Old-style psychotherapy, with its protracted bonding of caregiver and patient, is akin to "rent-a-friend, " Mayhugh says.

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At Integrated Behavioral Health, which manages mental health benefits for companies employing 1.5 million Americans, over half of the cases now involve CBT, up from 10% or 20% a decade ago, says Samuel Mayhugh, founder of the Costa Mesa, Calif. firm.

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