Cognitive Behavioral Therapy
Psychologist Karen Lee Gillock, PhD
Cognitive Behavioral Therapy (CBT)
CBT is an evidence-based form of therapy that emphasizes the important role of thinking in how we feel and what we do. Evidence-based treatments are supported by research that shows effectiveness in helping people make cognitive, emotional, and behavioral changes.
Specializations
I help people with anxiety and related problems, including depression, stress, trauma, attentional problems, and cancer survivorship, using evidence-based CBT. I use a variety of cognitive-behavioral methods in my practice. The specific treatments I will use in our work together will be tailored to meet your specific needs and aptitudes.
Practice Information
This section outlines all the logistics involved in our working together in a therapeutic relationship, including:
General Guidelines (client rights, professional records, confidentiality), Session Structure & Format (location/telehealth, assessment/fit/goals, duration, homework), Policies & Procedures (communications, attendance, financial/fees, late cancellation & missed appointment fees, insurance), and Downloadable Treatment Contract/Forms.
About Dr. Karen
I am a clinical psychologist licensed in the State of New Hampshire since 2002, and in private practice since 2007. It’s been a real privilege to know that I’ve helped people to do difficult things they thought were all but impossible – things like kicking self-defeating behaviors, taking a flight to visit loved ones, finishing a dissertation, cultivating better interpersonal relationships, and overcoming all manner of anxiety, stress, and depression to pursue healthy, happy, productive lives.
FAQs
Have specific questions about how we will work together using CBT to meet your goals in therapy? This FAQ is a quick guide about what to expect, including the kinds of problems I can help with, session format, fee structure, insurance, and how to contact me.
Why Dr. Karen
Working with a CBT-focused psychologist gives you tools you can use beyond the therapy session, helping you manage anxiety, stress, depression, and unhelpful habits more effectively. The approach is structured, evidence-informed, and centered on real progress.
Dr. Karen can help you identify unhelpful thought patterns.
Dr. Karen can teach practical tools/skills you can use in everyday life.
Dr. Karen will personalize your treatment to meet your specific abilities and needs.
Mission Statement
My mission is to promote your potential as you define it. By helping you identify the psychological, environmental, and situational factors that are interfering with your ability to realize your potential, I can teach you the necessary skills and techniques to more effectively manage or eliminate those obstacles. I believe that when people are free from the psychological barriers to their goals and aspirations, they are enabled to identify healthy goals, maximize their growth potential, and lead happy, productive lives.
Why Dr. Karen
Working with a CBT-focused psychologist gives you tools you can use beyond the therapy session, helping you manage anxiety, stress, depression, and self-defeating habits more effectively. The approach is structured, evidence-informed, and centered on real progress.
CBT helps you identify unhelpful thought patterns.
CBT provides practical tools you can use in everyday life.
Dr. Karen can personalize CBT strategies to your specific needs.
CONTACT DR. KAREN
My preferred means of contact is email.
I will make every effort to return your call/email within 48-72 hours (not including weekends, holidays, absences, and vacations).
If you need to speak with someone sooner, please call 911 and/or contact your local hospital emergency room and ask for the psychiatrist on call.
Address:
115 Etna Road
Building 1, Suite 102
Lebanon, NH 03766
Office Hours:
Monday and Friday – 9:00 am – 8:00 pm
Tuesday and Thursday – 9:00 am – 4:00 pm
PREPARING FOR YOUR FIRST VISIT
Our first priority involves developing a shared understanding of your needs and motivations for coming to therapy at this time. I will be asking you questions such as “what brings you here today?” and “what changes would you like to make?” In order to make the most effective use of your therapy, we will want to have a clear understanding of the problem you wish to address and the strengths/motivations you bring to your therapy efforts. In our first visit, we can both decide if CBT is the best approach and if I am the best person to provide the services you need in order to meet your therapy goals.
Goals
To make sure your goals are attainable, make them SMART:
- Specific (simple, sensible, significant) – in order to focus your efforts and feel truly motivated to achieve your goals.
- Measurable (meaningful, motivating) – so that you can track your progress, stay motivated, and know when the goal has been accomplished.
- Achievable (agreed, attainable) – goals need to be realistic and attainable to be successful. They stretch your abilities but still remain possible. Beware of setting goals that someone else has power over – focus on achievements that are entirely up to you.
- Relevant (reasonable, realistic and resourced, results-based) – ensure that your goals matter to you, that they are worthwhile and applicable to you.
- Time-bound (time-based, time-limited, time/cost limited, timely, time-sensitive) – so that you have a deadline to focus on and something to work toward.
Fees
Service fees are based on a $225 “therapy hour” (45-50 minute psychotherapy session; 38-52 minute insurance schedule). These rates apply, but are not limited, to in-office or telehealth psychotherapy sessions, communications of a clinical nature (not administrative, i.e., rescheduling), report writing, records preparation/transmission, collaborative contacts with third parties (i.e., insurance companies, other providers), attending meetings with other professionals, and generating balance due statements and/or other efforts to collect fees/late cancellations/missed appointments. Payment is expected at the time of service, unless you will be using your CIGNA insurance. Acceptable forms of payment include check, credit card, or cash.
Insurance
CIGNA is the only insurance company with whom I am a contracted provider. If you have any questions or concerns about insurance coverage or benefits, contact CIGNA directly for confirmation of coverage. Because your health insurance policy is a contract between you and CIGNA, it is your responsibility to obtain an authorization for service prior to your first visit, and to pay for any balance on your account, not to exceed the contracted rates I have agreed to accept from CIGNA for covered services. In the event that CIGNA does not reimburse for mistakes they or you have made (e.g. claims processing errors or data losses, failure to let me know that your plan has renewed or changed), you will be responsible for full payment of my standard fees.
If you have health insurance through a company other than CIGNA, it will usually provide some coverage for behavioral/mental health treatment. Upon request, I will provide you with a statement of services and fees that you can independently submit to your insurance carrier, but you will be responsible for paying for our sessions at the time the service is rendered at my full rate.
Treatment Contract
Because our initial objectives will be assessing your therapy fit and goals, in preparation for our first meeting, I ask you to read my Treatment Contract & Information on Policies/ Procedures (link to that page?) – it is a lot, but thorough and necessary for you to be able to make an informed decision about undertaking CBT with me.
Curated Articles
These articles are here because I think they are cool and helpful!
Why we keep falling for fraud
Key points
- Research shows that scammers stole more than $21 billion from Americans via cybercrimes in 2025, a marked increase from the previous year.
- Technological advancements, strategic targeting of individuals, and psychological principles known to influence decision-making are key factors in the proliferation of fraud.
- Though psychology has stayed on the periphery of fraud prevention, psychologists can help by consulting with organizations, normalizing patients’ experiences and building better decision-making skills.
How psychologists help with anxiety disorders
Anxiety disorders can severely impair a person’s ability to function at work, school, and in social situations.
Anxiety can also interfere with a person’s relationships with family members and friends. Fortunately, though, there are effective treatments for anxiety.
People often try to cope with these negative reactions by avoiding situations or experiences that make them anxious. Unfortunately, avoidance can backfire and actually feed the anxiety.
Psychologists are trained in diagnosing anxiety disorders and teaching patients healthier, more effective ways to cope.
