Jess is compassionate and practical. She is empathetic. It may seem as if you're talking to a friend, but you'll leave each appointment with practical guidance and suggestions to alter your own behavior and thoughts to help you accomplish your goals. CBT, in my experience, helps you take action to change behaviors and thought patterns. Jess has been and continues to be effective in helping me to achieve my goals. I'd already had many years of "talk" therapy when I reached Jess. I'd made a great deal of personal progress and was generally happy with where I was emotionally. There was one last issue I wanted to settle, and Jess has helped me accomplish my goal.