Therapy should be practical, compassionate, and measurable. At Cura Mind and Wellness, our Boston team delivers individual psychotherapy and counseling that blends proven techniques with real world strategies you can use this week. Care is directed by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Massachusetts, with hospital and outpatient leadership experience and advanced training in integrated therapy and medication management.
We see patients in person in Boston, and by secure telehealth across Massachusetts. Sessions are private, HIPAA compliant, and centered on your goals. Note for Massachusetts, TMS is not offered at the Boston location. If an advanced option is appropriate, we discuss alternatives and coordinate trusted referrals.
Therapies we offer
Cognitive Behavioral Therapy, CBT
Identify thought patterns, test predictions, and build behavior plans that move life forward.
Dialectical Behavior Therapy skills, DBT skills
Emotion regulation, distress tolerance, interpersonal effectiveness, mindfulness, all taught with clear practice steps.
Trauma informed therapy
Safety first, paced processing, and stabilization skills for PTSD and trauma related symptoms.
Exposure and response prevention for anxiety and OCD
Gradual, collaborative exposure with response prevention that reduces avoidance and compulsions.
Behavioral activation for depression
Rebuild energy and motivation through structured, meaningful activity.
CBT for insomnia, CBT-I
Stimulus control, sleep scheduling, and light timing strategies that improve sleep quality.
Supportive counseling
Space to reflect, problem solve, and align actions with values during transitions.
When helpful, therapy is integrated with medication management in the same practice so changes in one area support the other.
Who we help
- Students, residents, and fellows managing academic pressure and long rotations
- Professionals navigating high responsibility roles and fast timelines
- Parents and caregivers seeking steadier routines and communication
- Adults rebuilding after loss, trauma, or major life change
- Individuals seeking culturally sensitive, stigma free support
We treat anxiety, depression, panic, PTSD, OCD, ADHD related challenges, bipolar spectrum conditions, sleep problems, adjustment difficulties, and co occurring concerns that overlap with substance use, with referrals to higher levels of care when needed.
What a first course of therapy looks like
- Session 1, map the problem, name the goals: We review history, current stressors, sleep, medical factors, and strengths. You leave with a written focus and first practices.
- Session 2, build the framework: CBT basics, DBT skills, or exposure outlines are introduced. We select two micro steps for the week, each under ten minutes.
- Session 3, test and refine: We review what worked, remove friction, and add one targeted challenge. If medication is part of care, early effects are reviewed.
- Ongoing sessions: Weekly or biweekly meetings reinforce skills, expand exposure ladders, and align routines with goals. As symptoms improve, sessions taper to maintenance.
Boston specific strategies that actually fit
The city moves fast. Plans must survive tight schedules, crowded commutes, and winter darkness. We design tools for that reality.
- Commute rituals, two minute breath cycles at red lights, short audio checklists, safe voice notes for worries and to dos
- Presentation prep, a three step loop, outline, rehearse, recover
- Rotation friendly sleep, anchor wake times, caffeine timing, brief light therapy when appropriate
- Exam season structure, short intense blocks, scheduled recovery, and reward planning
- Boundary scripts, clear phrases for workload, meetings, and email expectations
Conditions and goals we target
Anxiety and panic
Reduce spikes, shorten recovery time, face avoided situations, and restore confidence.
Depression
Increase energy and interest, rebuild routines, and reconnect with meaning.
PTSD and trauma
Lower hyperarousal, process safely, and widen the window of tolerance.
OCD
Spend less time on rituals, reduce intrusive thought impact, reclaim daily hours.
ADHD related challenges
Strengthen task initiation, working memory, and follow through with coaching strategies.
Sleep problems
Improve sleep continuity and timing so mood and focus stabilize.
Adjustment difficulties
Navigate moves, relationship shifts, new roles, and grief with support and structure.
Outcomes are tracked with brief scales and functional markers, class attendance, presentation completion, sleep timing, and task completion.
Therapy plus medication, one coordinated plan
Many patients benefit from both therapy and medication. Because therapy and psychopharmacology are offered in the same practice, you avoid mixed messages and delays. Examples:
- CBT for anxiety while starting an SSRI,
- DBT skills while stabilizing mood medications,
- ERP for OCD with careful medication adjustments,
- CBT-I while optimizing medication timing for sleep and mood.
If prior medications caused side effects or limited benefit, gene testing is available in Boston to help narrow safer choices. Results guide decisions but never replace clinical judgment.
What progress feels like
- Less dread at the start of the day
- Clearer thinking during meetings and classes
- Fewer avoidant decisions
- Shorter, less intense spikes in mood or anxiety
- Better sleep and steadier morning energy
- More honest conversations and healthier boundaries
- A written plan that still works when the week is not perfect
How we measure progress
We track what matters:
- Symptom scales for anxiety, depression, trauma, or OCD
- Sleep windows, wake time consistency, and screen cutoffs
- Task initiation time, email control, and completion rates
- Exposure steps completed and recovery speed after stress
- Quality of life markers, connection, meaning, and enjoyment
Decisions are guided by outcomes and your lived experience, not guesswork.
Access and privacy
- In person sessions at the Boston office
- Telehealth across Massachusetts using encrypted, HIPAA compliant platforms
- Portal messaging for brief check ins and documents
- Clear documentation for academic or workplace accommodations when criteria are met
Reminder, you must be physically in Massachusetts during telehealth visits due to licensure rules.
FAQs, Psychotherapy in Boston, MA
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Yes. Outcomes are comparable to in person care for most conditions when sessions are consistent and methods are evidence based.
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Our primary focus is individual psychotherapy. If family participation supports your goals, we can include brief sessions or coordinate referrals.
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Typically forty five to sixty minutes. Frequency is weekly or biweekly at first, then tapers as progress holds.
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No. Many begin with therapy only. If medication could help, we discuss options and make a shared decision.
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No. TMS is not offered at the Boston location. If an advanced option is appropriate, we discuss alternatives and provide referrals.
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Yes. Therapy and medication together often produce the strongest and most durable gains.
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Yes. You will have a clear plan with goals, session focus, practices between visits, and a follow up schedule.
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Yes. In person visits protect privacy. Telehealth uses encrypted, HIPAA compliant platforms and sessions are not recorded.
Why patients choose Cura Mind and Wellness in Boston
- Board certified leadership, psychiatric expertise with inpatient and outpatient depth
- Integrated care, therapy and medication in one practice
- Culturally sensitive, respectful of Boston’s diverse communities
- Practical design, plans that survive rotations, deadlines, and commutes
- Transparent communication, plain language, written plans, measurable milestones
Start therapy in Boston with clarity and support
Therapy works when it fits your life and your values. With in person sessions in Boston and telehealth statewide, Cura Mind and Wellness provides psychotherapy that is compassionate, practical, and results oriented. You will leave each session knowing what to practice, how to measure progress, and when to level up.