Therapist: Cognitive psychotherapy focuses on changing a

+1 for B

(A) Psychological problems are frequently caused by unconscious beliefs that could be changed with the aid of psychotherapy.
unconscious thoughts are not changed with psychometry therapy these are not in direct control of the patient

(B) It is difficult for any form of psychotherapy to be effective without focusing on mental states that are under the patient’s direct conscious control.
Yes this is explicitly stated in the passage with the aid of the direct conscious of the patient we can effectively carry out psychometric therapy

(C) Cognitive psychotherapy is the only form of psychotherapy that focuses primarily on changing the patient’s conscious beliefs.
We cannot round off since this is out of scope of the paragraph given therefore we are ruling out this paragraph

(D) No form of psychotherapy that focuses on changing the patient’s unconscious beliefs and desires can be effective unless it also helps change beliefs that are under the patient’s direct conscious control.
Similar reasoning as C

(E) All of a patient’s conscious beliefs are under the patient’s conscious control, but other psychological states cannot be controlled effectively without the aid of psychotherapy.
We cannot oversimplify and state that if the uncosciousness can be controlled that will aid in effectively carrying out psychometry therefore out