to the cognitive therapist, explicit cognition, working memory, and executive control processes are as important, if not more so, than extinction processes engaged by exposure.
LeDoux articulates the core cognitive-behavioral distinction: cognitive therapy subordinates extinction mechanics to the modification of maladaptive mental content, prioritizing internal representational change over behavioral repetition alone.
, Anxious: Using the Brain to Understand and Treat Fear and Anxiety, 2015thesis