Feeling overwhelmed, stuck in patterns, or disconnected from yourself? You’re not alone. I help clients navigate anxiety, relationship challenges, and life transitions with compassion and insight. My goal is to support you in feeling more grounded, understood, and empowered to move forward in your life.
My approach is transpersonal, mindfulness-based, and person-centered. I focus on helping you reconnect with your inner wisdom while strengthening the mind-body connection. Together, we explore patterns, emotions, and experiences in a way that feels safe and supportive. I tailor therapy to your unique needs, integrating mindfulness, trauma-informed care, and relational work to support deep and lasting healing.
I understand that seeking therapy can feel like a big step, and I want to meet you where you are. With over three years of experience, my goal is to create a supportive, non-judgmental space where you can feel heard and understood. I deeply value the connections I make with my clients and believe that personal growth happens when you feel safe to explore your feelings, challenges, and aspirations. While not every therapist will be the right fit for everyone, my commitment is to walk alongside you and help you find the tools you need to move forward, whether you’re facing a specific challenge or simply seeking personal growth. Together, we can work toward a healthier, more fulfilling life.
I have been a therapist for over 18 years. I have extensive experience working with diverse populations and have lived in five different countries. I am action-oriented and believe in actively working towards treatment goals. In each session, short treatment assignments (10 minutes a day or less) are given to keep you focused and moving forward to achieve treatment success.
Many of my clients come in feeling stuck in the same painful patterns—miscommunication, emotional distance, or conflict that never fully gets resolved. Whether you’re navigating relationship struggles, anxiety, or the impact of childhood trauma, therapy can help you better understand yourself and create lasting change. I specialize in working with individuals dealing with attachment wounds, relational challenges, and major life transitions. Together, we’ll explore how your past experiences show up in your present relationships and build healthier ways of connecting with yourself and others.
My style is warm, supportive, and direct. I’ll meet you with compassion, but I also won’t shy away from gently challenging patterns that keep you stuck. I value creating a safe, trusting space where you can be yourself, while also helping you move forward in meaningful ways.
Hello! My name is Desiree, I am a Licensed Professional Counselor with a variety of experience serving neurodivergent individuals and their families. My approach is collaborative in nature as I am gender and culturally affirming in my practice. I am personable and acknowledge each individual as their own leader in their life and work towards empowering my clients to reach their goals while supporting them through this process. My experience includes inpatient settings, intensive outpatient, and outpatient settings as well. I specialize in play therapy, gestalt, DBT, and solution focused therapy while incorporating mindfulness and somatic therapies to fit the clients needs.
I am a former history and English teacher who has a passion for helping people learn more about their mental health. I have worked in a variety of settings including wilderness therapy, community mental health, and private practice. I have a passion for traveling, exploring in the mountains, hanging out with my wife and dog, and having meaningful conversation over a cup of coffee.
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I am a dedicated therapist who believes that every individual possesses an innate, unbreakable resilience. My practice is rooted in a client-centered philosophy, meaning I view you as the expert of your own life. Together, we will tap into your internal strengths to navigate life’s challenges, fostering a space where you feel truly seen, heard, and empowered to create lasting change.
Hi, I’m Josh Burke, a Licensed Clinical Social Worker providing therapy across, Colorado, New York and Vermont. I’ve spent over 12 years working with individuals navigating a wide range of challenges, including anxiety, depression, suicidal thoughts, and major life transitions.
I understand that reaching out for therapy can feel vulnerable. Because of that, I place a strong emphasis on building a genuine, trusting relationship from the start—one where you feel supported, understood, and able to be honest about what you’re going through.
My approach is both relational and goal-oriented. I primarily use Acceptance and Commitment Therapy (ACT) and Solution-Focused Brief Therapy (SFBT), which means we won’t just talk about what’s wrong—we’ll also focus on what matters to you and how to move toward it in practical, meaningful ways.
Whether you’re feeling stuck, overwhelmed, or navigating a significant transition, our work will center on helping you better understand your experience, develop new ways of responding to stress, and take steps toward the life you want to live. I tailor therapy to each person, recognizing that no two paths forward look the same.
I believe change is possible—even when things feel difficult—and I aim to walk alongside you in a way that feels collaborative, grounded, and forward-moving.
I’m a mental health professional with a deep and varied background in education, counseling, human services, and advocacy. Over the years, I’ve worked alongside adults, youth, and families navigating trauma, identity shifts, life transitions, and the lasting weight of systemic challenges like poverty, incarceration, and intergenerational trauma. I don’t just see symptoms, I see people. Whole people. And I meet them exactly where they are.
I offer personalized counseling to help clients overcome various challenges, including anxiety, depression, stress, and relationship issues, including communication challenges and strengthening connections. I enjoy working with adult female clients with late-onset of ADHD. By creating a supportive and welcoming environment tailored to your unique needs, our partnership will empower you to build resilience, balance, and personal growth. I am eager to join you on your journey toward a more fulfilling, balanced life, and I am confident that our collaborative approach will help us overcome obstacles and help you reach your full potential.
Before I worked as a counselor I worked as a technical writer and software tester, and then as a caseworker in social services. I have also been a studio engineer with much work in audio and video editing and got to spend a year on the film festival circuit for a documentary I made about being an independent musician. All of those experiences I feel are helpful in working with clients from different backgrounds and perhaps in understanding that most of us want to find something meaningful in this life and often feel that we still don't know what our real calling.
You are the expert of your own life—your experiences, feelings, and thoughts are invaluable guides to your mental well-being. In my practice, I take a Whole Health approach to counseling, supporting you in a way that honors your unique needs. I believe that true change comes from nurturing every aspect of your life, including diet, exercise, sleep, and more. My goal is to help you unlock your potential and cultivate lasting growth, using your insights as the foundation. If you’re ready to invest in your mental wealth, I’m here to support you every step of the way.
My path to becoming a mental health provider began with a deep curiosity about the human experience and a genuine desire to help others find meaning and healing in their lives. Growing up, I witnessed firsthand how life’s challenges can impact our well-being, and I saw the profound difference that compassionate support can make. These early experiences inspired me to learn more about how we cope, grow, and ultimately thrive, even in the face of adversity. As I continued my education and personal growth, I became increasingly drawn to the field of mental health. I was captivated by the resilience and wisdom people bring to their healing journeys. I realized that being a provider would allow me to walk alongside others as they navigate their unique paths, offering guidance, encouragement, and evidence-based tools to support their goals. What truly motivates me is the belief that every person has the capacity for growth and transformation. I am honored to help create a safe, supportive space where clients feel heard, respected, and empowered to make positive changes. My journey as a provider is rooted in empathy, curiosity, and a commitment to whole-person care, and I am grateful every day for the opportunity to support others.
I am a licensed clinical social worker living in Durango, Colorado and I have been in private practice for about 8 years. When I am not working with people in therapy I love spending time with my family, trail running, and gardening. I love getting to know my clients and helping them live the lives they want to live - it is an honor to do this work!
Hi! I'm Mary and I realllly like my job. I am accepting clients both in person and virtually. I use a combination of Adlerian theory, Person-Centered, and ACT. I have training in complex trauma/PTSD, OCD, and anxiety. I am LGBTQ+ affirming. When not working, I am either going on walks with my dog, reading, playing Stardew Valley, or spending time with friends and family.
Hi, I’m Sammi! I’m a client-centered therapist who creates a safe, compassionate space where you can feel seen, heard, and supported. I believe therapy works best when it feels like a real human connection, and I’m here to walk alongside you as you navigate challenges, build resilience, and explore practical strategies to improve your well-being. My approach is grounded and collaborative, meeting you where you are and moving at a pace that feels right for you.
My name is Cinthia Brown, and I consider myself to be a compassionate therapist who creates a safe, supportive space for growth and healing. I believe that a strong therapeutic relationship is the most important aspect of the work that we will do together, and have experience working with individuals, families, adolescents, and the military culture. I am especially passionate about supporting individuals navigating life transitions, including parenthood, career, and identity struggles.
Hi, I’m someone who genuinely loves helping people bring their ideas to life. I believe great work starts with listening, understanding your goals, and building a partnership rooted in trust and clear communication. My approach is thoughtful, reliable, and detail-oriented — but always human first. I’m here to make the process feel easy, collaborative, and maybe even a little fun, while delivering results you can feel proud of.
*Not currently accepting couples*
My therapeutic style is straightforward, and I invite open communication about clients’ experiences in therapy throughout the process. People would likely describe me as direct and straight to the point. Most often I practice through the lenses of Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), attachment theory, and existential theory.
How I help clients reach goals:
I believe clients have the capacity to develop their own solutions and that, through a collaborative therapeutic relationship, meaningful movement toward a desired quality of life is possible. I hope that by working together, we can organize and achieve your goals, whatever they may be. If you're unsure of what direction you want to head, we can work on that together, too.
My journey to becoming a provider:
I am a prior service turned mental health professional. I served in the U.S. Army as a combat medic from 2009 to 2012, with one deployment to Iraq. After my service, I switched over to mental health, starting with working in an inpatient mental health facility. I have since worked at a substance use clinic, a private practice, a team practice, and taught psychoeducational classes alongside DHS. I hold two master’s degrees, in addition to a bachelor’s and an associate's degree. I bring specialized knowledge and clinical focus in trauma, sexual concerns, and disordered eating.
I’ve long been curious about the human experience—how people adapt, cope, and grow through life’s challenges. This curiosity, along with a deep respect for human resilience, led me to the field of mental health and continues to shape how I approach my work today.
In therapy, I aim to create a thoughtful, collaborative space where clients feel respected, understood, and supported. Many of the people I work with are navigating anxiety, past trauma, parenting stress, or life transitions. They may appear steady on the outside while carrying a great deal internally. Together, we work toward deeper self-understanding, practical coping strategies, and healthier ways of relating to themselves and others.
I strive to provide affirming, non-judgmental care where all identities and lived experiences are respected. Whether someone is seeking healing from past experiences, support through a life transition, or simply a steadier way of navigating daily stress, therapy can be a collaborative process that helps people feel more grounded, supported, and connected to themselves.
Relationships are my expertise and the foundation of our lives! You love your people, but sometimes you struggle to communicate with them, handle their emotions and reactions, or support them without losing yourself. Whether you're dealing with your spouse, partner, sibling, parent, friend, or child, I am here to help you recognize unhelpful patterns, improve communication, and gain confidence! When you're ready to break the cycle you’ve been stuck in, let’s schedule our first session and start you on a new path.
I’m Pedro Zabala III, a licensed professional counselor in Colorado with over 15 years of experience helping individuals navigate emotional challenges, addictive patterns, and major life transitions. My work centers on supporting clients who feel stuck between who they’ve been and who they want to become. I believe every person carries an innate capacity for healing, even when life feels overwhelming or unclear.
I work with individuals experiencing anxiety, depression, trauma and PTSD, OCD, relationship stress, identity exploration, and workplace or career-related challenges. I also specialize in helping clients re-evaluate their relationships with substances and behavioral addictions, approaching this work with compassion and without shame.
My style is warm, collaborative, and grounded in your lived experience. I integrate person-centered therapy, motivational interviewing, CBT, DBT, solution-focused strategies, and narrative therapy. Together, we explore your story, build practical skills, and move toward meaningful, sustainable change at a pace that feels right for you.
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Please reach out to me BEFORE scheduling an appointment via Grow Therapy. Availability listed on here does not always accurately reflect clinician availability. The best way to request an appointment is by following this link: https://taryn-hodison.clientsecure.me
My treatment approach is eclectic in nature, but I mainly use psychodynamic therapy in my practice. Clients would would benefit from my services if they are ready to examine and develop insight into how past experiences impact their present lives. Clients should expect to be validated and gently challenged in therapy in order to get through the mental blocks that keep them stuck in repeating the same self-destructive patterns.
Jeff has worked as a clinical social worker for 3 years. He has worked with different age groups and identities as a trauma therapist, helping combat veterans and sexual assault victims find healing and hope.
He has worked as a therapist within the Department of Veterans Affairs and companies and clinics outside of the government.
Jeff previously served as a Navy helicopter pilot.
Today he lives with his family in San Diego, CA.
Hello, I am a Licensed Professional Counselor (LPC) who resides in Arizona. I have an LPC in both the state of Arizona and Colorado. For more than 8 years I have worked with both young adults and adults suffering from mood disorders, chemical addictions, behavioral addictions, and grief/loss. I have specific training in grief therapy, sexual addiction, as well as trauma informed care.
My approach is collaborative, practical, and grounded in evidence-based therapies. I work with adults of all genders, including individuals and couples, who are navigating emotional, relational, or life challenges. I focus on helping clients make sense of their experiences, rebuild self-trust, and develop tools that support meaningful, lasting change. Many clients leave therapy feeling more grounded, empowered, and better equipped to move forward with clarity and confidence.
I’m a Licensed Professional Counselor with several years of experience supporting teens, young adults, and adults navigating anxiety, life transitions, relationship challenges, and the impact of past experiences. I work especially well with individuals who feel overwhelmed, stuck, or disconnected, even if they appear to be functioning well on the outside, and are looking for more clarity, confidence, and direction in their lives. My goal is to help you better understand yourself, shift patterns that no longer serve you, and create meaningful, lasting change—whether that means improving relationships, managing anxiety, or feeling more grounded and aligned in how you move through your day-to-day life.
I’m Arley Gordon, LCSW, LISW-CP, a licensed therapist offering compassionate, inclusive support for children, adolescents, adults, and parents. My approach is rooted in trust, empathy, curiosity, and genuine care, and I believe meaningful change begins in a safe, supportive relationship where you feel seen and understood. I’m committed to walking alongside you as you grow, heal, and deepen your self-understanding.
Hi! I am so happy that you have made the decision to take this time for yourself and your needs. I'm Caitlin, a Licensed Clinical Social Worker in both Colorado and Florida. I began my practice career as a crisis clinician in Emergency Services serving populations from children & adolescents to the geriatric community; since then, I have moved on to private practice working with clients in Virginia, Florida, Missouri, and am currently living and practicing in Colorado!
At the heart of my practice is the belief that you possess an incredible capacity for deep growth and healing. I provide a compassionate and collaborative space where you can explore the challenges that stem from anxiety, stress, trauma, and more. It's common to feel like something's missing, or that you're not quite good enough – constantly thinking happiness depends on getting "this" or waiting for "that." But this kind of thinking often leaves us on the receiving end of life, instead of actively shaping it.
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Hello, I'm Deedra Ivie. My goal is to help you find the strength that is already inside of you and bring that to light. Each client is different and has needs unique to their upbringing and life circumstances. I enjoy learning about your past circumstances, ways of thinking, and current situation to find the best way to move forward to achieve progress and find peace.
I am the founder of a clinic named The Best Mental Health Practice of Southern Colorado for 2025. I know that we all go through unusually stressful times and need competent and accessible help. I have been providing trauma-informed psychotherapy before it was a buzzword and specialize in trauma-focused family services. I have experience as a research psychologist in Europe and a successful practitioner in the US working with adults who struggle with trauma symptoms, divorce/post-divorce adjustment issues, couples conflict, and parent-child challenges.
As a transpersonal therapist, I view therapy as a holistic healing container, in which I am a fellow traveler on the path to wholeness. My goal is to awaken the knowing that is already alive within you, guiding you to your truest self. I have been on a personal journey of self-discovery and awakening for over a decade through meditation, yoga, practicing massage therapy for 5+ years, deepening an understanding of healing through the body mind spirit connection. I arrived in the field of counseling as a culmination of my personal journey, from a desire to serve others on the path to healing and integration.
You matter. Your feelings matter. Your story and your healing matter. By reaching out for help, you have already taken the first brave and necessary step to self-care and personal growth. I would be honored to walk with you in your journey to better health. I use multiple therapeutic approaches to explore each person's unique needs with a mix of empathy, advocacy, humor, and realness. I have extensive experience working with individuals affected by trauma, grief, anxiety, and depression, as well as autism, ADHD, and ODD. I am trained in EMDR and offer a collaborative approach to treatment.
My counseling style is empathic and conversational, grounded in respect, sensitivity, and compassion. We'll incorporate your experiences, feelings, and values into a meaningful life story. My approach combines cognitive-behavioral, psychodynamic, narrative, and evidence-based strategies while allowing space for rediscovery, growth, and repair.
I specialize in depression, self-esteem, substance use and misuse, men's mental health, and relationship issues. Relationships are often the most important things in our lives, and all treatment holds this at its core. When we pursue change, we strengthen our relationships and become better partners, parents and friends.
I strive to meet the client where they're at and tailor the approach based on their needs. My style is empathic and supportive. We will figure out where and how you'd like to make changes, uncover the patterns that have kept you stuck, and do the rewarding work of letting go of the things that aren't working for you anymore.
I am a compassionate, open-minded therapist with six years of clinical experience in Texas and recent practice in Colorado. I specialize in supporting adults through anxiety, depression, and relationship challenges, using a strong foundation in Cognitive Behavioral Therapy. I provide culturally sensitive, LGBTQIA‑affirming care and strive to create a safe, nonjudgmental space where clients are met where they are. My approach is collaborative and client-centered, focused on practical strategies and meaningful progress.
I provide a supportive, nonjudgmental space where clients can feel heard, understood, and comfortable exploring what’s bringing them to therapy. I work with individuals navigating life transitions, anxiety, stress, and relationship challenges, and I tailor my approach to each client’s unique needs.
My style is collaborative, relational, and goal-oriented, integrating evidence-based approaches such as CBT and attachment-based therapy. Together, we explore how past experiences and current patterns influence your thoughts, emotions, and relationships, while also building practical skills to improve emotional regulation, reduce distress, and create meaningful change.
I value creating a strong therapeutic relationship and strive to meet each client with empathy, curiosity, and respect. My goal is to help you feel more grounded, increase self-awareness, and develop healthier, more fulfilling connections—with yourself and others.
With over 20 years of experience in individual and family therapy, I offer a grounded, compassionate approach that will be tailored to your goals. Sessions are collaborative and flexible, drawing from several modalities we choose together. I especially enjoy exploring the mind- body connection that is such an important component of mental health. You can expect to feel heard, respected and supported as we focus on meaningful and sustainable change.
I am a Licensed Professional Counselor in the state of Texas. I specialize in working with individuals of all ages. I have found that online therapy for adults is effective, convenient and the post pandemic way to obtain therapy. I am solution focused, and I practice the client centered approach theory.
My background is in secondary education and school counseling, for 27 years. I have had my counseling license for 13 years. I am currently a part-time, private counselor, using online with adult clients and in person, for youth, through non-profit, school programs.
I earned an A.A. in Historical Studies from San Jacinto College, Central Campus, La Porte, Texas, June of 1991. I earned my B.A. in Secondary Social Studies from the University of Houston, Clearlake Campus, in Houston, Texas in June of 1994. And I earned my M.Ed. from University of Texas State in San Marcos, in December of 2010. I later added my license in Professional Counseling, in April of 2011. I am interested in the ways trauma impacts the individual and plan to be trained in EMDR, within the year.
I am empathetic to the challenge that real life experiences bring and the need to heal and evolve from the times in our lives when we have lived predominately in our shadow side. I am a non-judgmental listener; I help my clients process their hurt and I inspire them to move towards best version of themselves.
I find the key components to a therapeutic relationship between the counselor and the client is the foundation of trust, honesty, transparency and non-judgmental listening and reflection.
I believe that everyone has a purpose, life lessons that they work through and opportunities to heal, transform and evolve emotionally, spiritually and mentally.
I specialize in major life changes (marriage, growing family, divorce, death, career change, illness, caregiver stress, etc.) as well as trauma. All these things can cause you to no longer want to do the things you used to love, things that bring you joy. You feel like you to barely recognize yourself anymore. You may not even be able to put your finger on what happened; all you know is that you are not the same person you used to be, and you don’t like it.
I utilize EMDR along with solution-oriented and cognitive behavioral approaches. I look at all aspects of your life; mind, body, environment, and spirit. What we believe about ourselves and the world around us totally affects our behavior and our feelings. Call me today and let’s talk about how I can help you become the person you were before “stuff” happened.
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With 15+ years of experience, Mitsouko Chatelain, LCSW, provides compassionate, trauma-informed therapy for children (5+), teens, adults, and older adults. Specializing in anxiety, depression, trauma, identity, and life transitions, she blends evidence-based practices like CBT, DBT, and Trauma-Focused CBT with a holistic, mind-body-spirit approach.
In a safe, empowering space, Mitsouko helps you connect with your inner strengths, build resilience, and move toward lasting well-being.
Hi, I'm Emily and I've been practicing as a therapist for the last seven years. I began my own healing work when the coping strategies I relied on - and the mask I wore to get through life - finally stopped working. Under all the pain was a desire to live more honestly and deeply, and its what eventually led me to become a therapist. This is the kind of space I now intend to hold for others.
As a social worker for twenty years, I have seen both the incredible hardships that people face as well as human resilience and adaptability. I became a therapist because I believe that healing happens best when we feel seen, heard, and accepted—just as we are. In therapy sessions, I use humor, warmth, and genuine respect to create a safe and supportive space for that purpose.
I’m a first-generation Latina therapist, and that lived experience gives me a unique lens in how I show up for the people I work with. I understand the mix of cultural expectations, generational patterns, and just trying to get through everyday life. Many of my clients come in carrying anxiety, self-doubt, depression, or trauma, but also the very real, everyday stuff: relationship stress, distrust in others, feeling not good enough, not wanted, not seen.
In our work together, I help you unpack those feelings and begin to challenge the negative narratives that may be shaping how you see yourself. Therapy isn’t about “fixing” you, it’s about helping you understand where those patterns come from and supporting you in rewriting the story in a way that feels more honest and empowering.
I believe healing starts from within. Empowerment isn’t just about what we can do, it’s about remembering who we already are. My goal is to help you reconnect with your strengths, find your voice, and build a life that feels more grounded, more intentional, and more yours.
I am speaking directly to the genuine, successful women out there. The ones that teeter between I deserve a good relationship to what's wrong with me? The ones that time and time again keep finding themselves in the same place, wanting more for yourself, but unsure just why its not happening for you or what that is. Everyone tells you, that you are a great catch, yet you find yourself attracting these relationships where you are pretending to be someone you are not or just accepting what someone else will give. Or maybe for whatever reason change happened-divorce, kids go off to college and now what? My name is Tawny, I have 25 years experience as a mental health counselor and I have a road map let's start!
Life can change in an instant — through injury, diagnosis, loss or unexpected life events- leaving you overwhelmed, unsteady, or unsure how to move forward. Whether you are directly experiencing a major life change or supporting someone who is, you may be navigating uncertainty, grief, and a life that no longer feels the same. Moving forward is not about "getting over it." It's about gently finding your footing within circumstances that you did not choose. I work with individuals and family caregivers navigating unfamiliar emotional terrain and rebuilding a sense of self and stability. I am a Licensed Clinical Social Worker and offer telehealth in Colorado and Arizona. I am passionate about supporting individuals going through some of life's most challenging changes. But you do not need to have a defining life event to reach out, many of my clients are overwhelmed with how much life has changed.
I’m a Licensed Clinical Social Worker with experience working with individuals across all stages of life, including children, adolescents, adults, and older adults.
I specialize in helping others with anxiety, depression, stress, self-esteem/self-confidence, imposter syndrome, career exploration, and relationship issues.
Seeking help is a huge first step, and I do my absolute best to make the entire therapeutic process as smooth and easygoing as possible by embracing a positive, eclectic, and non-judgmental approach to therapy.
I am Licensed Clinical Social Worker (LCSW) in Colorado, Texas, Nevada, Iowa, and Hawaii and Washington.
I view therapy as a partnership focused on healing, self-discovery, and empowerment. I work with a wide range of adults seeking relief from anxiety, depression, trauma, or stress-related concerns, and I tailor my approach to each person’s unique story. My goal is to help you strengthen your sense of self, improve relationships, and develop practical tools to live with greater peace and authenticity.
I have been a Licensed Professional Counselor (LPC) in Colorado and actively working in the field since 2010. I have been told that I have a calming presence, a decent sense of professional insight, and a serious approach to empowering clients to find success and improve their mental health. You don’t have to suffer in silence. I am there for you. I listen, collaboratively work with you, assist with life goals and help guide you toward better mental health.
Hi! I'm Katie, a licensed professional counselor in Colorado. I enjoy working with people to overcome trauma and other challenges in life; to encourage growth, and realize their strengths. We, as humans, are resilient we often just need someone in our own corner to help us see our own growth and strengths to become the best version of oneself possible!
Hello, I’m a Licensed Clinical Social Worker who works with adults navigating anxiety, depression, life transitions, grief, and everyday stressors. I have worked in the mental health field for over 20 years and have a wealth of experience with multiple types of people. I strive to create a supportive, nonjudgmental space where you can feel understood and comfortable exploring what’s been weighing on you. Together, we’ll build insight, strengthen coping skills, and help you move toward meaningful and lasting change.