Prisca Okeahialam-swaray, LICSW

Prisca Okeahialam-swaray is a licensed independent clinical social worker (LICSW) based in Minnesota with 13 years of experience. She helps people who are dealing with stress, anxiety, depression, grief, and reactions to trauma and abuse. Prisca values each person's strengths and treats clients as the experts on their own stories. She focuses on practical steps people can try between sessions and offers steady support while they work toward change.

Her style blends structured techniques with a warm, listening approach. She uses Cognitive Behavioral Therapy, along with client-centered and narrative methods, to help people notice unhelpful thoughts and try new behaviors. She also draws on Dialectical Behavior Therapy skills and motivational interviewing when people need tools for emotion regulation or to clarify goals.

Prisca has helped people cope with relationship strain, parenting stress, anger, low self-esteem, and life transitions. She also supports those managing mood disorders, ADHD symptoms, obsessive thoughts, panic, and the effects of immigration or cultural stress. Sessions focus on clear, doable strategies and short-term goals when that fits the client.

Work with her tends to be collaborative and practical. She listens first, helps set concrete priorities, and introduces exercises that match those priorities. Over time clients build routines and skills to reduce distress and handle future setbacks more effectively.

Sessions are offered in English and are provided through video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.

Practical approaches for online care

Prisca commonly uses Cognitive Behavioral Therapy to help people identify and change unhelpful thinking patterns and try new behaviors. CBT is useful for anxiety, depression, panic, and obsessive thoughts because it focuses on clear steps and practice between sessions.

She also uses Client-Centered Therapy, which emphasizes listening and building on a person's strengths. This approach helps people feel heard while they work through grief, relationship problems, and life transitions. When emotional regulation is a central need she may bring in Dialectical Behavior Therapy skills to teach breathing, distress tolerance, and emotion management techniques.

Finding the right approach is part of the work. Prisca collaborates with each person to choose methods that match their goals and daily life. She checks in about what helps and adapts strategies over time so sessions stay relevant and practical.

Online sessions are offered by video call, phone, live chat, or text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when a lower bandwidth connection or hands-free option is needed. Live chat and text messaging work for brief check-ins, skill practice, or when someone prefers writing to speaking. These options make it easier to fit therapy into busy schedules and different routines.