Cognitive Behavioural Therapy in Saint John & Fredericton

Cognitive Behavioural Therapy (CBT) is a proven, evidence-based approach to mental health care that focuses on the connection between thoughts, emotions and behaviours. Whether you’re navigating anxiety, depression or other challenges, CBT can help you gain the tools and insights needed to create lasting, positive change in your life.

Our trained therapists can use CBT to help you:

  • Reduce Symptoms of Anxiety and Depression: Learn how to manage intrusive thoughts and break the cycle of worry or sadness.

  • Improve Emotional Regulation: Gain practical tools to handle intense emotions and respond more effectively to stressors.

  • Enhance Problem-Solving Skills: Develop strategies for tackling challenges in a constructive way.

  • Boost Self-Esteem: Shift self-critical thoughts to build confidence and self-compassion.

  • Address Specific Concerns: CBT can also target issues like phobias, obsessive-compulsive behaviours, or trauma-related symptoms.

HOW WE CAN HELP

CBT is a flexible and adaptable therapy suitable for people of all ages and backgrounds. It is particularly effective for individuals experiencing:

  • Anxiety disorders (e.g., generalized anxiety, social anxiety or panic disorders)

  • Depression

  • Stress or burnout

  • Trauma and post-traumatic stress disorder (PTSD)

  • Phobias

  • Obsessive-compulsive disorder (OCD)

  • Eating disorders

  • Chronic pain or health-related concerns

WHO WE HELP

Our therapists also tailor CBT to meet the needs of children, teens and adults, ensuring the approach resonates with your life stage and experiences.

We offer cognitive behavioural therapy in-person in Fredericton and Saint John, as well as online.

How CBT Works

CBT is a structured form of talk therapy designed to help individuals identify and challenge unhelpful thought patterns. By recognizing negative or distorted thinking, you can begin to change the way you feel and respond to life’s challenges. CBT is goal-oriented and collaborative, meaning you and your therapist work together to understand your unique situation and develop strategies that align with your goals.

During your CBT sessions, you’ll work with a trained therapist to:

  1. Identify Problematic Thoughts: Explore patterns that may contribute to distress or unhelpful behaviours.

  2. Challenge and Reframe Thoughts: Learn to replace negative or distorted thoughts with balanced, constructive ones.

  3. Practice Skills: Apply new strategies through exercises, homework, and real-life scenarios.

  4. Monitor Progress: Track your growth and refine techniques to ensure lasting results.

CBT is typically short-term, often involving 6-20 sessions depending on your goals and the complexity of the challenges you face.

Sessions with a registered social worker (RSW) or licensed counselling therapists (LCT) are $150 for 50 minutes. For families or couples, sessions are $160. 

How much does CBT cost? 

Our counselling fees are not covered by Medicare but are covered by many extended health insurance plans.

Our clinic has therapists who are either registered social workers (RSW) or Licensed Counselling Therapists (LCT).

You must check your specific plan for what you have coverage for, as coverage is different for each policy. Verify that your plan covers counselling/therapy with a MSW, RSW or LCT. Your insurance may state you have coverage for clinical counsellor or psychotherapist, which would cover LCT or social worker. 

We also offer direct billing with many different insurance companies, which allows you to keep more money in your pocket. We can direct bill Blue Cross, Veterans Affairs (VAC), Canadian Armed Forces (CAF), Canada Life, Claim Secure, Chamber of Commerce, Work Safe, NIHB, Department of Social Development, and more provided your plan is set up for direct billing. Your are still responsible for any co-pay amounts at the time of service.  

Is CBT covered by insurance?

About Laura Gatien & Associates

At Laura Gatien & Associates, we take a proactive and collaborative approach to mental health treatment, offering clients access a diverse team of professionals with various expertise and specialties who learn from and can refer to one another. We take a holistic approach to treatment and believe everything makes perfect sense in the context of your life experiences.

Quality care is very important to us as a team, and we ensure this is upheld through regular clinical meetings, ongoing professional development and training opportunities, as well as using evidence-based frameworks. This helps us provide you with the best care for your individual needs so you can make progress sooner.

Our clients benefit from shared resources that exist within a team and the peace of mind that they are not just working with an individual, but are part of a broader mental health community learning and growing together.

We prioritize accessibility and availability of services, providing limited wait times and evening appointments to accommodate diverse schedules. We will regularly ask for feedback on your experience here so we can continue to improve.

  • “Very kind and compassionate. Helpful sessions. Get to the root of the issues.”


  • “I've been coming here for almost a year and I'm really satisfied with the service. They are really sympathetic and caring about what they do.”

  • “Jessica is incredible. She’s an awesome listener, kind, soft-spoken but also gives you amazing tools to help in everyday life situations. She’s changed my life.”

  • “Elizabeth is exceptional and I am seeing positive results because of our session.”

  • “My therapist is amazing!! She gets me and helps ME get me. She helps me to understand that I am number one and deserve everything good. She has sat through many tear-filled sessions with me and I appreciate her wisdom and candour!”

Take the First Step Toward a Better You

Whether you’re seeking relief from a specific issue or looking to build resilience, CBT can empower you to take control and create meaningful change.

Get started today.