Therapists answer…

How do you work with clients with depression?

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Kirk Tjalas
Psychiatric Mental Health Nurse Practitioner
Online & In-Person
Life can be messy—I get it. I’ve been there. From serving time In prison to serving others, my journey has shaped my mission: to help you take charge of your mental health and reclaim your life. Whether you're navigating ADHD or bipolar disorder or need guidance to reach your potential, I’m here with a nonjudgmental, straight-talking approach that works. Why Work with Me? • I’ve lived it. I know what it’s like to feel stuck and overwhelmed. • I focus on accountability and building habits that last. • ADHD? Bipolar? Executive coaching? We’ll tackle it together, head-on. • No fluff, no judgment—just real, actionable support. • You Matter…You’re Important to Me I Hear & Will see you What Makes Me Different • Over 23 years of experience as a social worker, RN, and case manager. • Working As a Correctional Nurse to complex care case manager for injured workers • A firm belief that greatness lies within everyone, waiting to be awakened. • I stay sharp—always learning, constantly evolving, always bringing you the best care. • I am a Mental Health patient I am fearfully and wonderfully made, I have ADHD and Bipolar 2 disorder Let’s Get to Work My family members are LGBQT; I am a Christian, and My dog’s name is Magic Pickles (story to be explained upon intake). I won’t and don’t judge from mental health to pain management. This isn’t just therapy—it’s a journey to the best version of you. I I’ll support, guide, and challenge you to show up and take control. Are you ready? Let’s go! *Specialties •Pain Management •Mental Health •Adult Psychiatry •Adolescent Medicine •Nursing •Functional Medicine •Pulmonology •Weight Loss •Psychiatry •Psychotherapy •Child Psychiatry •Nuclear Medicine •Addiction Medicine •Bariatric Surgery •General Practice •Sleep Medicine •Preventive Medicine •Family Medicine *Conditions treated •Chronic back pain •Joint pain •Neck pain •Arthritis pain •Complex regional pain syndrome •Bipolar disorders •Anxiety •PTSD •ADHD •Addiction •Insomnia •Relationship issues •Trauma •Mood disorders •Panic attacks •Substance Abuse •Personality Disorders •Menstrual issues •Sexual health •Weight loss •Life style change •Obesity •Personality disorders •Anger Management •Trauma and PTSD •Substance use disorder •Anxiety disorders •Emotional trauma •Lung issues •Weight loss consultation •Gastric bypass •Bariatric surgery follow-up •Weight regain •Substance abuse evaluation •Opioid addiction •Alcohol dependency •Prescription drug misuse •Addiction counseling •Headache •Coping Skills •Depression •Borderline Personality (BPD) •Dual Diagnosis •Family Conflict •LGBTQ+ •Obsessive-Compulsive (OCD) •Stress •Suicidal Ideation *Treatment philosophy Life’s messy, and so are you—let’s figure it out. My goal? It is to help you understand your quirks, strengths, and what keeps tripping you up so you can take charge of your story. There are no quick fixes or tossing pills here; we’re diving into your brilliant, chaotic brain. Power suit or grandma’s muumuu? It doesn’t matter—we’re doing the work. DBT, humor, coloring books—you name it, we’ll use it. Everything’s just talk until it’s not, right? We’ll tackle the elephant in the room, devise a plan, and make it happen. And if your complex OCD tendencies are screaming for control—tell them to take a day off. It’s time to build a life rooted in self-compassion, kindness, and a dash of irreverence. LET’S GO! *Treatment approach •Eclectic •Trauma-Focused •Coaching •Mindfulness-Based(MBCT) •Culturally Sensitive •Person-Focused •Christian Counseling •Cognitive Behavioral (CBT) •Dialectical Behavior (DBT) •Motivational Interviewing •Solution Focused Brief (SFBT) •Strength-Based •Supportive *Practice description Are you Still reading this profile? Wow! You're determined :) We are an integrated health clinic, so what does that mean? We believe in Eastern medicine, western medicine, and everything in between we believe there is no magic pill that takes all your problems away, but there is better living through pharmacology we will work on identifying the cause of your concern and not just medicating a symptom we believe all psychology is biology and all biology is psychology. if you came here, then stay here JUST START! PMG See's You! Let's GO *Insurance •Cigna •Aetna •UnitedHealthcare •CVS Health •Guardian •Blue Cross Blue Shield •Anthem •Kaiser Permanente
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Destiny Winters
Professional Counselor
Online & In-Person
Therapist, coach, wife, mom - but most of all, human. As someone with personal experience living with chronic pain and illness, I know what it’s like to feel like you’re trying everything, doing everything right, and seemingly getting nowhere. If you’ve ever been told “your labs are completely normal” or “there’s nothing wrong with you” but you’re in constant pain and discomfort, you’ve come to the right place. My main work is with those who experience hard-to-diagnose health issues and syndromes. Things like gastro-intestinal problems, arthritic pain, back pain and other bodily aches, and genetic disorders are all within my wheelhouse. We work on things like managing stress, building healthier relationships (with romantic partners, friends, and healthcare professionals), and healing childhood emotional wounds. How I show up with clients stems not only from my lived experience but also from my decade of training with Acceptance and Commitment Therapy. I am also trained in Year 1 of Somatic Experiencing, which means that I believe trauma lives in the body - not in your thoughts. There is a strong connection between chronic illness / chronic pain and the following emotional struggles: -Perfectionism -Procrastination / lack of motivation -Childhood emotional neglect -Finding it hard to relate to others -Feeling alone/isolated, even within your romantic relationship -Lack of meaning/purpose in life
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Monica Hamm
MSN,APRN,FNP-BC
Online Therapy
Hello, I'm Monica Hamm, a dedicated Family Nurse Practitioner licensed across multiple states, including Kansas, Idaho, Iowa, New Hampshire, North Dakota, South Carolina, and Utah. With over ten years in nursing, I specialize in weight loss management, urgent care, women's and men's reproductive and sexual health, and long-term patient wellness. My journey started as an LPN, working my way up through further education and ended at South College, where I graduated Summa Cum Laude, and continued with extensive experience in wound care, hospice, and rehabilitation care. At Hamm Health Professionals LLC, I use telehealth to diagnose and manage conditions like Weight gain, Anxiety and depression, Acne, Erectile disfunction, STI's, Birth Control, Hair loss, UTI, Yeast infections, Upper Respiratory Infections and many more Primary and Urgent Care conditions. My commitment to high-quality care extends to listening to your concerns, ensuring your comfort, and managing your health needs around the clock. During my time as an MDS Coordinator and Wound Care Nurse, I’ve honed my skills in patient care planning and infection control, always putting patient satisfaction first. With certifications in telehealth and advanced life support, my focus remains on making healthcare safe, accessible, and stress-free. Outside of work, I volunteer with the Women American Legion Auxiliary, supporting those in need. Let's work together on your health journey - I’m here to provide compassionate care every step of the way. Treatment philosophy At Hamm Health Professionals LLC, my patient-focused approach ensures compassionate, personalized care. I prioritize open communication and active listening, empowering patients to take control of their health. With expertise a wide array of fields, I provide GLP-1 therapies, metabolic health strategies, and comprehensive care for conditions like diabetes and hypertension. I also offer personalized birth control and women's and men's health options, ensuring patients have access to the best reproductive health solutions for their needs. I am committed to quality, safety, and patient comfort, creating a supportive environment where individuals feel confident in their treatment. Together, we will navigate your health journey with expertise, education, and empowerment for lasting success. Specialties Abdominal pain Abdominal symptoms Abnormal menstruation Acne treatment Adolescent Medicine Allergic rhinitis Allergies Allergy Allergy Medicine Allergy treatment Anxiety Anxiety relief Arthritis Asthma Autoimmune disorders Blurry vision Check-up Chronic disease management Chronic fatigue Common cold Contraception consultation Covid Dehydration Dementia Depression Dermatitis Dermatology Diabetes Diabetes management Diabetic ketoacidosis Diabetology Diarrhea Digestive issues Drug allergies Ear infection Ear infections Eczema End-of-life planning Excessive thirst Falls Family Medicine Fatigue Fever Flu Flu symptoms Food allergies Food sensitivities Frequent infections Frequent urination Functional Medicine General Practice Geriatrics Hair loss evaluation Headache Health assessment Health risk assessment High blood sugar Hives Holistic Medicine Hormonal imbalances Hypertension Immune support Incontinence Infectious Disease Medicine Inflammation Insect allergies Insomnia Internal Medicine Internal medicine Joint pain Life style change Lifestyle counseling Medication administration Medication management Menopause symptoms Menstrual issues Metabolic dysfunction Middle ear infection Minor injuries Nursing Obesity Obstetrics & Gynecology Occupational health Osteoporosis Overweight Palliative Care Patient education Pediatrics Pelvic pain Persistent cough Pharyngitis Postoperative care Prenatal care Preventive care education Preventive Medicine Psoriasis therapy Puberty concerns Rash diagnosis Rashes Respiratory concerns Respiratory infections Rosacea treatment Routine checkup Routine check-up Routine health maintenance Screening tests Seasonal allergies Sexual health Sexually transmitted diseases Sinus infection Skin infection Skin infections Skin rash Sleep disorders Slow wound healing Sore throat Stomach pain Stress reduction Symptom control Terminal illness Tingling in hands/feet Travel medicine Unexplained weight loss Urgent Care Urinary issues Urinary tract infections (UTI) UTIs Vital signs monitoring Weight Loss Weight management Work-related injuries Wound care Treatment approach Allergy management with prescription and lifestyle solutions Birth control counseling with a range of contraceptive options Comprehensive chronic disease management, including diabetes and hypertension Erectile dysfunction care with evidence-based treatment options Gastroesophageal reflux (GERD) treatment for digestive health Migraine management with personalized treatment strategies Patient-centered care plans tailored to individual health goals PCOS treatment for hormonal balance and symptom relief Personalized acne treatments for clearer, healthier skin Telehealth for integrated patient management Thyroid disorder management, including hypothyroidism and hyperthyroidism Weight loss management with GLP-1 therapy and behavioral strategies
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Bri Jaworski
Owner/ Licensed Mental Health Counselor/ Integrative Medicine Doctoral Student/ Qualified Supervisor
Online & In-Person
Brianna “Bri” Jaworski, MA, LMHC- QS is a licensed Mental Health Counselor in the state of Florida. Bri graduated from the University of Central Florida with a bachelors degree in Business and Health with a minor in Psychology. After starting her own business at age 25, she pursued a new career in counseling in 2010. Bri received her Masters Degree in Mental Health Counseling from Webster University in 2015. Bri is trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), as well as Eye Movement Desensitization and Reprocessing (EMDR), and has spent a large portion of her career working with child victim’s of sexual abuse. Bri also worked for many years with victims of domestic violence, and their children. Bri is a certified Domestic Violence Core Competency Trainer in the state of Florida and trained all new employees and volunteers at her agency. Bri served as the Primary Prevention Advocate while teaching 7th-12th graders about healthy dating relationships and warning signs of abuse. Additionally, Bri provided group services to teens in the local shelter, taught Drug Court and Teen Court classes at the Manatee County Courthouse, Life Skills Training classes for survivors as well as parenting classes. During her clinical Internship, Bri worked for a child protection center in Sarasota, Florida which specialized in providing TF-CBT to child victims of sexual and physical abuse, neglect, and child welfare; as well as their non-offending caregivers and family members. Bri provided Individual, family and group counseling. Bri also worked with at-risk youth and adults in-home and in schools and also with sexually reactive children in the “Kid Kindness” Program. Bri continued on, working with trauma victims including: adult victims of childhood sexual abuse, depression, PTSD, anxiety disorders, adjustment disorders, personality disorders, Bi-polar disorders, trauma, grief, and ADHD amongst many others. Bri also facilitated both teen and adult support groups as well as animal supported counseling. Bri has also worked extensively with the child welfare system including DCF contracting, and intensive in-home substance abuse counseling. Bri is an EMDRIA approved EMDR therapist. EMDR or Eye Movement Desensitization and Reprocessing is an empirically evidenced technique that has been shown to significantly help clients of trauma, grief, PTSD, addiction, phobias and many other issues by utilizing bi-lateral stimulation that mimics a REM sleep cycle. Disturbing events are able to be “reprocessed” thus lessening and many times diminishing negative cognitions and feelings. Bri has also worked as a Psychology professor, at a local polygraph credentialing and assessment center teaching Psychology classes as well as classes on administering polygraph assessments to convicted sex offenders. Bri has taught students from all over the globe! Opening a practice that is warm, open, comfortable and non-judgmental was imperative in the formation of Mandala Counseling Services. Bri prides herself in being able to build rapport and establish long lasting therapeutic relationships with her clients. She strives for the perfect balance of professionalism and genuine care and compassion for her clients. She loves animals, is a Reiki Master, enjoys Transcendental Meditation, traveling and of course... Batman. She cares deeply for her clients and has devoted most of her adult life to non-profit centers and helping victims of trauma.  
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DeLana Gardner
DNP, PMHNP-BC, FNP-C
Online Therapy
Hello! I'm Dr. DeLana Gardner, a dedicated Nurse Practitioner with a wealth of experience in both family healthcare and mental health. I hold dual certifications as a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner. With over two decades of experience, I've honed my skills to provide compassionate and comprehensive care to all my patients. In my practice, I focus on creating a supportive and understanding environment. My passion lies in helping individuals navigate their health journey, from addressing everyday health concerns to managing complex mental health challenges. I believe in empowering my patients through education and personalized care plans tailored to their unique needs. My approach is holistic, often incorporating natural treatments like supplements and herbs as primary or complementary therapies alongside traditional treatments. Beyond my clinical work, I have a strong commitment to community service and health education. I'm actively involved in local initiatives and have participated in international medical missions. This broadens my perspective and enhances my ability to provide well-rounded and culturally sensitive care. Whether it's a routine check-up or a more specialized consultation, I am here to guide you on your path to better health. I look forward to partnering with you on your healthcare journey. TREATMENT PHILOSOPHY: My treatment philosophy centers on compassionate, patient-focused care. I believe in fostering a trusting relationship with my patients, where open communication is key. I strive to empower individuals to take charge of their health through education and support. By integrating evidence-based practices in family and mental health, I tailor my approach to meet each patient's needs. I aim to dispel stigma around mental health, particularly in the African American community. Active listening and collaboration are central to my practice, ensuring each patient feels understood and valued. Together, we create a path toward wellness and a fulfilling life.
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