1. Free 15-minute call
A no-pressure conversation. You share what's going on, I share how I work, and we figure out together if this feels like the right fit.
Therapy in Vermont — telehealth meets the wellness state
Vermont leads the country on telehealth adoption, and its mental-health culture is famously self-aware: many clients arrive having already done meditation, therapy elsewhere, or community-based work. What’s sometimes missing is the structured, measurement-based piece. That’s what TEAM-CBT brings.
Rose Markotic, LMFT — licensed in California, Connecticut, Maine, Rhode Island, and Vermont.
Why Vermont and TEAM-CBT fit well together
Vermont consistently ranks among the top U.S. states for telehealth adoption and policy support — a real advantage in a state where the population is small, the geography is large, and rural pockets matter. State regulators have made cross-county and cross-context telehealth practical, which is one reason this practice expanded into Vermont in the first place.
Vermonters who reach out tend to be reflective, often well-read on their own mental-health experience, and frequently looking for something more structured than open-ended talk therapy. TEAM-CBT meets that interest directly: every session has measurable mood data, specific cognitive methods to try, and homework you can use in the days between sessions.
I see Vermont clients across the state — Burlington, Montpelier, Stowe, Brattleboro, Rutland, and the rural areas in between. Sessions work over modest internet connections; we can fall back to phone if video stutters in low-bandwidth areas.
Serving clients across Vermont: Burlington · Montpelier · Stowe · Brattleboro · Rutland · South Burlington
How sessions work
All sessions take place over a HIPAA-compliant video platform. You need to be physically located in Vermont at the time of session.
2. Initial session
Our first full 50-minute session. I'll learn about your goals, what you're struggling with, and what's already worked. We start identifying patterns.
3. Goal setting & treatment plan
Together we set the direction — what we'll work on, what tools we'll start with, and how we'll know when something is working.
What Vermont clients tend to bring in
Vermont clients overlap with the broader practice in topic but often differ in starting point — many come having already done some inner work and are ready for something practical and structured.
Anxiety and depression — the structured-tools version
For clients who have done mindfulness, yoga, or other reflective practice and want the cognitive-behavioral piece as well. We measure mood every session and use specific TEAM-CBT methods between sessions.
Perfectionism (the signature specialty)
Often shows up in Vermont’s high-achieving rural professionals — teachers, healthcare workers, nonprofit leaders, small-business owners. We test the standards directly and rebuild a workable relationship to your own work.
Life transitions and identity
Career pivots, mid-life questions, raising teenagers, becoming an empty-nester, transitioning out of long-term work. The disorientation is real and structured therapy helps move it.
Integrating therapy with mindfulness practice
Many Vermont clients already have a meditation or yoga practice. TEAM-CBT pairs well with that — we’re not replacing your practice, we’re adding the cognitive-behavioral toolkit on top of it.
UVM students and grad students
A growing portion of the Vermont caseload. Anxiety, perfectionism, and identity questions in academic contexts. Sessions accommodate semester schedules.
Adult ADHD
Common in Vermont’s self-employed and creative population. Less shame loop, more systems that fit how your brain works.
Rose Markotic
MA, LMFT
Licensed in: California, Connecticut, Maine, Rhode Island, and Vermont
Telehealth across all five states
My counseling style is warm, empathetic, and collaborative. I provide a safe space to explore issues and generate solutions. I introduce powerful methods to help you shift unhelpful thinking patterns to change how you feel. I also assist individuals feeling stuck in relationship patterns to understand their role and take active steps to improve the relationship. I practice from a TEAM-CBT (Cognitive Behavioral Therapy) approach and I am part of the Stanford T.E.A.M CBT group lead by Dr. David Burns. I am currently accepting new clients across California, Connecticut, Maine, Rhode Island, and Vermont.
Frequently asked questions about therapy in Vermont
Do you work with UVM students?
Yes — UVM undergrads and grad students reach out, particularly during high-pressure semesters. As an adult (18+), what we discuss is confidential and not shared with the university or with parents. Sessions accommodate academic schedules; we can adjust around exams and breaks.
How does TEAM-CBT integrate with my mindfulness or yoga practice?
They complement each other rather than compete. Mindfulness builds your capacity to notice thoughts; TEAM-CBT gives you specific methods to test and shift the ones that aren’t serving you. Many Vermont clients are surprised at how naturally the two pair — your existing practice often makes the cognitive work go faster.
What if I’m in a rural part of Vermont with limited cell service?
Tele-video usually works on modest bandwidth — even spotty rural connections handle it. If video genuinely won’t hold, we can run sessions on phone audio. Privacy is the more common constraint than bandwidth — you’ll want a space where you can speak openly.
Can we meet seasonally if I split time between Vermont and elsewhere?
It depends where the "elsewhere" is. If you split time between Vermont and one of the other states where Rose is licensed (CA, CT, ME, RI), yes — we keep meeting through the move. If you’re in a state where Rose isn’t licensed, we’d need to pause for that period. Many Vermonters with second homes work around this.
How is this different from a wellness coach or naturopath?
Therapy is licensed, regulated mental-health care — diagnostic, evidence-based, and covered (out-of-network) by most PPO plans. A wellness coach is unregulated and not a substitute for psychotherapy. The two can absolutely coexist; many Vermont clients work with both. The distinction matters most when something more clinical is going on (depression, panic, trauma) — those need licensed care.
Do you take BlueCross BlueShield of Vermont?
Better Thoughts is out-of-network. BCBSVT PPO plans typically reimburse 60–80% of out-of-network therapy fees. We provide a monthly superbill you submit to your insurer; our insurance specialist can help check your specific benefits before the first session. Green Mountain Care and Medicaid plans don’t reimburse out-of-network — for those plans, an in-network provider is the more accessible route.
Get started with Better Thoughts today
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