CBT also has a behavioral arm — exposure work, behavioral activation, sleep restriction for insomnia — that often does more of the heavy lifting than the cognitive piece.
Does CBT work for trauma, or do I need EMDR?
CBT works well for trauma — specifically Cognitive Processing Therapy (CPT) and Trauma-Focused CBT have strong evidence and are first-line VA treatments for PTSD. EMDR has comparable outcomes through different mechanisms. Most Oregon trauma therapists offer at least one of these and will help you choose based on what your nervous system tolerates. Some clients do better with the structured cognitive work of CPT; others find EMDR's bilateral stimulation more accessible. Both are options.
Do I have homework in CBT?
Yes — and it's a key reason CBT works as fast as it does. Between-session work usually includes thought records (catching automatic thoughts and examining them), behavioral experiments (testing predictions you've been avoiding), exposure exercises, mood tracking, or sleep logs. The homework is the active ingredient; people who do it consistently see roughly twice the symptom reduction of people who don't. If homework feels like school, your therapist can help adjust the format.
How many Oregon therapists specialize in Cognitive Behavioral Therapy (CBT)?
there are hundreds of therapists specializing in Cognitive Behavioral Therapy (CBT). This widespread availability allows residents across Oregon to access this evidence-based approach to therapy.
Do Oregon CBT therapists accept OHP / Oregon Health Plan?
Yes, many therapists specializing in CBT in Oregon accept the Oregon Health Plan (OHP). This can provide eligible clients with access to CBT sessions at reduced or no cost, depending on their specific OHP coverage.
Is telehealth available for CBT in Oregon?
Yes, many CBT therapists offer telehealth services, allowing clients to engage in therapy sessions remotely, which can be particularly beneficial for those in rural areas or with mobility constraints.
Do Oregon CBT therapists offer sliding scale fees?
Yes, many CBT therapists offer sliding scale fees, which can make therapy more accessible for clients with financial limitations or those without insurance. This flexibility can help ensure that cost does not become a barrier to receiving therapy.
Oregon Counselors Directory features hundreds of therapists listed on Oregon Counselors specializing in Cognitive Behavioral Therapy (CBT) across Oregon. This approach is recognized for its structured, time-limited, and goal-oriented nature. With many providers offering telehealth, individuals in both rural and urban areas of Oregon can access CBT services from home. Many therapists accept the Oregon Health Plan (OHP), which may cover sessions at little or no cost to eligible clients. Many therapists offer sliding scale fees, accommodating clients with financial constraints or without insurance.