There are many different, yet equally effective, evidence-supported therapies for most psychological problems today. Yet, if different, how can they be equally effective? How can therapists integrate them in practice? In this video, J. Scott Fraser discusses the process paradigm, which proposes that all problems are vicious cycles, shaped by context, that effective treatments intercept and reverse. This approach targets pattern shifts in clients' vicious cycles and provides a model for matching effective treatment approaches for the client and therapist. In this video, J. Scott Fraser demonstrates the approach with a client and discusses the therapy session with highlights that illustrate how this approach translates theory into practical integration of psychotherapies that work.