I am seeing patients only thru telehealth. I have experience and am comfortable working with people from every day mental health difficulties to chronic serious mental health disabilities including co-occurring disorders. I lean towards person centered and Dialectical behavior therapy. I have worked in multiple settings. I always wanted to be a doctor but learned in college they don’t talk to their patients much. I switched to psychology with an emphasis on counseling and have loved it since . I enjoy helping people and seeing them help themselves . I was raised a child of a military service member and had to learn how to adapt with every move. Learning to adapt and find the best balance with every move became second nature . I have worked in inpatient and outpatient settings . I have worked with refugees with limited English and families in the foster care system in addition to other mental health needs. I have experience with the court systems and people in step down programs coming from the state hospital or other higher levels of care. I have over time found Dialectical behavior therapy or a mix of therapies that works best with clients. I am open to alternative lifestyles . I have attended training's telehealth and more. I have found everyone has their own level of comfort and that may not include a need to change much for everyone but an acceptance of self and current abilities. I aim to meet any client on their level and help only as much as they would like. When starting I like to look at the whole picture with a summary of the past. I do not do trauma work without a good level of coping skills. I will assign homework based on client individual needs .

What can clients expect to take away from sessions with you?

Usually a first session is a get to know each other. They can be a little intense with some of the questions in order to form a plan on how we will work together but after that it is usually easier. I will take breaks for grounding or coping skills if questions become too difficult.

Explain to clients what areas you feel are your biggest strengths.

I have lived in a number of different settings and worked in multiple settings allowing me to know how better to adapt to the new age of telehealth. I also have awareness of other resources , cultures or levels of care from my experiences in working with them .

About Marissa Ramirez