Nancy Gilmer, LPCC

Nancy Gilmer is a licensed professional counselor (LPCC) in Kentucky with two decades of clinical experience. She focuses on helping people who are overwhelmed by stress, anxiety, grief, trauma, and problems with self-esteem. Nancy aims to make the first steps toward change feel manageable and clear. Her approach is collaborative and straightforward. She uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and change patterns that get in the way of daily life. She also draws on Acceptance and Commitment Therapy and mindfulness to help clients notice what matters and act in ways that match their values. Nancy has worked in mental health and substance use settings for more than 20 years. That background gives her experience with mood disorders, addiction concerns, and the challenges of caregiving and aging. She brings practical tools for coping with life transitions, anger, career stress, and compassion fatigue. Sessions focus on clear goals and skills you can use between meetings. Conversations are intended to be direct and compassionate so clients can try ideas and see what helps. Nancy supports people working through loss, shame, and feelings of emptiness while also addressing practical issues like communication and control. Over time she helps people build steady ways to manage symptoms and pursue meaningful change. The work is paced to each person’s needs and values, with an emphasis on everyday strategies that fit real life.

How her approaches translate to online therapy

Nancy commonly uses Cognitive Behavioral Therapy to help people notice unhelpful thinking and shift behaviors that increase stress or anxiety. CBT sessions tend to include specific exercises, homework tasks, and step-by-step problem solving that work well in a video or phone format.

She also integrates Acceptance and Commitment Therapy, which focuses on clarifying what matters to a person and taking committed action toward those values. ACT is helpful for coping with loss, chronic sadness, or ongoing life changes because it emphasizes practical choices and present-moment awareness.

Finding the right approach is part of the process, and she works with each client to decide what fits best. That choice is collaborative: goals, daily routines, and personal preferences guide which methods are used and how sessions are structured.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which allow for flexible scheduling and different types of check-ins. Video is useful for longer skill-building sessions and exercises, phone sessions can fit a work break or lower bandwidth situations, and chat or messaging can be used for brief check-ins or ongoing support between meetings. These options make it easier to keep therapy consistent with a busy life.