Courtney Nelson , LICSW

Courtney Nelson is a licensed clinical social worker with 22 years of experience. She focuses on helping people facing stress, anxiety, trauma, grief, and challenges with self-esteem. She aims to listen without judgment and to meet each person where they are.

Courtney adapts conversations and practical plans to each client's situation. Sessions often focus on small, manageable steps that build confidence and coping skills over time. She emphasizes respect, sensitivity, and compassion in her work.

Her background includes long-term clinical practice in Rhode Island as a Rhode Island LICSW. That experience brings familiarity with grief, loss, life transitions, chronic illness, and caregiver stress. She also supports people dealing with abandonment, communication problems, divorce and separation, and midlife questions.

Courtney uses approaches that help people make changes they can notice. She draws on client-centered work to follow the client's lead and on cognitive behavioral ideas to change patterns of thought and behavior. Narrative and solution-focused methods help clarify goals and move toward concrete outcomes.

People often come for help with mood concerns, money-related stress, isolation, or end-of-life and hospice related feelings. In sessions she works to create a clear plan, then adjusts it as needs shift. The goal is practical progress that fits daily life.

How therapeutic approaches work online

Client-centered therapy focuses on following the client's lead and creating space to be heard. It helps people who need acceptance and support while they sort through difficult feelings and decisions. Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and actions and uses practical exercises to shift unhelpful patterns. CBT can be useful for anxiety, mood concerns, and stress management.

Deciding on an approach is part of the work together. The therapist will talk with the client about goals, try methods that fit their style, and adjust as progress is made. This collaborative process helps match techniques to what actually helps in daily life.

Online formats offer flexibility for many people. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be easier when video is not possible or bandwidth is limited. Live chat and text-based messaging work well for brief check-ins, written reflections, or when someone wants an option that does not require scheduling a video appointment. These options make it easier to keep therapy consistent around work, caregiving, or medical appointments.