Dr. Donna St. Hillier, LMHC

Dr. Donna St. Hillier draws on forty years of clinical experience and a focus on Cognitive Behavioral Therapy to help people manage stress, anxiety, grief, depression, and major life changes. She is a Florida licensed mental health counselor and writes plainly with a practical, down-to-earth style. Donna speaks English and meets people where they are in the moment.

Her sessions center on identifying unhelpful thoughts and small, doable changes in behavior. She uses CBT alongside acceptance and commitment ideas and client-centered listening to help people face difficult feelings. Mindfulness and psychodynamic perspectives are also woven in when relevant to the concern.

Donna has long experience supporting issues such as caregiver stress, chronic illness and pain, end-of-life concerns, and the emotional effects of cancer or HIV/AIDS. She also addresses relationship patterns like codependency, communication problems, and feelings of abandonment or emptiness. Her work includes gender dysphoria and LGBT-related concerns, offering a respectful space for exploring identity and related stressors.

Sessions are aimed at practical outcomes: clearer thinking, steadier mood, and workable ways to handle daily stress. She often helps people clarify life purpose, work through guilt or shame, and practice forgiveness where it matters. The approach is collaborative and paced to each person’s needs.

Clients who prefer online care can meet via video, phone, live chat, or text messaging. Getting started involves completing a short matching questionnaire and scheduling sessions through the Start Therapy flow.

How CBT and Acceptance Approaches Work Online

Dr. St. Hillier uses Cognitive Behavioral Therapy to help people spot thought patterns that increase anxiety or depression and to practice small behavior changes that reduce distress. CBT sessions typically involve setting clear goals, trying out new coping skills, and reviewing progress together. Acceptance and Commitment Therapy is used alongside CBT to help people accept difficult feelings while choosing actions that reflect their values, useful for grief, chronic illness, and life transitions.

Finding the right approach is a collaborative process. The therapist will talk with each person about their concerns, goals, and what feels most helpful. Together they decide whether to emphasize CBT, acceptance strategies, mindfulness practice, or a mix of approaches that fits the individual's needs.

Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging, giving flexibility for different days and energy levels. Video allows visual cues and direct skill coaching, phone can be simpler when bandwidth is limited, and chat or text works for brief check-ins or people who prefer writing. These options make it easier to fit therapy into workdays, caregiving routines, or when travel is difficult.