Juanita Gamache is a licensed clinician who helps people facing low self-esteem, anxiety, depression, relationship strain, and grief. She brings 22 years of experience to sessions and focuses on creating a nonjudgmental space where people can talk through difficult feelings and make practical changes. Juanita uses everyday language and clear options so clients know what to expect.
She offers listening and guidance first, then helps people choose tools that fit their life. Her approach includes exercises to notice unhelpful thoughts, skills for managing intense emotions, and practices that build more satisfying connections. Juanita draws on methods like cognitive behavioral work, mindfulness, and attachment-focused ideas to address patterns that keep people stuck.
Sessions tend to be collaborative and paced to each person’s needs. She will help set short-term goals and teach coping strategies you can use between meetings. Many people come for help with addiction-related concerns, parenting strain, caregiving stress, or recovery from past trauma.
Her background includes training and licensure as an LCMHC (Licensed Clinical Mental Health Counselor) and an LPC (Licensed Professional Counselor) with practice in Tennessee. That experience supports practical, down-to-earth guidance for everyday problems.
Juanita encourages taking small steps toward change and leans on clients’ strengths and personal values. Conversations can include exploring attachment patterns, addressing shame, and building skills to improve relationships and self-worth. She welcomes questions about how therapy might fit into your life.
How her approaches translate to online therapy
Juanita uses Acceptance and Commitment Therapy (ACT) to help people notice unhelpful thoughts and choose actions that match their values. ACT focuses on small steps toward a more meaningful life rather than trying to remove every uncomfortable feeling. Attachment-Based Therapy is used to look at how early relationship patterns affect current connections and trust; this work helps people change repeating cycles in relationships. Cognitive Behavioral Therapy (CBT) provides concrete techniques to identify and challenge negative thinking and build new habits for mood and behavior.
Finding the right approach is part of the work. Juanita will talk with each person about goals and preferences, then suggest methods that fit. She frames therapy as a shared effort and adjusts strategies as needs change.
The practical benefit of online sessions is that they can fit into busy schedules and everyday life more easily. Because session formats are not specified here, confirm current options before booking to learn how meetings are scheduled and delivered. Many people find online meetings helpful for shorter check-ins, steady skill practice, and keeping momentum between in-person visits. Ask about session length and timing when you complete the matching questionnaire so therapy can be arranged to fit your routine.
Areas of expertise
Primary focus
AddictionsLGBTRelationship issuesTrauma and abuseDepression
AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBlended family issuesCaregiver issues and stressCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameImmigration issuesInfidelityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMulticultural concernsPanic disorder and panic attacksPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues
She helps people with self esteem issues as well as anxiety, depression, relationship problems, trauma and abuse, grief, addictions, parenting stress, and related concerns.
How would she describe her therapy style?
Her style is collaborative and plainspoken. She listens without judgment, helps set short-term goals, and teaches practical skills you can use between sessions.
What is her professional experience?
Juanita has 22 years of clinical experience working with a range of emotional and relationship issues.
What credentials and region are listed for this therapist?
She holds LCMHC (Licensed Clinical Mental Health Counselor) and LPC (Licensed Professional Counselor) credentials and practices in Tennessee.
In which languages can sessions be held?
Sessions are offered in English.
Can people outside the U.S. work with her?
International clients are not currently accepted.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the continue button on this profile, completing a short matching questionnaire, and scheduling according to the therapist's availability.