Desiree Monroe, MD, LCPC

Desiree Monroe, MD, LCPC, offers practical, down-to-earth counseling rooted in Cognitive Behavioral Therapy and client-centered care. She draws on 16 years of experience to help people manage stress, anxiety, depression, and mood challenges. Sessions focus on clear goals and skills people can use between appointments.

Desiree’s background spans outpatient and inpatient settings. She has supported people affected by trauma, substance use, grief, and life transitions. Her work also addresses parenting strain, caregiving stress, and identity concerns such as self-esteem and self-love.

In a typical session she listens first, then helps clients spot the thoughts and habits that keep problems going. She teaches simple CBT tools to change unhelpful thinking and DBT-informed skills to manage strong emotions. Mindfulness exercises and motivational interviewing are used when they fit the person’s goals.

Desiree is comfortable helping people cope after violence, with post-traumatic stress, and with problems linked to adoption or foster care. She also supports those dealing with isolation, career crossroads, and struggles around intimacy and relationships.

Her approach is collaborative and straightforward. She aims to build practical plans, track progress, and adapt techniques to each person’s life. People looking for structured, skill-based work alongside empathetic listening may find her style useful.

How CBT, Client-Centered Care, and DBT Work Online

Desiree commonly uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and change behaviors that feed anxiety or depression. CBT sessions online focus on problem-solving, homework between sessions, and tracking progress over time.

She also practices client-centered therapy, which means sessions start with careful listening and follow the person’s priorities. This approach helps when someone wants support to clarify goals, make decisions, or feel heard while working through hard emotions.

Dialectical Behavior Therapy skills are used to teach emotion regulation, distress tolerance, and clearer communication. Those tools are useful for managing intense mood swings, impulsivity, or strong reactions to stress.

Choosing an approach is a collaborative process. The therapist will talk about options, try techniques in session, and adjust the plan based on what helps the person meet their goals. Clients are encouraged to give feedback and shape the work together.

Online formats include video calls, phone sessions, live chat, and text messaging. Video is useful for longer appointments and practicing skills together. Phone can be easier when bandwidth is low or when someone prefers not to be on camera. Live chat and text are helpful for brief check-ins, quick coaching, or when a written check-in fits a busy day. These options offer flexibility to fit therapy into work, caregiving, or other routines.