TEAM-CBT is an active and involved therapy approach. With over 100 methods available we will work on techniques in and outside of therapy to identify which ones are effective for you. These tools will become lifelong skills you can lean on.
No credit card · 15 minutes · Talk directly with Rose
Traditional therapy is usually structured at an hourly session per week however there is no research to support that this is the best approach. TEAM-CBT is an active and involved therapy approach. We will focus on one specific problem at time. Together we will develop your specific treatment plan and I will introduce tools to help you achieve your goals. You will be practicing techniques outside of therapy to identify the ones that work best for you. These tools will become lifelong skills you can lean on. The goal is to get you out of therapy with lifelong tools.
TEAM CBT can be tailored to an intensive approach for individuals that are highly motivated and wish to achieve rapid symptom reduction. Oftentimes structuring extended sessions within fewer weeks can save time and money.
TEAM-CBT is a brief, active form of Cognitive Behavioral Therapy that is linked to your specific goals. TEAM-CBT is an evidenced based practice that is constantly evolving to integrate cutting edge research and best practices. It is highly effective in working with depression, anxiety, relationship issues, habits and addictions. TEAM-CBT was developed by Dr. David Burns, Adjunct professor at Stanford.
You will be filling out a pre/post session survey at every session. Collecting measurements informs our practice, it allows us to monitor and track progress and provide measures for goals. You will also be providing regular feedback of the therapy to ultimately enhance the experience for you.
This is also crucial every step of the way. It is important to establish a strong and trusting relationship with you before any change can happen. I will be spending time listening to you, trying to understand you and your perspective of what is happening in your life.
This is the step that distinguishes TEAM-CBT from traditional CBT — exploring why part of you might resist change before pushing for it. It's important to understand what you want to work on and how it is impacting your life both negatively and positively. Change can bring up ambivalence in us. I will be assessing motivation levels and collaborate with you to understand and remove any barriers to change.
With over 100 methods available we will work together to identify the appropriate methods that work best for you. Different problems will work well with specific methods. My goal is to help you develop a toolkit so you can be self sufficient in maintaining your progress and relapse prevention
A common question prospective clients raise: does therapy delivered by video really work as well as therapy in a shared office? The honest answer, supported by a substantial body of clinical research over the last decade, is yes — for most concerns, including anxiety, depression, and the perfectionism that runs underneath them, outcomes are equivalent.
Multiple meta-analyses comparing telehealth-delivered CBT to in-person CBT have found no clinically meaningful differences in symptom reduction or therapeutic alliance. The findings hold across diagnoses (depression, anxiety disorders, PTSD), age groups, and modalities. The format that matters is what happens in the conversation, not whether you and your therapist are in the same room.
There's a particular reason TEAM-CBT translates cleanly to telehealth. The methodology is structured around things that travel well over video: pre- and post-session mood ratings (filled out on a phone or laptop), specific cognitive techniques worked through together on a shared screen, and homework assignments you do between sessions. None of those require physical proximity.
What telehealth removes is mostly logistics: the commute, the waiting room, the rearranging of your day around a 50-minute appointment. For many clients — busy parents, remote workers, people in rural areas without a CBT-trained specialist nearby, anyone who's tried to fit a weekly office visit into a high-demand schedule — that removal is what makes weekly therapy actually sustainable.
TEAM-CBT stands for Testing, Empathy, (Paradoxical) Agenda Setting, and Methods. It is an evidence-based form of Cognitive Behavioral Therapy developed by Dr. David Burns, Adjunct Clinical Professor Emeritus at Stanford. It builds on traditional CBT by measuring symptoms at every session, assessing motivation before pushing for change, and drawing from over 100 specific techniques.
Dr. David Burns describes the relationship as a small circle inside a big circle: CBT is the small circle, TEAM-CBT is the big one. Traditional CBT focuses primarily on cognitive and behavioral techniques. TEAM-CBT adds session-by-session measurement of how you are feeling, an empathy-first foundation, and Paradoxical Agenda Setting — exploring why part of you might resist change before pushing for it. The result is therapy that often produces faster, more measurable change than conventional talk therapy.
TEAM-CBT is designed to be brief and goal-directed. Many clients see meaningful symptom reduction in fewer sessions than open-ended talk therapy because progress is measured every session and the work is structured around specific goals. Some highly motivated clients work intensively in extended sessions over fewer weeks.
The Feeling Good Institute maintains a directory of certified TEAM-CBT therapists at feelinggoodinstitute.com. Rose Markotic is a Level 3 of 5 TEAM-CBT certified therapist and provides telehealth sessions across California, Connecticut, Maine, Rhode Island, and Vermont.
Yes. Dr. David Burns developed TEAM-CBT at Stanford. He is the author of the bestselling Feeling Good (1980) and Feeling Great (2020), and continues to train therapists worldwide through the Feeling Good Institute and his weekly podcast.
Telehealth therapy for residents of:
A 15-minute video call with Rose. We'll talk about what's bringing you in and see if I'm the right fit. No pressure to book sessions afterward.
No credit card · 15 minutes · Talk directly with Rose
