Long considered a gold standard in mental health treatment, cognitive behavioral therapy (CBT) continues to evolve alongside rapid developments in neuroscience and technology. The growing field of cognitive behavioral therapy (CBT) and psychotherapy innovations now includes digital CBT platforms, virtual reality exposure, and third-wave therapies such as dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT). These approaches are making psychotherapy more accessible, especially for populations with limited access to in-person care. Innovations focus on emotional regulation, cognitive restructuring, and values-based actions, helping individuals reframe unhelpful thoughts and behaviors. Ongoing research aims to refine these techniques for specific populations such as adolescents, trauma survivors, or those with chronic illness. As digital tools gain credibility, therapy is becoming more personalized, scalable, and responsive to the diverse needs of today’s patients.