New to Grow
Hi, I’m Lena Meyer, a Licensed Clinical Social Worker providing telehealth therapy for adults and couples. I specialize in helping individuals navigate life transitions, relationship challenges, substance use concerns, and periods of feeling stuck or overwhelmed. My approach is strengths based, compassionate, and collaborative. I believe therapy should feel supportive, practical, and empowering; a space where you can be honest, gain insight, and build the tools needed for lasting change. Whether you're working through anxiety, relationship stress, recovery, or personal growth, I’m here to help you move forward with clarity and confidence.
In our first session together, here's what you can expect
Starting therapy can bring up a mix of emotions. That’s completely normal. One of my priorities is helping you feel comfortable and informed from the very beginning. Knowing what to expect often makes the process feel less overwhelming and more manageable. Our first session is primarily about building connection, clarity, and direction. We won’t rush into the deepest parts of your story unless you’re ready. Instead, we’ll start by reviewing confidentiality and answering any questions you may have about how therapy works, including telehealth, scheduling, or what ongoing sessions might look like. I want you to feel fully informed and grounded in the process. From there, we’ll talk about what brought you in at this point in your life. Sometimes there’s a specific event like a relationship conflict, increased anxiety, burnout, a relapse scare, or a major life transition. Other times, it’s a quieter realization that something needs to shift. I’ll ask thoughtful questions to better understand what feels most difficult right now and what you hope will be different as a result of therapy. There is no pressure to tell your entire life story in one hour. We focus on what feels most relevant and manageable. As we talk, I may ask about your background, relationships, work, coping patterns, or previous therapy experiences. This helps me see the bigger picture and understand patterns that may be contributing to how you’re feeling today. If you’re coming in as a couple, we’ll explore how your relationship began, where it feels strong, and where it feels stuck. I work intentionally to ensure both partners feel heard and respected from the start. You can also expect me to ask about your strengths. Even if you feel overwhelmed, you have resilience. Therapy isn’t just about identifying problems; it’s about recognizing what’s already working and building from there. Understanding your values, supports, and past successes helps us create meaningful and realistic goals. Before we end our first session, we’ll begin clarifying what progress would look like for you. You don’t need perfectly defined goals, we’ll shape them together; but having a shared sense of direction helps therapy feel focused and purposeful. We’ll also talk about next steps, including how often to meet and what areas we’ll prioritize. Most clients leave the first session feeling relieved. Many tell me it feels good to say things out loud in a space where they’re not being judged or rushed. It’s also no
The biggest strengths that I bring into our sessions
One of my greatest strengths as a therapist is my ability to balance compassion with structure. Clients often tell me they feel deeply understood in our work together but they also feel challenged in productive, growth-oriented ways. I don’t believe therapy should be passive or vague. I believe it should be intentional, collaborative, and focused on meaningful change. My approach combines emotional safety with clear direction, helping clients move from insight to action. My professional background in behavioral health and substance use treatment has shaped my ability to work with complexity. I have extensive experience supporting individuals navigating addiction, relapse prevention, co-occurring mental health disorders, trauma histories, and high-risk situations. This experience allows me to remain calm, grounded, and solution-focused even when circumstances feel intense. I understand how shame, avoidance, and self-criticism can fuel destructive cycles, and I know how to help clients break those patterns without judgment. Working in leadership within behavioral health has also strengthened my clinical lens. I have spent years supervising clinicians, managing high-acuity programs, and navigating systems-level challenges. This experience gives me a deep understanding of burnout, compassion fatigue, professional identity struggles, boundary-setting, and the pressure of responsibility. Many of my clients are high-achieving professionals or caretakers who are accustomed to holding everything together. I understand that mindset and I know how isolating it can feel. Another strength I bring to therapy is direct communication. Clients who work with me can expect honesty delivered with care. I will validate your experience, but I will also gently challenge cognitive distortions, avoidance patterns, or behaviors that are reinforcing distress. Growth requires both empathy and accountability. I am comfortable naming what others may hesitate to say, always in service of your goals. My work is grounded in evidence-based approaches, including motivational interviewing, solution-focused brief therapy, compassion-based interventions, and structured relapse prevention strategies. I adapt these frameworks to the individual rather than rigidly applying a single model. Some clients need practical skill-building and goal clarity. Others need deeper emotional processing and self-compassion development. Many need both. I tailor therapy to meet you where you are while steadily
The clients I'm best positioned to serve
If you’re considering working with me, you may notice a few things about yourself. You likely carry a great deal of responsibility. You show up for work, family, partners, and friends. On the outside, you appear capable, reliable, and composed. People depend on you. Yet internally, you may feel overwhelmed, anxious, self-critical, or emotionally exhausted. You hold it together, but it takes effort. You might be someone who overthinks conversations long after they’ve happened. You replay decisions. You question whether you said the wrong thing. You set high standards for yourself and feel disappointed when you don’t meet them. Even when you achieve something meaningful, it can be hard to fully feel proud or satisfied. Many of my clients share a common tension: you are strong and self-aware, yet you feel stuck in patterns that no longer serve you. You may notice people-pleasing, difficulty setting boundaries, perfectionism, emotional shutdown, or repeated relationship conflicts. You don’t want to keep repeating the same cycles, but you’re not entirely sure how to shift them. You may be navigating a significant life transition. Perhaps your career no longer feels aligned. Maybe you’re stepping into parenthood and feeling unprepared. You might be ending a relationship, trying to rebuild trust, or redefining who you are after years of prioritizing everyone else. Sometimes the transition is internal; a growing awareness that the version of you that survived no longer fits the life you want to build. If substance use is part of your story, you may be questioning your relationship with alcohol or other substances. You may be in recovery and working hard to maintain stability, or you may simply be noticing patterns that concern you. You don’t necessarily want shame-based messaging or rigid labels, you want honest exploration, accountability, and practical tools that actually help. In your relationships, you likely care deeply. You want connection, but conflict may escalate quickly or shut down entirely. You may feel unheard, misunderstood, or reactive in ways that surprise you. If you’re coming to therapy as a couple, you probably don’t want to keep having the same argument in different forms. You want clarity, stronger communication, and a way to feel like you’re on the same team again. Another thing many of my clients have in common is insight. You are not resistant to growth, in fact, you’re often highly reflective. You’ve read books, listened to podcasts, maybe even tried therapy before. You understand the “why” behind some of your patterns, but insight alone hasn’t created the change you’re looking for. You want tools, structure, and a process that translates awareness into action. You may also be someone who struggles quietly. You don’t always let others see how much pressure you’re under. You may minimize your own stress because “others have it worse.” You may hesitate to ask for help because you’re used to being the helper. Reaching out for therapy might feel uncomfortable but you’re doing it anyway because something inside you knows it’s time. My ideal clients are not perfect. They are willing. You don’t need to have everything figured out. You don’t need to be in crisis. You simply need to be open to looking honestly at patterns, taking ownership where appropriate, and experimenting with new ways of responding. You likely value directness paired with compassion. You want a therapist who will validate your experience but also gently challenge you. You’re not looking for someone to simply nod; you want thoughtful feedback, skill-building, and forward movement. You want therapy to feel productive, not stagnant. You may also value structure. While therapy is a safe place to process emotions, you likely appreciate having goals, measurable progress, and practical strategies you can apply outside of session. You want to leave conversations with clarity, not confusion. Underneath everything, you probably want relief, from anxiety, from constant self-criticism, from repeating relational conflict, from feeling disconnected or burnt out. But beyond relief, you want growth. You want to feel more confident in your decisions. You want stronger boundaries. You want healthier coping strategies. You want relationships that feel secure rather than fragile. You want your internal dialogue to feel supportive instead of harsh. If you are someone who is ready to move from surviving into intentionally living, we will likely be a strong fit. You don’t have to be fearless. You don’t have to be certain. You simply have to be willing to begin examining what’s working, what isn’t, and what needs to change. If you recognize yourself in these descriptions — capable yet tired, insightful yet stuck, caring yet overwhelmed, motivated yet unsure how to move forward — then you are exactly the type of client I am best positioned to serve. Therapy with me is collaborative, structured, and growth-oriented. If you’re ready to build clarity, resilience, and sustainable change, I would be honored to support you in that process.
Compassion Focused
In my practice, I integrate Compassion Focused Therapy (CFT) to help clients who struggle with shame, self-criticism, trauma, and substance use. Many individuals develop harsh inner narratives rooted in past experiences. CFT provides a structured, evidence-based way to shift from threat-based patterns to self-compassion and emotional regulation. I use psychoeducation around the three emotional systems (threat, drive, and soothing), along with mindfulness, compassionate imagery, and self-compassion exercises to help clients develop a kinder, more balanced internal voice. This approach is especially helpful in trauma recovery, relapse prevention, and relationship work. CFT helps clients build emotional safety, resilience, and sustainable change by strengthening their capacity for compassion toward themselves and others.
Couples Counseling
In my couples counseling work, I help partners improve communication, rebuild trust, and strengthen emotional connection. I focus on identifying unhelpful patterns, such as defensiveness, withdrawal, or repeated conflict cycles and guide couples toward more open, respectful, and effective ways of relating. My approach is strengths-based and collaborative. I support each partner in feeling heard and understood while also encouraging accountability and growth. We work on practical skills such as emotional regulation, conflict resolution, boundary setting, and repairing after disagreements. No matter what challenges couples are going through, I aim to create a safe, structured space where both individuals can move from blame and frustration toward clarity, connection, and shared goals.
Motivational Interviewing
I integrate Motivational Interviewing (MI) into my practice to help clients explore ambivalence and strengthen their internal motivation for change. Rather than directing or persuading, I use a collaborative, nonjudgmental approach that honors each client’s autonomy and readiness. Through open-ended questions, reflective listening, and strategic exploration of values and goals, I help clients identify discrepancies between where they are and where they want to be. This approach is particularly effective in substance use treatment, behavior change, and major life transitions. MI supports clients in building confidence, increasing insight, and making sustainable changes that align with their personal values rather than external pressure.
Solution Focused Brief Treatment
I use Solution-Focused Brief Therapy (SFBT) to help clients identify their strengths, clarify goals, and build practical steps toward change. This approach focuses less on analyzing problems and more on identifying what is already working and how to expand those successes. Through goal setting, scaling questions, and exploring exceptions to the problem, I help clients recognize their existing resources and resilience. SFBT is especially effective for clients seeking focused, short-term support around specific challenges, life transitions, or behavioral goals. By emphasizing progress over perfection, this approach empowers clients to create meaningful change in manageable, achievable ways.