Teresa Horldt, LMHC

Teresa Horldt is a Licensed Mental Health Counselor with 17 years of clinical experience. She uses Cognitive Behavioral Therapy alongside practical tools to help people manage mood, anxiety, addiction, and life changes. Teresa aims to create a respectful, nonjudgmental space where people can speak honestly and start making small changes that matter.

Early in her career she supported victims of domestic violence and worked in a busy emergency room providing crisis intervention. She later moved into inpatient and outpatient settings focused on substance use and mental health care. That early frontline work shaped her direct, problem-focused style.

For the past 15 years Teresa has focused on addiction and co-occurring mental health concerns such as depression, bipolar conditions, personality disorders, trauma, and grief. She currently works as a program manager in a community mental health program serving people with schizophrenia, schizoaffective disorder, bipolar disorder, and dual diagnoses. That role informs her awareness of complex, long-term needs.

Teresa draws from several approaches to match what each person needs. She uses Dialectical Behavior Therapy techniques to teach emotional regulation and interpersonal skills. Motivational Interviewing and recovery-based strategies support people working on substance use. Mindfulness practices are used for stress reduction and trauma-related coping.

Sessions focus on clear goals, practical steps, and steady progress. Teresa emphasizes partnership, treating people with dignity and acceptance while helping them build skills to cope, set boundaries, and reconnect with valued parts of life.

CBT, DBT, and Mindfulness in remote sessions

Teresa uses Cognitive Behavioral Therapy to identify unhelpful thoughts and build different ways of reacting. CBT helps people change patterns that feed anxiety, depression, and many mood concerns. She also draws on Dialectical Behavior Therapy for teaching emotional regulation, distress tolerance, and better communication skills when emotions feel overwhelming.

Mindfulness practices are used to reduce stress and to ground people after trauma or during panic. These approaches focus on skills you can practice between sessions so progress continues outside the appointment. She approaches treatment collaboratively and will work with each person to decide which methods fit their goals, needs, and comfort level rather than applying one fixed model.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to provide flexibility. Video calls allow face-to-face conversation and screen-sharing of worksheets. Phone sessions are useful when bandwidth is limited. Live chat or messaging can support brief check-ins, ongoing coaching, or written exercises between longer sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules while using evidence-informed approaches in everyday life.