Book excerpt: Living with Osteogenesis Imperfecta (OI), often known as brittle bone disease, is not just a physical challenge—it impacts every aspect of life, including emotional and mental well-being. As a genetic condition marked by fragile bones and chronic pain, OI can shape one's identity, affect relationships, and influence life choices. Beyond the medical care required to manage the condition, psychological support becomes a crucial element in helping individuals cope with the mental health challenges that accompany OI. This book, Psychological Support by Cognitive Behavioral Therapy for Osteogenesis Imperfecta, was born from the need to address the emotional and psychological burden that often remains untreated or overlooked in the medical community. The idea behind this work is to empower both individuals living with OI and healthcare professionals to explore a structured, evidence-based approach for mental health care: Cognitive Behavioral Therapy (CBT). CBT is a powerful therapeutic tool that helps people identify and reframe negative thoughts and behaviors, allowing them to regain control over their emotional responses to life's challenges. By blending the practical aspects of CBT with the specific emotional and physical experiences of those living with OI, this book serves as a guide for managing pain, addressing feelings of isolation or helplessness, and fostering resilience. In addition to providing an in-depth understanding of the condition, this book delves into genetics and epigenetics, offering insight into how hereditary diseases like OI affect the body and mind. It explains the biological underpinnings of genetic mutations and the impact they have on individuals’ daily lives, framed within the context of trauma and mental health. Throughout the chapters, you will find tailored CBT tools and techniques designed specifically to address the unique challenges faced by individuals with OI—such as chronic pain management, emotional regulation, and coping with physical limitations. Moreover, this book emphasizes personalized therapeutic approaches that consider not just the condition, but also the individuality of each person’s journey through life with OI. Whether you are an individual affected by OI, a caregiver, a healthcare provider, or a mental health professional, this book will offer valuable insights, practical advice, and a sense of understanding in navigating the complexities of living with a genetic condition. It is our hope that through the use of Cognitive Behavioral Therapy, individuals with OI can find psychological relief and gain the tools necessary to live fulfilling, empowered lives.