Ethen Sietsema, LPCC

Ethen Sietsema is a licensed professional counselor - counselor (LPCC) based in Minnesota who focuses on practical help for everyday struggles. He meets people where they are and helps them take small, workable steps toward feeling better. Ethen keeps sessions straightforward and calm so people can talk about what matters most.

He often supports people dealing with stress and anxiety, depression, and challenges from addictions. He also helps with big life changes, grief, parenting strain, self-esteem, career concerns, bipolar disorder, compassion fatigue, and ADHD. Sessions are aimed at reducing overwhelm and finding clear next steps rather than lengthy theory talks.

Ethen uses approaches that encourage the client to notice patterns and try different responses. He builds an open, nonjudgmental space where thoughts and feelings can be named and tested. Conversations usually focus on concrete strategies and short-term goals.

With three years of professional experience he combines practical tools and listening. He emphasizes collaboration and respects each person's pace when trying new skills. The goal is steady progress people can feel in day-to-day life.

Beginning therapy can feel hard, and Ethen acknowledges that first step is meaningful. He invites people to describe what’s most pressing and works with them to build a plan that fits their life and priorities.

How CBT and Mindfulness translate to online therapy

CBT helps people notice unhelpful thoughts and test new ways of thinking and acting. Online sessions can focus on identifying thought patterns, practicing small behavioral experiments between meetings, and reviewing what worked. Mindfulness Therapy teaches simple ways to bring attention to the present moment and reduce reactivity. In an online setting this often means short guided exercises, breathing practices, and checking in on how those skills are used during the week.

Choosing the approach is a shared process. The therapist will talk with the client about goals, preferences, and what feels useful. Together they decide whether to lean into CBT techniques, mindfulness practices, or a mix that fits the person's needs and pace.

Online formats offer flexibility for busy lives. Video calls allow face-to-face interaction for skill teaching and guided exercises. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and text messaging make it possible to get support between sessions and to use brief coaching-style prompts. These options help people fit therapy into their daily routines while working toward clear, practical changes.