Christine Topping , LMFT

Christine Topping is a licensed marriage and family therapist (LMFT) practicing in Iowa with eight years of experience. She focuses on practical help for everyday problems like anxiety, depression, relationship stress, parenting challenges, grief, and ADHD. Christine approaches people with respect and a nonjudgmental attitude. She aims to create a space where clients can begin to make real changes.

Her background includes work with individuals, couples, and caregivers facing life transitions and intense stress. She has supported people dealing with addiction, intimacy concerns, anger, self-esteem struggles, bipolar disorder, and compassion fatigue. Additional areas she addresses include adoption and foster care issues, attachment concerns, blended family stress, and divorce-related co-parenting challenges.

Christine uses a mix of concrete therapies to match what a person needs. She draws on approaches that help people clarify values, build emotional skills, and strengthen communication. Sessions often focus on small, doable steps clients can try between meetings.

Her style is warm and straightforward. She listens first, then offers tools and gentle challenges to help clients move forward. Christine encourages collaboration so goals and plans fit each person’s life.

People who choose her usually want clear strategies and a supportive counselor who understands family patterns. She works in English and provides several remote formats to fit different schedules and needs.

Therapy approaches and how they work online

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small steps toward those values while accepting difficult thoughts and feelings. It can be useful for anxiety, depression, or life changes that feel overwhelming.

Dialectical Behavior Therapy (DBT) focuses on building emotional regulation, distress tolerance, and interpersonal skills. It is helpful for managing strong emotions, impulsivity, and relationship conflicts.

Finding the right approach is a collaborative process. Christine will work with each person to pick methods that match their goals, needs, and preferences rather than using the same plan for everyone. The first sessions are often about understanding priorities and deciding which techniques to try.

Online formats such as video calls, phone sessions, live chat, and text-based messaging make it easier to fit therapy into busy lives. Video lets people see nonverbal cues and practice communication work, phone calls can be a simpler check-in with lower bandwidth needs, and chat or messaging suits brief coaching, quick check-ins, or clients who prefer writing. These options support flexibility so people can use therapy in ways that match their schedules and comfort.