Juanita Gamache, LCMHC, LPC

Juanita Gamache is a licensed mental health counselor who helps people sort through stress, anxiety, depression, trauma, relationship problems, and addictions. She offers down-to-earth support and a nonjudgmental space for hard conversations. Her goal is to help people feel understood and find practical options for moving forward.

With 22 years of experience, Juanita brings a steady presence and clear communication to sessions. She uses familiar, goal-focused methods like cognitive behavioral therapy to identify unhelpful thoughts and try new behaviors. She also draws on acceptance and commitment strategies and attachment-based ideas to help people build values-driven lives and healthier connections.

Sessions are conversational and collaborative. Juanita listens first, helps name what feels most urgent, and then works with each person to set small, usable steps. She aims for concrete tools clients can try between sessions, plus space to process feelings and losses.

Juanita has professional credentials as an LCMHC and an LPC and practices out of Tennessee. She offers video calls, phone sessions, live chat, and text messaging as ways to connect. These options make it possible to fit therapy into busy schedules and different lifestyles.

People reach out to her about grief, caregiving stress, family of origin issues, intimacy concerns, parenting strain, codependency, and compassion fatigue. She also supports those facing adoption and foster care questions, aging concerns, and recovery from domestic violence or substance use challenges.

Practical approaches delivered online

Juanita uses cognitive behavioral therapy to help people notice and change thought and behavior patterns that keep problems going. CBT is useful for anxiety, depression, and some relationship and stress reactions. She also incorporates acceptance and commitment therapy which focuses on clarifying personal values and taking committed actions even when difficult feelings are present. ACT can help when someone wants to build a more meaningful life despite pain or uncertainty.

Finding the right approach is part of the work together. Juanita treats the choice of method as collaborative and will help you pick tools that match your goals, needs, and comfort level. She adjusts pacing and exercises so the plan fits your life rather than asking you to fit the therapy.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for face-to-face conversation and interactive exercises. Phone sessions can be a simpler option when bandwidth is limited or when a quick check-in fits a break at work. Text and chat let people use short updates and get ongoing support between appointments. These options make it easier to keep therapy consistent around work, caregiving, and other responsibilities.