Shira Collings

(she/they)

LPC, 6 years of experience
Warm
Authentic
Empowering

I'm a Licensed Professional Counselor offering psychotherapy in Pennsylvania, New Jersey, Virginia, Washington, Oregon, and Nevada. I specialize in perinatal loss and complex reproductive experiences, including abortion and termination for medical reasons, infertility, ambivalence about parenthood, pregnancy after loss, and birth trauma. In addition, I specialize in eating disorders, disordered eating, and body image concerns. My work is grounded in Health at Every Size and fat liberation, and I am especially passionate about supporting LGBTQ+ and neurodivergent folks in recovery from eating disorders and disordered eating. I also work with clients navigating trauma, grief and loss, queer identity, neurodivergence, and major life transitions. My therapeutic approach centers on making room for the complexity, grief, strength, and meaning that can emerge as we explore our reproductive stories, relationship with food and body, and broader identities.

Get to know me

In our first session together, here's what you can expect

In our first session, you can expect a warm, open space where we begin to get to know each other. I’ll invite you to share what brought you to therapy, any challenges or questions you’re currently navigating, and what you’re hoping to work on. We’ll also talk about your values, your goals, and, if relevant, experiences related to eating disorders, body image, fertility, pregnancy, parenthood, or other aspects of reproductive identity that feel important to you. My goal is to build a strong, trusting foundation for our work together, where you feel heard, understood, and able to show up fully as yourself. You can expect that I’ll take a relational, trauma-informed approach, where your experiences are treated with care and respect. I’ll ask questions to get to know you more deeply, and we’ll start to explore ways of working that feel comfortable and supportive to you. I may offer some tools or suggestions, but most importantly, I want to ensure that you leave feeling like you’ve been seen and that we’ve begun a partnership that honors your journey.

The biggest strengths that I bring into our sessions

I believe my greatest strengths as a provider lie in my ability to create a warm, compassionate space where clients feel truly seen and heard. I approach therapy with deep empathy, curiosity, and respect for each person’s unique journey, especially when it comes to navigating your relationship with food and body as well as complex reproductive experiences. I’m also deeply committed to a trauma-informed and relational approach, ensuring that our work together is safe, collaborative, and empowering. Another strength is my ability to integrate different therapeutic modalities—such as narrative therapy, Cognitive Behavior Therapy, Dialectal Behavior Therapy, and feminist frameworks—in a way that feels tailored and flexible to each client’s needs. I strive to honor your voice and autonomy while also providing practical tools and strategies for healing, growth, and self-discovery. Ultimately, my goal is to walk alongside you in a way that feels authentic, supportive, and rooted in respect for your lived experience. As a neurodivergent, queer therapist, I’m especially passionate about supporting individuals in these communities. I bring a nuanced understanding of how identities shape experiences of disordered eating and body image, reproductive health, grief, and healing, and I’m committed to offering care that is not only affirming but also attuned to the unique needs of each person. Having personally experienced recovery from disordered eating and perinatal loss, I understand the profound emotional complexity of these experiences, which allows me to approach my clients with deep compassion and insight.

The clients I'm best positioned to serve

I specialize in supporting adults navigating the emotional complexities of reproductive, perinatal, and eating disorder experiences. My ideal clients are individuals who want a thoughtful, emotionally attuned space to process grief, uncertainty, identity shifts, body-related distress, and the layered realities that can accompany trying to care for themselves, relate to their bodies differently, and/or grow or redefine a family. I work especially well with clients experiencing: -Pregnancy loss, miscarriage, stillbirth, termination for medical reasons, or infant loss -Infertility, IVF, or other assisted reproductive experiences -Pregnancy after loss or high-risk pregnancy anxiety -Birth trauma or difficult postpartum experiences -Ambivalence, complicated emotions, or identity changes related to parenthood -Eating disorders, disordered eating, chronic dieting, or compulsive exercise -Body image distress, body changes related to pregnancy or fertility treatment, or difficulty reconnecting with the body after medical or reproductive experiences -Perfectionism, shame, control, or self-worth struggles connected to food, appearance, achievement, or caregiving roles -Neurodivergence alongside disordered eating and/or reproductive, body image, or perinatal stressors Many of my clients are people who think deeply, feel intensely, and benefit from having a dedicated space to openly process what they are carrying. They often come to therapy with experiences, emotions, or questions they genuinely want to explore. They value a collaborative therapy relationship where they can bring their inner world into the room and feel met with warmth, curiosity, and understanding rather than judgment or pressure to “fix” themselves quickly. My approach is warm, collaborative, and affirming, with an emphasis on helping clients process difficult experiences at their own pace while reconnecting with themselves, their bodies, and their values.

Specialties

Top specialties

Other specialties

Anxiety

Depression

I identify as

Serves ages

Teenagers (13 to 17)

Licensed in

Nevada

Accepts

Location

Virtual

My treatment methods

Feminist

My approach primarily draws from feminist and relational-cultural therapy, which means I view healing as something that happens through connection, empowerment, and understanding the impact of larger social and cultural systems on our lives. I believe that every person’s experiences are shaped not just by their personal history, but also by their identities, relationships, and the world around them. I often focus on exploring how these factors influence your thoughts, emotions, and behaviors, while also creating a safe and collaborative space where your voice is heard and respected.

Trauma Informed Care

I have extensive experience working with people who have experienced trauma, in particular reproductive trauma including infertility and pregnancy loss. I recognize that trauma can shape how we relate to ourselves, others, and the world. Being trauma-informed means I approach each client with curiosity rather than assumptions, and I work to honor their pace, their boundaries, and their inner wisdom. I’m attentive to power dynamics, both in the therapy room and in the broader systems that impact my clients’ lives, and I strive to hold space in a way that centers voice and choice.

Cognitive Behavioral (CBT)

I incorporate CBT as one of the tools in our work together, especially when it’s helpful to notice patterns between thoughts, feelings, and behaviors. It can be empowering to build awareness of unhelpful thinking habits and practice new ways of responding—both mentally and behaviorally—that feel more aligned with how you want to move through the world. While I don’t take a rigid or one-size-fits-all approach, CBT techniques can be really useful for building insight and supporting meaningful change, especially when paired with deeper emotional and relational work.

Dialectical Behavior (DBT)

I draw from DBT to support clients in building skills for managing intense emotions, navigating relationships, and staying grounded in the present moment. The practical tools from DBT—like mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness—can offer a sense of structure and stability, especially during times that feel overwhelming. I weave these skills into our work in a flexible, compassionate way, always staying attuned to your lived experience and what feels most supportive for you.

Narrative

I incorporate narrative therapy by helping clients explore the stories they hold about themselves—the ones shaped by personal experiences, relationships, culture, and systems. Together, we look at how these stories were formed, which ones feel limiting or painful, and how we might begin to re-author them in a way that honors your resilience, values, and hopes. For clients who’ve experienced trauma, I also draw from narrative exposure therapy, which involves gently and safely constructing a cohesive life narrative that includes the traumatic events—without letting them define the whole story. This process can support integration, reduce distress, and make space for a fuller sense of identity beyond the trauma.

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This provider hasn’t received any written reviews yet. We started collecting written reviews January 1, 2025.