
Psychotherapy Approach
Integrative Cognitive Behavioral Therapies in Petaluma
Healing through Awareness & Skillful Action
Integrative Cognitive Behavioral Therapies
Adults only
Helps you become aware of and change the unhelpful mental habits that keep you stuck.
About This Approach
Integrative Cognitive Behavioral Therapies
Healing through Awareness & Skillful Action
Integrative cognitive behavioral therapies help you become aware of and change the unhelpful mental habits that keep you stuck — combining evidence-based techniques with mindfulness and emotional awareness for practical, skill-based change.
Skills are tailored to your goals and grounded in the whole of who you are, not applied as one-size-fits-all homework.

Included modalities
Evidence-based tools, integrated to your goals
Cognitive-Behavioral Therapy (CBT)
CBT helps you identify thought patterns, beliefs, and behavioral loops that maintain distress — and practice alternatives that are more balanced, flexible, and aligned with your values. The focus is on building awareness and repeatable skills you can use between sessions.
Who This Approach Can Help
Well suited to adults who want practical tools alongside depth-oriented care — including anxiety, depression, stress, emotional dysregulation, and grief-related waves of feeling.
- Anxiety, worry, and rumination
- Depression and low mood
- Stress, burnout, and overwhelm
- Emotional dysregulation and reactivity
- Grief and life transitions needing both skills and support
Other psychotherapy approaches
Explore the full range of depth-oriented psychotherapy available at my Petaluma office.
A Welcoming Space
The Office
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Somatic Therapy Corner
A welcoming space for healing.
My office provides a warm, comfortable, confidential environment designed to help you feel safe and supported. I've created a calm space where you can focus entirely on your journey toward wellness and growth.
Visit Us
Sil Machado, Ph.D.
7 Fourth Street, Suite 45, Petaluma, CA 94952
Supportive care in Petaluma.
Sil Machado, Ph.D. offers a calm, welcoming space for in-person care in Petaluma, serving Sonoma & Marin County.



