In the Problem Approach, the basic idea is to determine whether the patient’s behavior is a maladaptive response to antecedent stimuli, or the result of cognitive bias. We use counter-conditioning and contingency management to deal with maladaptive response; we use cognitive therapy to trace cognitive distortions that give rise to Negative Automatic Thoughts (NATs) and take steps to counter these. The problem approach is integrated as Cognitive Behavioral Therapy. The S.M.A.R.T. solution to problems is deployed when there is no underlying maladaptive behavior or cognitive bias.