Two people sitting and talking on a Fort Collins front porch, herbs and geraniums in pots, Front Range foothills soft in the distance.

Evidence-Based Therapy

Cognitive Behavioral Therapy (CBT) in Colorado.

A practical, skills-based therapy for the thoughts and habits that keep substance use going. We use CBT in both individual and group sessions at The Redpoint Center.

A man seated in a dim room, both hands cupping a metal grounding coil.

What cognitive behavioral therapy is.

Cognitive behavioral therapy is an evidence-based approach to the thoughts and emotions that keep people stuck. It rests on a straightforward observation: thoughts, feelings, physical sensations, and actions are all connected, and changing one of them ripples into the others. People fall into patterns of thinking and reacting that amplify anxiety or distress rather than settle it. CBT interrupts the pattern.

It is also among the most studied forms of talk therapy there is. The American Psychological Association describes CBT as effective for a range of problems including depression, anxiety disorders, and alcohol and drug use problems, built on the premise that unhelpful thinking and learned patterns of behavior can be unlearned. The National Institute of Mental Health describes the work as becoming aware of automatic ways of thinking that are inaccurate or harmful, questioning them, and changing self-defeating patterns.

At The Redpoint Center we use CBT in both individual and group sessions, as one of several evidence-based therapies in a plan built around you. Part of that work is grounding: teaching healthy behaviors you can reach for in the moment, so a craving or a spike of anxiety has somewhere to go besides the old response.

  • Structured and goal-oriented, not open-ended
  • Skills you practice between sessions, not just insight
  • Delivered one-on-one and in group
  • Used across our levels of outpatient care

Where we put CBT to work.

Our CBT program is used in treating a range of conditions and experiences, on its own and alongside other therapies.

Social interaction and reaction

Reading situations more accurately and choosing a response rather than defaulting to one.

Phobias

Facing a specific fear gradually, at a pace you set, until it loosens its grip.

Stress-induced concerns

Naming the pressure points and building coping skills before they compound.

Anger

Catching the physical build-up early and stepping in before it drives a decision.

In Session

How a course of CBT works.

CBT is structured, so the work follows a shape. Your therapist sets the pace with you, but the arc looks like this.

  1. 1

    Notice the automatic thought

    You learn to catch the thinking that runs underneath a craving, a low mood, or a flash of anger. These conclusions arrive fast enough, and often enough, that they feel like facts rather than thoughts.

  2. 2

    Challenge it with logic

    Your therapist works with you to test that thought against the evidence instead of accepting it. Fresh viewpoints make it easier to see how much of the present is being written by the past.

  3. 3

    Practice the new skill

    Practiced between sessions

    Grounding techniques and coping strategies get rehearsed in session, then used in real life: with family, at work, in the situations that actually set you off.

  4. 4

    Build the relapse plan

    You map the circumstances most likely to lead back to use and decide, in advance and in detail, what you will do instead.

A clinician's private office at The Redpoint Center, mountain triptych above the desk.

CBT and treating addiction.

Addiction and mental health struggles make your own thoughts and actions hard to steer. CBT, with a qualified therapist alongside you, is one of the most direct ways to get that steering back.

The work starts from your circumstances rather than a generic profile. That means identifying the personal factors that contributed to substance use in the first place, then working to remove the triggers and the self-destructive patterns built on top of them. Much of it comes down to automatic thinking, the assumptions that fire before you have consciously decided anything.

The National Institute on Drug Abuse puts the aim plainly: CBT helps people recognize, avoid, and cope with the situations in which they are most likely to use. That is also why it carries so much weight in relapse prevention. The skills are practical and goal-oriented, and clients practice them with family and friends while still in treatment rather than after it.

The approach holds whatever the substance. We treat alcohol, stimulant, meth, and marijuana use, and we treat co-occurring mental health conditions as part of the same plan rather than a separate one.

When CBT fits, and when something else fits better.

A therapy that works for most people does not work for everyone at every moment. Here is how we think about it.

You want tools, not only insight

CBT is structured and goal-oriented. If you want something you can use this week, that is the point of it.

The same thinking keeps pulling you back

When the same automatic conclusions show up before every relapse or spiral, they are exactly the right target.

You are in crisis right now

Safety comes before any course of therapy. Call or text 988 for the Suicide and Crisis Lifeline, then let us help you find the right level of care.

Questions about CBT.

What is cognitive behavioral therapy?

Cognitive behavioral therapy, or CBT, is a structured, goal-oriented type of psychotherapy that targets the connection between what you think, how you feel, and what you do. Rather than only revisiting the past, it works on the thinking and behavior patterns operating right now, and gives you skills to change them.

What does CBT treat?

CBT is used for addiction, anxiety, depression, social interaction and reaction, phobias, stress-induced concerns, and anger. The American Psychological Association lists it as effective across depression, anxiety disorders, and alcohol and drug use problems, which is why it appears in so many treatment plans.

How long does CBT take?

Many people notice a difference within a few sessions. As a general course, CBT usually runs a limited number of sessions, typically five to 20, over about 12 to 20 weeks, though that is a general figure rather than a fixed Redpoint schedule. Your own length depends on the degree of stress, how long you have been struggling, your personal experience, and the support you have outside treatment. The plan is revisited as things improve.

How does CBT help prevent relapse?

It builds a plan for the situations most likely to lead back to use, before you are in them. The National Institute on Drug Abuse describes CBT as helping people recognize, avoid, and cope with the situations in which they are most likely to use. At Redpoint you practice those techniques with family and friends during the program, so the skills are already in use by the time it ends.

Is CBT done one-on-one or in a group?

Both. We use CBT in individual sessions and in group sessions, and most people get a mix. Therapy takes place one-on-one with a licensed mental health professional or with other patients in a group setting, and each format does something the other cannot. Every client also has regular access to our clinical and medical staff as part of our medical model.

How is CBT different from DBT?

Most people receive a blend rather than one or the other. CBT concentrates on the thoughts and behaviors driving substance use, while DBT builds skills for tolerating and regulating intense emotion. We also draw on ACT, EMDR, and experiential therapies. Which approach leads depends on what is getting in the way, and that is decided with your therapist rather than in advance.
Still have a question? (303) 219-0973

The person in the room matters as much as the method.

CBT works because a trained therapist adapts it to your situation, session by session. Every clinician on our team is a licensed or certified Colorado provider.

Margaret McLoughlin

Margaret McLoughlin

Primary Therapist

Audrey Steele

Audrey Steele

Primary Therapist

Eric Shaw

Eric Shaw

Primary Therapist

Augie Truhn

Augie Truhn

Clinical Program Manager

Chelsea Andrew Devault

Chelsea Andrew Devault

Primary Therapist

Charlie Bakalars, LPC, MA
Gavin Schroeder, MS, LPCC
Kat Huisinga, LCSW
Mackenzie Gilliland, LPCC, ATR-BC, LCADC
Patricia Edelstein, LCSW
Mandy Edwards, LCSW, LAC
Erin Yaden, LPC
Michaela Kornberg, LCSW
+14