Desiree Cantorna-Ibarra , LCPC

Desiree Cantorna-Ibarra is a licensed counselor in Nevada with 12 years of experience. She focuses on helping people who are dealing with stress, anxiety, grief, low self-esteem, mood concerns such as bipolar disorder, depression, and issues with addiction. Desiree aims to create a respectful and compassionate space for each person she meets.

She adapts conversations and plans to match what each person needs. Sessions tend to center on practical steps and skills that can be used between meetings. Desiree also addresses relationship strain, family concerns, eating and sleeping problems, parenting stress, anger, and career challenges.

Additional areas she attends to include abandonment worries, blended family issues, caregiver stress, chronic illness and pain, codependency, communication problems, and the effects of divorce or domestic violence. First responder issues and cancer-related distress are listed among her focus areas as well.

Her approach draws from methods such as acceptance and commitment therapy, client-centered therapy, cognitive behavioral therapy, dialectical behavior therapy, and mindfulness-based work. Those tools are used to build skills, clarify values, and reduce unhelpful patterns.

People who prefer straightforward, practical support often find this style helpful. Desiree frames the work as a partnership and aims to empower clients as they make changes and meet new goals.

Approaches for online care and practical skill work

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters most and take small, actionable steps toward those values while learning to accept difficult feelings. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and changing behaviors through practical exercises that reduce symptoms of anxiety and depression. Mindfulness-based work teaches simple attention and breathing practices that can lower reactivity and improve focus during daily life.

Choosing the right approach is a collaborative process. The therapist will discuss goals, preferences, and what has or hasn’t helped before, then try methods that match each person’s needs. That partnership lets the treatment be adjusted over time so it fits real life and measurable goals.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility. Video sessions allow face-to-face interaction for in-depth work, phone calls can work when bandwidth is limited, live chat is useful for shorter check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to schedule therapy around work, caregiving, or medical appointments while keeping the focus on progress and usable skills.