Many cognitive behavioral therapy (CBT) goals and techniques are in alignment with an expressive arts perspective. In both CBT and the expressive arts, the common goal is for the client to achieve behavioral change. This chapter explains how the expressive arts can be integrated into CBT. There is strong empirical support for the use of CBT for a range of client concerns, which makes it a frequent choice for many clinicians. The successful practice of this form of therapy requires counselors to help clients intentionally identify and explore the faulty beliefs that they hold and actively work to change these. The expressive arts provide multiple methods of exploring clients’ connections between thoughts and action. The chapter proposes multiple examples of how CBT can be integrated with creative expression. Some of the expressive arts interventions proposed in the chapter include: (1) Catastrophe comic book; and (2) Acting out: paradoxical intervention.