Reframe.
Rewire.
Reset.
Reframe CBT is a specialized group practice in San Rafael offering evidence-based CBT and ERP therapy for children, teens, college students, and adults, specializing in anxiety, OCD, phobias, and body-focused repetitive behaviors (BFRBs).
"Therapy extends beyond solving problems; it's about learning and understanding yourself and becoming more resilient."
, Julie Hingsbergen, LMFT · Founder


Specialties & Areas of Focus
Julie supports clients with evidence-based therapies, including Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), to help overcome anxiety, OCD, and other mental health concerns.
Stress & Anxiety
Anxiety is a natural response to stress, but when it becomes persistent or overwhelming, it can interfere with daily life. With CBT, you'll learn effective strategies to manage anxiety and regain control.
OCD & ERP Therapy
OCD is highly treatable with the right approach. Julie specializes in ERP (Exposure and Response Prevention), the gold-standard, evidence-based treatment for OCD, for all subtypes and presentations.
Phobias
Phobias are intense, irrational fears of specific objects or situations. Through systematic exposure, you'll learn to face your fears and reduce their impact on your daily life.
Body-Focused Repetitive Disorders
Skin picking (Excoriation) and hair pulling (Trichotillomania) involve repeated urges that can cause distress. With proper treatment, you can learn to manage these urges and reduce their impact.
Children & Teens
Children and teens experience anxiety, OCD, phobias, and BFRBs too. We use age-appropriate CBT and ERP, with active parent coaching, to help young clients build brave skills and lasting resilience.
Not sure where to start?
Reframe CBT offers a consultation to discuss your needs and determine the best approach for you.
Therapy for Children, College Students & Adults in Marin County
Whether your child is navigating big fears, you're a college student adjusting to new demands, or an adult seeking lasting change, Reframe CBT tailors evidence-based CBT and ERP to your unique life stage and goals.
Children
Building brave skills early
Children can experience anxiety, OCD, phobias, and body-focused repetitive behaviors (BFRBs) just like adults, but they need a different approach. Reframe CBT uses child-friendly CBT and ERP, with active parent coaching, to help kids face fears and build resilience that lasts a lifetime.
Common Concerns
- Childhood anxiety & separation fears
- OCD & repetitive behaviors
- Specific phobias & school refusal
- Body-focused repetitive behaviors
- Social anxiety & peer challenges
College Students & Young Adults
Navigating the transition to adulthood
College and early adulthood bring new freedoms, and new stressors. Whether you're managing academic pressure, adjusting to independence, or struggling with anxiety or OCD, Reframe CBT offers evidence-based support tailored to the unique challenges of young adult life.
Common Concerns
- Academic & test anxiety
- Adjustment & life transitions
- Panic disorder & generalized anxiety
- OCD & ERP therapy
- Phobias & avoidance behaviors
Adults
Lasting change for every stage of life
Life's demands don't pause for adults, work stress, relationship challenges, parenting pressures, and long-standing anxiety or OCD can all take a toll. Reframe CBT's evidence-based CBT and ERP approach gives adults practical tools to break unhelpful patterns and build lasting well-being.
Common Concerns
- Generalized anxiety & chronic stress
- OCD & compulsive behaviors
- Phobias (including fear of flying)
- Body-focused repetitive disorders (BFRBs)
- Life transitions & work stress
Learn more about Reframe CBT.
Schedule a phone consultation to get started.
Meet the Team Behind Reframe CBT
Our specialized practice means every client receives personalized, expert care from a clinician who truly knows their work, and genuinely cares about their progress.

Julie Hingsbergen, LMFT
With specialized training in OCD, anxiety, phobias, and BFRBs, Julie works with children (ages 6+), teens, college students, and adults, helping clients build lasting skills to face their fears and reclaim their lives. She is also a volunteer therapist at the Fear of Flying Clinic at SFO.
- Licensed Marriage & Family Therapist (LMFT)
- Specialized training in CBT & ERP
- Volunteer: Fear of Flying Clinic, SFO
- CAMFT · IOCDF · NorCal CBT Network · Marin CAMFT

Nicole Springer, AMFT
Nicole is an Associate Marriage and Family Therapist specializing in CBT and ERP for anxiety, OCD, and phobias. A former elementary school teacher and mother of three, she brings warmth, curiosity, and genuine life experience to every session. Nicole works with kids and teens under the clinical supervision of Julie Hingsbergen, LMFT.
- Associate Marriage & Family Therapist (AMFT)
- M.S. Counseling Psychology, Dominican University
- Supervised by Julie Hingsbergen, LMFT
- CAMFT · NorCal CBT Network · Marin CAMFT
What is Cognitive Behavioral Therapy?
Cognitive Behavioral Therapy (CBT) is an evidence-based therapy that helps retrain your brain. By challenging anxious thoughts, you'll look at situations differently and ultimately feel better.
CBT is not just about talking through problems, it's about actively working to change unhelpful thinking and behavior patterns. It can teach you problem-solving skills and help you develop a greater sense of confidence in your own abilities.
Retrains Your Brain
Confront and reevaluate anxious thoughts, fostering new, less fear-driven perspectives.
Practical Tools
Gain effective strategies to manage and improve your mental well-being every day.
Goal-Oriented
Address specific challenges with structured, measurable progress toward your goals.
Long-Lasting Change
Build skills that continue to serve you long after therapy ends.
How CBT Works
Awareness & Identification
Recognize the thoughts and beliefs that fuel anxiety and unhelpful patterns.
Challenge Negative Thoughts
Learn to question and dispute irrational or unhelpful thoughts with evidence-based techniques.
Behavioral Experiments
Test out new ways of thinking and behaving in anxiety-provoking situations.
Build Lasting Skills
Develop coping strategies, relaxation techniques, and mindfulness for long-term resilience.
"Reframe for Change, with support and practical tools, lasting change is within reach."
A Specialized Group Practice in Marin County
Reframe CBT is a specialized group practice in San Rafael specializing exclusively in Cognitive Behavioral Therapy and Exposure & Response Prevention, the gold-standard treatments for anxiety, OCD, phobias, and body-focused repetitive behaviors (BFRBs).
Our focused team means every client receives expert, personalized care, not a generalist approach. We work with children, teens, college students, and adults, in person in San Rafael and via telehealth throughout California.
Evidence-Based Only
Every clinician is trained in CBT and ERP, the most rigorously researched treatments for anxiety and OCD.
Compassionate Care
We create a safe, non-judgmental space where clients feel truly heard before the hard work begins.
All Ages Welcome
From children ages 6 through adulthood, our team provides age-appropriate, tailored care for every stage of life.
Rooted in Marin
Based in San Rafael, serving Marin County, Sonoma County, Napa, and all of California via telehealth.
Frequently Asked Questions
Have more questions? Don't hesitate to reach out directly.
Take the First Step Toward Lasting Change
Whether your child is facing big fears, you're a teen navigating school stress, a college student managing academic pressures, or an adult seeking support for OCD, anxiety, phobias, or body-focused repetitive behaviors (BFRBs), Reframe CBT provides a safe, evidence-based space for every stage of life.
Using evidence-based approaches like CBT and Exposure & Response Prevention, Reframe CBT tailors sessions to fit your needs and goals. Scheduling a consultation is a great way to get started.
San Rafael, Marin County, California
1050 Northgate Dr, San Rafael · In-person & telehealth throughout California
Telehealth Available Throughout California
Reframe CBT offers secure, HIPAA-compliant video sessions to clients anywhere in California. Virtual therapy is just as effective as in-person for most concerns and offers the added convenience of attending from home.
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