--- title: "CBT Therapy in Nebraska and Rhode Island" description: "Cognitive behavioral therapy in plain language: how thoughts, actions, and feelings keep each other going, and how to interrupt the loop." lang: en json-ld: | [ { "@context": "https://schema.org", "@graph": [ { "@type": "Person", "@id": "https://rodricmcclaincounseling.com/#rodric", "name": "Rodric McClain", "url": "https://rodricmcclaincounseling.com", "image": "https://rodricmcclaincounseling.com/__l5e/assets-v1/a350a6b6-9619-403d-b8fa-ec90764359be/rodric-mcclain.png", "jobTitle": "Licensed Independent Mental Health Practitioner", "worksFor": { "@id": "https://rodricmcclaincounseling.com/#practice" }, "knowsAbout": [ "Couples therapy", "Individual therapy", "Family therapy", "PTSD and trauma", "Anxiety", "Depression", "Grief", "Life transitions", "Dialectical behavior therapy", "Cognitive behavioral therapy" ], "sameAs": [ "https://www.psychologytoday.com/us/therapists/rodric-montrell-mcclain-omaha-ne/1001455", "https://www.rula.com/providers/NE/1114410271-rodric-mcclain", "https://care.headway.co/providers/rodric-mcclain", "https://therapyrooted.com/therapist/united-states/nebraska/omaha-1/rodric-montrell-mcclain/" ] }, { "@type": "ProfessionalService", "@id": "https://rodricmcclaincounseling.com/#practice", "name": "Rodric McClain Counseling, LLC", "url": "https://rodricmcclaincounseling.com", "image": "https://rodricmcclaincounseling.com/__l5e/assets-v1/a350a6b6-9619-403d-b8fa-ec90764359be/rodric-mcclain.png", "telephone": "+1-731-393-3253", "description": "Individual, couples and family therapy in Omaha, Nebraska, in person and by telehealth, and telehealth across Nebraska and Rhode Island.", "priceRange": "$$", "availableLanguage": "English", "founder": { "@id": "https://rodricmcclaincounseling.com/#rodric" }, "areaServed": [ { "@type": "City", "name": "Omaha", "addressRegion": "NE" }, { "@type": "State", "name": "Nebraska" }, { "@type": "State", "name": "Rhode Island" } ] } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://rodricmcclaincounseling.com" }, { "@type": "ListItem", "position": 2, "name": "How I Work", "item": "https://rodricmcclaincounseling.com/how-i-work" }, { "@type": "ListItem", "position": 3, "name": "CBT", "item": "https://rodricmcclaincounseling.com/how-i-work/cbt" } ] } ] --- [Skip to content](#main) [Rodric McClain Counseling ](/) [About](/about) Services Who I help Concerns How I work Locations [Contact](/contact)[Start a conversation](/contact) How I work # CBT Cognitive behavioral therapy is the practical study of a loop: what you think, what you then do, and how what you do proves the thought right. ![A notebook and coffee on a table in warm morning light](/assets/hero-room-BcXHf2hC.jpg) ## How does the loop work? A thought turns up, often too fast to notice. Nobody here wants me around. That thought produces a decision: leave early, say nothing, do not call. The decision then produces evidence, because you left early and nobody stopped you. So the thought gets confirmed by your own response to it, and next time it arrives with more authority. ## So you tell me to think positive? No, and I would not blame you for expecting that. Slapping a cheerful sentence over an accurate one is insulting and it does not hold. What we do is check the thought against the evidence the way you would check anything else. Sometimes it turns out to be true, and then the work is what to do about a real problem. Often it turns out to be one interpretation among several that you had stopped considering. ## Where does the behavior half come in? Behavior is usually the faster lever. Changing what you do this week changes the evidence available to you, and the thinking follows. That means small, specific experiments: making the call, going to the thing, saying the sentence. Sized so they are achievable, and reviewed honestly afterwards, including when they go badly. ## How does it sit with DBT? DBT grew out of this tradition, so they fit together naturally. CBT is strong on examining a thought. DBT adds the acceptance half: you are doing the best you can, and you can do better. In practice I move between them depending on what is in front of us, rather than running a fixed protocol. ## Ready when you are. Therapy starts with a conversation. Send a short message and tell me what is going on, in your own words. We meet in person in Omaha, and online across Nebraska and Rhode Island. [Start a conversation](/contact) Rodric McClain Counseling ## Pages - [Home](/) - [About](/about) - [Getting started](/getting-started) - [Questions people ask](/faq) - [Fees and payment](/fees) - [Contact](/contact) ## Services - [All services](/services) - [Individual therapy](/services/individual-therapy) - [Couples therapy](/services/couples-therapy) - [Family therapy](/services/family-therapy) - [Teen and young adult therapy](/services/teen-and-young-adult-therapy) - [Online therapy](/services/online-therapy) ## Who I help - [Everyone I work with](/who-i-help) - [Veterans](/who-i-help/veterans) - [Active duty and military families](/who-i-help/active-duty-and-military-families) - [First responders](/who-i-help/first-responders) ## Concerns - [Everything people bring](/concerns) - [PTSD and trauma](/concerns/ptsd-and-trauma) - [Anxiety](/concerns/anxiety) - [Depression and low mood](/concerns/depression) - [Grief and loss](/concerns/grief-and-loss) - [Stress and burnout](/concerns/stress-and-burnout) - [Relationship issues](/concerns/relationship-issues) - [Life transitions](/concerns/life-transitions) ## How I work - [How I work](/how-i-work) - [DBT](/how-i-work/dbt) - [CBT](/how-i-work/cbt) - [Mindfulness](/how-i-work/mindfulness) ## Locations - [Where I practice](/locations) - [Omaha, in person and online](/locations/omaha) - [Lincoln, online and in person](/locations/lincoln) - [Bellevue, online and in person](/locations/bellevue) - [Papillion, online and in person](/locations/papillion) - [La Vista, online and in person](/locations/la-vista) - [Grand Island, online and in person](/locations/grand-island) - [Rhode Island, telehealth only](/locations/rhode-island) ## Legal - [Privacy policy](/privacy-policy) - [Terms of use](/terms) - [Accessibility](/accessibility) ## Practice - Rodric McClain - LIMHP (Nebraska) · LMHC (Rhode Island) - Omaha, Nebraska - [(731) 393-3253](tel:+17313933253) ## In a crisis - Call or text 988, Suicide and Crisis Lifeline. - Veterans Crisis Line: call 988, then press 1. - If there is immediate danger, call 911. © 2026 Rodric McClain Counseling, LLC. General information only, not a substitute for care or emergency services.