Roxsanna Stenuis , LMSW

Roxsanna Stenuis is a Michigan-based licensed social worker with 20 years of experience helping people manage stress, anxiety, depression, grief, and addiction. She focuses on practical steps people can use right now to feel steadier and more able to cope. Roxsanna writes and talks plainly so clients understand each step of the process.

In sessions she listens closely and helps people name what feels most urgent. She uses a mix of approaches to teach skills for calming the mind, handling strong emotions, and changing unhelpful patterns. Conversations often include short exercises and doable homework to practice between meetings.

Her background includes long clinical experience in community settings across Michigan, where she supported people facing trauma, chronic illness, and major life changes. That hands-on work shaped a down-to-earth style that aims for steady, measurable progress rather than quick fixes.

Roxsanna draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered methods to match techniques to each person's needs. She adapts those methods to address things like sleep problems, relationship difficulties, body image, and addictive behaviors.

Sessions are offered in English and can be scheduled as video calls, phone sessions, live chat, or text-based messaging. Roxsanna works with people who want practical tools, clearer communication, and better ways to cope with life’s ups and downs.

How therapy approaches translate to online care

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings while committing to actions that match their values. It is useful for stress, anxiety, and coping with life changes where avoidance has become a problem.

Cognitive Behavioral Therapy, CBT, focuses on spotting unhelpful thoughts and testing them with real-world experiments. It is often used for depression, anxiety, sleep and eating concerns, and managing mood shifts.

Client-Centered Therapy emphasizes a supportive, nonjudgmental relationship where the therapist follows the person's lead and reflects what they say. This approach helps people feel heard and build self-understanding before adding skills work.

Finding the right combination of approaches is part of the work together. Roxsanna will talk with each person about goals and preferences and then recommend methods to try, adjusting over time based on what helps most.

Online therapy makes it easier to fit sessions into busy lives. Video calls allow face-to-face conversation for skills rehearsal. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging support brief check-ins, skill practice, and ongoing contact between longer sessions.