Roxsanna Stenuis, LMSW

Roxsanna Stenuis is a licensed social worker with 20 years of clinical experience in Michigan. She meets people where they are and helps them manage stress, anxiety, depression, grief, trauma, and addiction. Her style is straightforward and calm, aimed at helping someone feel steadier day to day.

Roxsanna focuses on practical skills and clear steps that can be used between sessions. She listens first, then works with each person to set goals and try approaches that fit their life and needs. Sessions often include ways to notice thoughts and feelings, try new behaviors, and practice tools that reduce overwhelm.

Her background includes long-term practice in community settings and work with a wide range of concerns. Over two decades she has helped people cope with relationship strain, sleep and eating problems, chronic pain and illness, anger, and issues around self-esteem and identity. She also supports people facing addiction and complicated reactions to loss or trauma.

Roxsanna draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and a client-centered approach. She blends those methods to match what each person needs rather than using a single technique for everyone.

In sessions she aims to make change feel manageable. Conversations are practical and focused on small steps that build confidence. People who want clear strategies and a steady, empathic presence often find her approach helpful.

How Roxsanna Uses Therapy Methods Online

Roxsanna often uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and try different behaviors. CBT focuses on practical techniques that reduce anxiety, lift mood, and improve daily routines. Acceptance and Commitment Therapy is another frequent approach; it helps people notice thoughts and feelings without getting stuck and choose actions that match their values.

She also blends a client-centered way of working that emphasizes listening and building a trusting relationship. Finding the right approach is a collaborative process - she will talk with each person about goals and preferences and adjust methods as needed. That means the plan can change over time based on what helps most.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different days and needs. Video calls are useful for deeper conversations and visual cues, phone sessions can be easier when bandwidth is limited, and live chat or text messaging work well for brief check-ins or when someone prefers not to be on camera. These options make scheduling more flexible and allow therapy to fit into work, caregiving, or other routines.