Theresa Gachuna , LICSW

Theresa Gachuna is a licensed independent clinical social worker who helps people navigate grief, anxiety, depression, and major life changes. She draws on 12 years as an LICSW and many more years in the helping field to offer steady, practical support. Theresa speaks English and practices from Massachusetts.

Theresa frames grief broadly, not only as loss of a person but also loss of roles, identity, and health. She talks through how those losses can reopen past hurts and lead to coping patterns that no longer serve you. Sessions focus on identifying what matters to the client and setting manageable steps forward.

She has worked in multiple settings since 1996, which shapes a flexible approach and an ability to see problems from different perspectives. Theresa helps people change behaviors that interfere with daily life and relationships. She uses clear, plain language during sessions and aims for practical strategies clients can try between meetings.

Theresa also addresses issues around body image, caregiver stress, communication struggles, forgiveness, and finding life purpose. She supports people dealing with mood concerns, self-esteem, and self-love as part of broader life transitions.

Getting started involves a short matching questionnaire and scheduling based on availability. Therapy is offered through a subscription model that can be canceled at any time, and sessions are available by video calls, phone, live chat, or text-based messaging.

Approaches that guide online care

Theresa uses evidence-based therapeutic techniques that focus on practical steps and emotional understanding. One common approach helps people process different kinds of loss - not only bereavement but also loss of roles, health, or identity - by identifying what has changed and building routines that restore a sense of purpose. Another approach emphasizes mood and behavior work to reduce symptoms of anxiety and depression through structured goal-setting and small behavioral experiments that can improve daily functioning.

Choosing the right approach is part of the work together. Theresa discusses your needs, goals, and preferences and adjusts methods over time so the plan fits your life. This is a collaborative process that lets you test ideas and keep what helps most.

Online therapy offers practical flexibility: video calls work well for longer sessions and face-to-face conversation, phone sessions can fit a short break or require less bandwidth, live chat is useful for brief check-ins, and text-based messaging supports ongoing reflection between meetings. These options make it easier to fit therapy into busy schedules and to use different formats for different purposes.