Dr. Denise Petrelli-Holst , LPC

Dr. Denise Petrelli-Holst is a Licensed Professional Counselor with 26 years in the helping professions. She draws on a diverse career that includes work in industry, education, art therapy, and business consulting. Her varied background informs a practical, conversational approach to counseling.

Clients can expect straightforward, down-to-earth sessions that focus on what helps them now. Dr. Petrelli-Holst emphasizes personal choice and practical steps. She helps people who are dealing with stress, anxiety, low self-esteem, career decisions, and life changes.

Her work also covers grief, trauma and abuse, eating and body-image concerns, mood conditions such as depression and bipolar, and ADHD-related challenges. She pays attention to how health, chronic pain, or illness affect daily life and relationships. Women's issues are among the areas she focuses on when relevant to a client's needs.

Dr. Petrelli-Holst uses a mix of approaches to match each person. She draws on cognitive-behavioral tools, acceptance strategies, attachment-focused ideas, and skills-based methods such as dialectical behavior techniques. Sessions are collaborative and tailored to the person, not to a single fixed model.

Based in Wisconsin, she offers counseling in English and works with clients through video, phone, chat, or text messaging. Her practical style suits people who want clear options, coping tools, and a supportive guide while they sort through everyday challenges.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values, then taking steps that align with what matters. It can help with anxiety, stress, and decisions about life direction. Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and teaches specific strategies to change unhelpful cycles. It is often used for anxiety, depression, and coping skills. Attachment-Based Therapy pays attention to how early relationships shape current patterns and helps people build safer, more satisfying connections in their present life.

Choosing the right approach is part of the work. The therapist will talk with clients about goals, preferences, and what feels useful. Together they decide whether to try acceptance work, cognitive techniques, attachment-focused strategies, or a blend. That collaborative process shapes what happens in sessions and what homework or practice makes sense.

Online therapy with this clinician can happen by video, phone, live chat, or text-based messaging. Video sessions let people use visual cues and longer conversations. Phone sessions are often easier when bandwidth is limited or a quick check-in is needed. Chat and messaging can be useful for brief updates, skill practice, or when someone prefers typed communication. These options give flexibility to fit therapy into work, care duties, or travel plans.