Elizabeth Holden, LPC

Elizabeth Holden is a licensed professional counselor in Oregon with 21 years of clinical experience. She focuses on practical steps clients can use to manage stress, anxiety, depression, and the demands of caregiving and parenting. She helps people set clear goals, build coping skills, and strengthen self-esteem so daily life feels more manageable.

She favors a straightforward, collaborative approach. Sessions focus on identifying specific problems and testing small changes that make a difference. Elizabeth listens for strengths in each person’s story and uses those strengths to guide next steps.

Her work covers a wide range of concerns, including addiction struggles, impulsivity, anger, and compassion fatigue. She also supports people navigating family conflict, divorce or blended family challenges, fertility-related stress, and career pressures. Additional focus areas include aging and geriatric issues, attachment and family of origin concerns, autism and Asperger Syndrome, and hoarding.

Elizabeth draws from cognitive behavioral therapy, client-centered methods, dialectical behavior therapy, emotionally-focused work, and mindfulness practices. In plain terms she helps people notice unhelpful thinking, try different behaviors, and build emotional skills that reduce distress. Sessions aim to be practical and immediately useful.

People who choose her usually want clear tools, steady support, and a coach-like partner in making changes. She encourages small, testable steps and regular check-ins to track progress. Elizabeth supports each person in finding approaches that fit their life and goals.

How therapeutic approaches translate to online care

Elizabeth commonly uses cognitive behavioral therapy and client-centered methods in online sessions. Cognitive behavioral therapy helps people identify unhelpful thoughts and test new behaviors to reduce anxiety, manage depression, or change patterns that get in the way. Client-centered methods focus on listening, validating experiences, and building on each person’s strengths to clarify goals and choices.

Finding the right approach is part of the work. Elizabeth will talk with clients about their goals, preferences, and what has or hasn’t worked before. Together they choose strategies to try, then adjust those strategies based on what helps most, so therapy feels tailored and practical.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for face-to-face conversation and practicing skills in real time. Phone sessions can fit into a busy day or when bandwidth is limited. Live chat and text messaging allow brief check-ins, homework sharing, or extra support between sessions. These options make it easier to schedule care around work, family, and caregiving responsibilities while keeping the focus on usable tools and steady progress.