Your trusted place for
Cognitive Behavioral Therapy
in Seattle, WA
15+ Years of Experience
How can CBT help?
CBT is a therapy approach that helps you restructure negative thought patterns. It is based on the idea that thoughts are like blueprints for our minds that shape how we perceive, interpret, and respond to various situations and interactions in our lives. By identifying and restructuring negative thought patterns, you can successfully reduce anxiety, panic attacks, depression, low self-esteem, the impact of traumatic experiences, and various other emotional struggles you may be experiencing. CBT equips you with powerful strategies that reframe and restructure your thinking in a way that creates lasting relief from your symptoms and leaves you feeling empowered, capable, and in-control.
What will I get out of my CBT sessions?
- Reframe and restructure negative thought patterns using science-backed strategies that have decades of scientific evidence
- Learn fast-acting techniques to reduce anxiety and other types of emotional distress
- Practice new skills in every session that are directly relevant to your current day-to-day life
- Break free from vicious cycles that you may be stuck in – with or without your awareness
- Get eye-opening new perspectives for powerful transformations
- Free yourself from limiting beliefs that are holding you back
- Learn effective emotional regulation strategies to successfully deal with difficult emotions and triggering situations
- From thought to action: learn how to translate the cognitive skills you learn into effective behavioral changes that make a real, observable difference in your life.
- Bring self-compassion into your daily life with specific, easy-to-use strategies
- The best part? The skills you learn will last your whole life. CBT has been scientifically shown to create lasting results that will be with you for years to come. Now that’s getting real lifetime value!
Take CBT to the next level with Schema Therapy
Schema Therapy is an advanced cognitive behavioral treatment approach that starts with a foundation of traditional CBT and then builds on it by addressing deeper, lifelong patterns of thinking and behavior that traditional CBT may not fully resolve. While CBT focuses on identifying and restructuring maladaptive thoughts in the present, Schema Therapy goes further by targeting and providing healing for the core emotional wounds and unmet emotional needs that gave rise to the unhealthy patterns you experience in your life today. Schema Therapy integrates cognitive, behavioral, attachment-based, experiential, and emotion-focused techniques for deeper healing. It is especially helpful for people with more chronic mental health struggles, recurring relationship difficulties, attachment concerns, or complex trauma.
CBT + ACT: A game-changer duo
Acceptance and Commitment Therapy (ACT) is a newer cognitive behavioral therapy approach, also with significant scientific support. Combining CBT and ACT creates a powerful approach that goes beyond just changing thoughts—it helps you build a life driven by your values. While CBT targets negative thought patterns through restructuring, ACT introduces cognitive defusion, teaching you how to effectively defuse the emotional power that thoughts hold over you rather than getting entangled in your thoughts. This reduces the struggle with unhelpful thinking while allowing you to take purposeful action aligned with what truly matters to you. By integrating CBT’s structured strategies with ACT’s values-based approach, you gain both the ability to challenge limiting beliefs and the flexibility to move forward toward alignment with your core values, creating a deeper sense of connection, purpose, and fulfilment in your life.

Elza Boycheva MS LMHC
Licensed Mental Health Counselor
15+ Years of Experience
Hi! I’m Elza.
I’m a cognitive behavioral therapist specializing in the treatment of anxiety, trauma, low self-esteem, and eating disorders. In addition, one of my areas of focus is working with clients who grew up in critical, rejecting, dysfunctional, or abusive families, and are struggling to overcome the impact of these experiences in their adult life.
I know that right now it may feel like the distress you’re experiencing is consuming your life or in some way severely affecting important aspects of your life. It may feel overwhelming or insurmountable. You may wonder how things could ever get better. It’s a dark, despairing, and lonely place to be. But I’m here. I’ve worked with many clients who’ve felt these things, and through our therapeutic work have been able to attain results that were transformative and life-changing. I’m here to guide you through this process too.
One of my strengths as a therapist is my ability to quickly grasp the core of the difficulties that you’re experiencing, which then allows us to use very targeted therapeutic approaches to address your struggles on a deep and transformative level. Through our work together, you can get relief from the symptoms that you’re experiencing, restructure old patterns into healthier new ones, heal from impactful or traumatic past experiences, and learn powerful strategies that you can use in your life.
I know you want to have your life back. To thrive, to feel confident, to feel in-control, to feel at ease.
I’m here to help.
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