Mish Guker

LMFT (she/her)20 years of experienceNext available
4.7 (3)

Are you struggling with something that happened? Maybe you’re having a hard time after a car accident, medical procedure, assault, natural disaster, or witnessing something shocking. Or maybe what happened doesn’t seem “big” enough to call trauma, but you know it changed something in you. Some experiences are what we call “big T” traumas. But there are also “little t” traumas. Being neglected or made to feel invisible, being made fun of, getting yelled at, or losing a pet can leave a lasting mark too. An experience doesn’t have to seem “big” to everyone else. What matters is how it affected you.

Another focus of my practice is providing supervision to associate therapists who are working on their hours towards licensure.

I’m a trauma therapist who uses EMDR and other therapies to help people work through overwhelming experiences and feel more like themselves again. I also work with healthcare workers who have experienced disturbing or traumatic situations in the course of their jobs. You may be carrying something you saw, heard, or had to do that is difficult to talk about with people who haven’t been there. I have extensive experience working with adolescents and teenagers as well. This is a time of life when everything can feel big, and having a place where you don’t have to minimize what you’re feeling can make a real difference. Therapy with me is active and collaborative. We’ll work together to understand what is keeping you stuck and find ways to help you. If you’re motivated and short on time, I can also give you practical tools and knowledge you can use between sessions to support yourself through a difficult space. I’m probably a good fit if you’re ready to work on the impact of something overwhelming and want a therapist who will take your experience seriously, even if other people might not understand why it affected you so deeply.

First session

I like to spend the first session learning about your specific challenges and getting to know you. It is important that you get some immediate relief, so please complete your forms prior to your appointment so we can prioritize helping you feel better. You should also feel comfortable with me. If I am a good fit for you, we can decide what to focus on and how to move forward as we continue to work together. Please note that I will discontinue treatment/refer to another therapist after two late cancellations (less than 24 hours) or "no shows" to appointments. Note: I have additional appointment dates/times not shown on my Grow calendar. Feel free to contact me to discuss availability.

Strengths

I am calm, direct, skilled, practical, and effective. I won't be shocked by what you tell me. It's my job to understand what's happening, help you determine what needs to change, and work with you toward getting there. I use EMDR and other therapeutic approaches to help you move forward. I am focused on getting results. For more than 20 years, I've helped people find relief and gain new insights.

Ideal clients

My clients are motivated and ready for change. They don't have time to waste and are ready to work. I provide ​focused therapy for people ready to move forward becuase they aren't satisfied with their life the way it is, they are experiencing uncomfortable symptoms, or they are tired of they way their life seems smaller following an overwhelming event.

Treatment methods

Person-centered (Rogerian)

I will listen and support you without judgement. If you have doubts, worries, or dark thoughts, you can share them with me in a safe and respectful environment. If you are not sure what you need, but you want to feel better, we will work together to figure out what that means. We will start working from where you are, clarify what is not working for you, and move towards creating a more positive and satisfying life experience for you.

EMDR

EMDR is a type of therapy best known for helping people process trauma and other distressing life experiences. It can also be an effective approach for anxiety, perfectionism, phobias, and navigating life's unexpected challenges and transitions. ​I am an EMDRIA-trained EMDR therapist, and incorporate EMDR into my work with clients when it is clinically appropriate. ​I can use EMDR to help your brain heal from past trauma and stressful events. Some of the benefits of EMDR therapy are faster results, proven effectiveness, and no need to disclose details of what happened.

Psychoeducation

Sometimes I find it helpful to provide information to clients for them to consider. I only do this as needed, and only in small quantities. I prefer to do more listening than talking.

Location

Virtual sessions

Reviews and ratings

4.7 rating (3)0 reviews

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Schedule 60 min