B. Winnifred Cazeau, LICSW, MD, LCSW-C

B. Winnifred Cazeau brings a long career in social work and counseling to her practice. She holds a Master of Social Work and uses her experience to help people move toward clearer goals and better day-to-day functioning. Winnifred is known to many as Ms. Winnie and draws on practical methods to support change.

She emphasizes clients' own strengths and life knowledge. Sessions focus on real steps people can try between meetings. Winnifred frames work as teamwork where the person in the room is the expert on their story.

Her background includes roles as a crisis counselor, director of a family preservation program, advocate, and clinical supervisor. She runs Perfect Imperfection, LLC, offering counseling, coaching, and training. Her years in the field shape a calm, goal-oriented approach.

Winnifred uses approaches that include Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and client-centered work. She blends practical strategies with support for emotion and meaning. That mix is useful for common problems like depression, grief, stress, and relationship struggles.

She also helps with parenting and family concerns, adoption and foster care issues, blended household dynamics, and caregiver stress. Other focus areas include anger, codependency, hoarding, and the effects of trauma and abuse. Sessions are offered in English and Haitian Creole.

Winnifred has practiced for 13 years and holds the credentials LICSW, MD, and LCSW-C. Her office is based in Maryland and her practice aims to help people find direction rather than perfection.

How therapeutic approaches translate to online care

Winnifred commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in her work. Cognitive Behavioral Therapy helps identify unhelpful thinking and behavior patterns and teaches practical techniques to change them; it is often useful for depression, anxiety, and day-to-day coping. Acceptance and Commitment Therapy focuses on clarifying values, accepting difficult emotions, and committing to actions that matter, which can help with stress, grief, and long-standing painful patterns.

Choosing the right approach is a collaborative process. Winnifred will talk with each person about their goals, preferences, and what has or hasn't worked in the past. Together they will try approaches and adjust the plan based on what helps most over time.

Online sessions are offered by video calls, phone sessions, live chat, and text-based messaging to make therapy more flexible. Video lets people use visual cues and longer conversations, phone can work when bandwidth is limited, and messaging or chat can fit short check-ins or those who prefer written communication. These options help fit therapy into busy schedules and different daily routines.