- Anxiety and depression
- Family of origin issues
- CBT ACT DBT methods
About Juanita
Juanita Gamache is a Licensed Clinical Mental Health Counselor (LCMHC) and a Licensed Professional Counselor (LPC) with 22 years of experience in Tennessee. She works with adults on concerns such as anxiety, depression, addictions, relationship problems, grief, and family of origin issues. Sessions are framed around helping people sort through feelings and practical problems rather than labels or diagnoses.
Juanita uses straightforward conversation and evidence-based practices to help people notice patterns from their family of origin and current relationships. She offers practical tools for coping with stress, improving communication, and managing emotions. Sessions often focus on identifying unhelpful patterns, testing small behavior changes, and practicing new ways of relating to others.
Her approach draws on several methods. Cognitive Behavioral Therapy (CBT) is used to notice and change thinking patterns that keep problems going. Acceptance and Commitment Therapy (ACT) helps people decide what matters, then take steps toward those values even when feelings are difficult. Attachment-Based Therapy looks at how early relationships shape expectations and ways of connecting now.
Juanita also works with mindfulness and Dialectical Behavior Therapy (DBT) skills to help with emotion regulation and distress tolerance. She mixes client-centered conversation with structured skill practice so sessions feel both understandable and practical. People who contact her complete a short matching questionnaire and then schedule a first session.
Sessions are offered in English and are based in Tennessee. Juanita does not accept international clients. Costs vary by location and use a subscription model that can be canceled at any time.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) invites people to name what matters to them and take small actions toward those values even when emotions are hard. It is useful for anxiety, depression, and coping with life changes.Attachment-Based Therapy looks at how early relationships shape current expectations and ways of connecting. It is often used when family of origin patterns, intimacy-related issues, or attachment concerns affect current relationships.
She also uses Cognitive Behavioral Therapy (CBT) to spot unhelpful thoughts and try new behaviors that reduce distress and improve day-to-day functioning. CBT can help with mood, anxiety, and practical problem solving.
Choosing the right approach is part of the work. The therapist will discuss goals, preferences, and what has or hasn't helped before, and then suggest which methods to try. The decision is collaborative and can change as progress is made.
Session formats are not listed in the biography, so confirm current options before booking. People often find remote sessions easier to fit into work and family routines, reduce travel time, or allow a brief phone check-in when bandwidth or background noise is an issue. Practical benefits include shorter transitions, fewer scheduling barriers, and easier follow-up between meetings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
22+ years
Listed in
Tennessee, Utah
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She helps with anxiety, depression, addictions, relationship problems, grief, and family of origin issues among other concerns.
How would you describe her therapeutic style?
She combines conversation with practical skill-building. Sessions focus on noticing patterns and trying small changes.
How much clinical experience does she have?
She has 22 years of experience working with adults on a range of emotional and relational problems.
What are her credentials and where is she based?
She holds LCMHC and LPC credentials and is based in Tennessee with licensure noted as UT LCMHC and TN LPC.
Which languages are supported for sessions?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions scheduled and what about cost?
Costs vary by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.