Cognitive Behavioral Therapy (CBT) is a structured, evidence-based approach that helps individuals understand the connection between thoughts, emotions, and behaviors. At Daybreak Counseling in Des Moines, CBT is used to support children, adolescents, and adults who are feeling stuck in patterns of anxiety, depression, stress, or unhelpful thinking that interfere with daily life.
Our clinicians tailor CBT to each client’s needs, blending practical skill-building with compassionate, trauma-informed care.
Cognitive Behavioral Therapy focuses on identifying and challenging patterns of thinking that contribute to emotional distress or behavioral difficulties. Rather than focusing only on the past, CBT emphasizes present-day experiences and gives clients tools they can use immediately in everyday situations.
In CBT, you learn how thoughts influence feelings, how feelings influence actions, and how small changes can create meaningful progress over time.
CBT is not about “positive thinking.” It’s about developing realistic, flexible thinking that supports emotional balance and healthier decision-making.
CBT can be effective for children, teens, and adults, and may be adapted to fit different developmental stages and learning styles.
For younger clients, CBT is often adapted using age-appropriate language, activities, and visuals. Therapists may incorporate games, worksheets, or creative tools to help children understand their thoughts and emotions in a way that feels accessible and engaging.
CBT for children and teens can help with:
Anxiety and school stress
Emotional outbursts or avoidance
Negative self-talk
Social challenges
Coping with change or uncertainty
When appropriate, caregivers may be involved to support skill-building outside of sessions.
For adults, CBT provides a practical framework for understanding long-standing patterns and making changes that feel manageable and sustainable. Many clients appreciate CBT’s structured approach, especially when they want clear tools and strategies rather than open-ended exploration alone.
CBT for adults may focus on:
Managing intrusive or overwhelming thoughts
Reducing avoidance or procrastination
Improving emotional regulation
Building healthier routines and boundaries
Strengthening coping during stressful periods
At Daybreak, CBT is always delivered through a client-centered, trauma-informed lens.
Our therapists use CBT as one part of a holistic approach to care. Many clinicians integrate CBT alongside other modalities such as EMDR, ACT, I-CBT, Brainspotting, or mindfulness-based strategies depending on client needs.
We believe therapy should feel supportive, collaborative, and grounded in evidence — not rushed or formulaic.
CBT services at Daybreak are available in Des Moines and via telehealth across Iowa, depending on provider availability.
Beginning CBT starts with a thoughtful intake process where you’ll discuss your concerns, goals, and what you’re hoping to gain from therapy. From there, your therapist will work with you to develop a plan that feels realistic, supportive, and aligned with your values.
You don’t need to know exactly what to say or where to start — that’s what therapy is for.
If you’re ready to explore Cognitive Behavioral Therapy or want help deciding if CBT is the right fit, our team is here to help.
