Juanita Gamache , LCMHC, LPC

Juanita Gamache is a licensed counselor who helps people facing addiction, trauma, anxiety, depression, and relationship struggles. She brings 22 years of experience and a calm, down-to-earth presence to sessions. Juanita emphasizes compassion and a nonjudgmental space where people can talk through what feels overwhelming. She works with issues commonly faced by women, including parenting strain, grief, and intimacy-related concerns.

In sessions she uses practical, evidence-informed methods like cognitive behavioral therapy and dialectical behavior therapy to teach coping skills. She also uses acceptance and commitment therapy to help people clarify values and take small steps toward meaningful change. Attachment-based and client-centered approaches shape how she builds trust and listens for patterns in relationships.

Juanita prefers to keep language simple and direct. Conversations focus on what’s happening now, what feels unmanageable, and what skills could help. She offers a mix of short-term skill-building and slower work on deeper patterns when that fits a person's goals.

She provides therapy through video calls, phone sessions, live chat, and text-based messaging. Sessions are offered in English and are provided from Tennessee. Her credentials include Licensed Clinical Mental Health Counselor, LCMHC, and Licensed Professional Counselor, LPC.

Many people come to her for help with family of origin issues, codependency, caregiving stress, and recovery from domestic violence or substance use. She aims to meet each person where they are and help them find workable next steps.

Therapy approaches you can use online

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings and still move toward what matters. It is useful for anxiety, depression, and coping with life changes by focusing on values and small, doable actions. Cognitive Behavioral Therapy (CBT) looks at unhelpful thinking and behavior patterns and teaches concrete skills to change them, which often helps with anxiety, depression, and stress. Attachment-Based Therapy focuses on how early relationships shape current connections and shows ways to heal patterns that affect intimacy and communication.

Finding the right approach is part of the work. Juanita will listen to your concerns and together you will choose methods that fit your goals and preferences. She treats therapy as a collaboration and may combine techniques from different approaches to suit what you need that week.

Online sessions offer practical benefits. Video calls let you see facial cues and use materials together, while phone sessions work well when bandwidth is limited or you prefer not to be on camera. Live chat and text-based messaging allow brief check-ins or ongoing support between sessions. These options make it easier to fit therapy into busy days, travel, or irregular schedules while keeping a consistent connection with a licensed professional.