Elise Derevjanik , LMHC

Elise Derevjanik is a licensed mental health counselor who focuses on helping women navigate stress, anxiety, depression, parenting changes, and fertility or perinatal concerns. She works with people facing relationship strain, grief, substance issues, and life transitions. Elise aims to make the first step feel doable and supportive.

She approaches therapy as a collaborative process. Sessions are warm and accepting, and she helps clients set goals that fit their lives. Conversations are practical and based on what a person needs that week - whether that is coping skills, problem solving, or emotional processing.

Elise blends methods that match the issue at hand. She uses cognitive behavioral ideas to notice thought patterns and shift unhelpful behaviors. Attachment-focused work looks at how early relationships shape current connections and closeness. Emotionally-focused and client-centered techniques help people name feelings and feel heard.

Her background includes 15 years working with a wide range of concerns including postpartum mood changes, fertility struggles, adoption and foster care issues, and compassion fatigue. She is licensed in New York as an LMHC and brings experience supporting people through both everyday stressors and deeper losses.

Sessions aim to teach tools that can be used outside of therapy, like grounding strategies for anxiety, communication skills for strained relationships, and routines to improve sleep and eating. The goal is steady progress tailored to each person’s values and priorities, with steady support along the way.

Therapeutic approaches and online care

Elise uses Acceptance and Commitment Therapy to help people notice thoughts without getting stuck in them and to choose actions that match their values. This approach can be helpful for anxiety, stress, and making life changes. She also uses Attachment-Based Therapy to look at how early relationship patterns affect current closeness and trust, which can be useful for relationship and intimacy concerns. Cognitive Behavioral Therapy is another part of her work and focuses on identifying unhelpful thinking and trying concrete behavior changes to improve mood and daily functioning.

Choosing the right approach is part of the work together. Elise collaborates with each person to identify goals and then tries methods that fit their situation and preferences. She checks in regularly and adjusts the plan if something isn’t helpful, so clients help shape the direction of therapy.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversation when that is helpful, phone calls can be useful when bandwidth is limited or for a simpler check-in, and messaging supports brief updates or between-session contact. These options make it easier to fit therapy around work, parenting, and other commitments while keeping care consistent.