MCS Counseling’s Michael Defilippo, MSN, ARNP, FNP-C, PMHNP-BC helps people in need of psychiatric clarity and medical management but he believes these medical offering works best if complemented by one or more of the following: talk therapy, peer support groups, and education about coping strategies and problem-solving. Michael has faith in his patients and believes they can improve significant aspects of emotional and mental health challenges not addressed by medication alone.

Michael works with children, adolescents, and adults (ages five and older), performing comprehensive psychiatric evaluations and utilizing both psycho-pharmacologic and brief supportive psycho-therapeutic approaches with cognitive-behavioral underpinnings. 

Michael has experience in the diagnosis and treatment of a wide range of psychiatric disorder spectrums. His knowledge and training in family practice, as well as psychiatry, add an invaluable perspective into the integrated nature of mental illness. Michael got his degrees at the University of St. Francis.

What is Cognitive Behavioral Therapy (CBT)?

According to the researcher Robin L Flanigan, author of BeyondCBT, "Cognitive Behavioral Therapy (CBT) is one of the most well-known and studied forms of psychotherapy. Short-term and goal-oriented, CBT aims to help people make permanent behavior changes by shifting negative patterns in thinking and behavior."

Educational scholar, Kendra Cherry, MS, begins answering the question What is CBT? with these two paragraphs:

CBT is a type of psychotherapeutic treatment that helps people learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior and emotions.

CBT focuses on changing the automatic negative thoughts that can contribute to and worsen emotional difficulties, depression, and anxiety. These spontaneous negative thoughts have a detrimental influence on mood.

Many clinicians at MCS Counseling use CBT as just one type of problem-solving therapy that can lead to a well-balanced life. Flanigan continues, "There are other approaches—some building on CBT principles, some incorporating mindfulness techniques—that may be more tailored to an individual’s particular needs."

“Therapy, for me, is more like Gumbo soup,” says Michael DeFilippo, who uses also uses psycho-pharmacologic and brief supportive psycho-therapeutic approaches in his practice: “Depending on how much of one spice you use, it changes the flavor of the entire broth and over time, bit by bit, the blend combines to make everything better.”

Whatever the method of therapy, successful therapy relies on a respectful, trustworthy relationship with the therapist and Michael believes in collaborative, integrated care to ensure optimal mental health which he affirms begins with empathy, respect, kindness, and understanding. 

(360) 698-5883‬

Each clinician at MCS Counseling works to tailor their approach to treating patients in ways that work best for them!

Many people experience "Aggressive Negative Thoughts" (ANTS). But a few cannot seem to manage these thoughts or the negative consequences in their emotional and relational life. Cognitive Behavioral Therapy has a long history of being respected in the medical field for improving mental health, especially those challenges having to do with distressing cognitions.


What’s true across the board, as research has shown, is that psychosocial interventions—including talk therapy, peer support groups, and education about coping strategies and problem-solving—can improve aspects of emotional and mental health challenges not addressed by medication alone. Those types of interventions reduce relapse and improve the ability to function well, among other things.