Therapists answer…

How do you work with clients with depression?

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Scott Fleming
Registered Mental Health Counselor Intern and Certified Pastoral Counselor
In-Person Therapy
Scott Fleming has nearly twenty years of experience journeying with people who have reached their life’s peaks and those that have encountered their lowest valleys. His experience includes working in acute care hospitals, clinics, church counseling centers, and private practice. In addition, he’s held academic and leadership positions in various settings for his entire career. He is a Registered Mental Health Counselor Intern and a seasoned Certified Pastoral Counselor. Combining the latest best evidence-based practices, clinical expertise, and other psychological advancements with a personalized approach, he cares for patients experiencing the emotional, spiritual, and psychological toll that comes with a variety of conditions and situations. Scott strives to be person-centered yet solution-focused in his approach. He counsels from a relational counseling model, holding to the core belief that an individual cannot heal or grow outside the context of meaningful relationships. Scott believes each person has a unique and sacred story justifying that treatment plans should be genuinely crafted with the client in mind. He has a gift for creating a safe place for people to process their pain and bond with his clients in meaningful ways. Scott subscribes to an eclectic, integrated approach customized to your unique story incorporating elements of Acceptance and Commitment Therapy (ACT), Adlerian theory, Narrative techniques, solution-focused results, and existential principles. He seeks to partner with every patient in their healing process - mutually collaborative and committed to the process. Scott considers the counseling relationship to be sacred and not one to be taken lightly. It takes much courage to step into counseling, whether it’s your first time or the first time in a while. In meeting with a new counselor, clients often secretly hope that this relationship works out so they don’t have to start over or walk away from therapy. This truth is something Scott understands and values. Whatever brings you into counseling, Scott aims to cultivate a grace-filled environment where you will be met without judgment. Scott specializes in working with clergy, healthcare professionals, first responders, educators, and military personnel. Issues he treats include Anxiety, Coping Issues, Chronic Illness and Conditions, Depression, Family Conflict, Moral Injury, Compassion Fatigue / Burnout, Peer Relationships, Relationship Issues, Self Esteem, Stress, Caregiver Stress, and vicarious trauma. Whether you’re encountering a bump in the road or a boulder in your path, Scott would be honored to walk with you toward your desired goals.
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Nayeem Lokhandwala
LMFT
Online Therapy
Welcome! I'm Nayeem Lokhandwala, a dedicated Mental Health Therapist. With over 24 years of experience, I've been supporting individuals and families through challenging times in California and Arizona. I hold a license as a Marriage and Family Therapist and have extensive expertise in crisis intervention and mental health counseling. My passion lies in offering personalized therapy, whether it's individual counseling or family therapy. I also have a strong background in managing mental health and addiction rehabilitation operations. My approach is patient-focused, ensuring care and compassion in crisis situations and long-term support. I am bilingual, fluent in Hindi, allowing me to communicate effectively with diverse communities. I'm committed to making a difference, helping those in need to find strength and resilience on their journey to mental wellness. Let's work together toward a healthier, happier future. TREATMENT PHILOSOPHY: My treatment philosophy centers on compassionate, patient-centered care. I believe in the power of listening and understanding each patient's unique story. I focus on helping individuals and families navigate their mental health challenges through supportive therapy. With 24 years of experience in mental health, I use evidence-based methods like Cognitive Behavioral Therapy and Behavioral Therapy to empower my clients. I strive to create a safe space where clients can explore their feelings and work towards healing. Collaboration with my team and open communication are key to effective treatment. Together, we can achieve lasting change and improve well-being.
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Amanda Russo
Licensed Professional Counselor
Online Therapy
Hi there! My name is Amanda Russo and I’m the clinical director of Balanced Life Solutions. I am a licensed professional counselor (LPC). I’ve lived in the Dallas/Fort Worth area my whole life. I went to The University of Texas in Dallas and obtained a Bachelor’s in Child Learning and Development and a Bachelor’s in Psychology. During undergrad, I entered an internship working with autistic children, which spurred my love for working with the neurodivergent community. I then went on to study at The University of Texas Southwestern Medical Center where I received a Master’s in Rehabilitation Counseling. It was during my time at UTSW that I discovered my passion for neuropsychological and educational assessment where I worked for both the UTSW Psychological Services Department and the Parkland Trauma Unit. After school, I went on to work in several private practices, local community mental health clinics and public schools. In addition to being a counselor, I’m also a certified teacher in elementary education, special education, and school counseling. I’m extremely passionate about advocating for the appropriate educational services for children with special needs. After working for the schools, I did neuroscience research and treatment for divergent social cognition with the University of Texas at Dallas’ Brain Performance Institute. There, I utilized technology to provide treatment in an online interface, focusing on improving childrens’ ability to understand other peoples’ thoughts and implicit social information. Additionally, I gave presentations around the DFW metroplex focusing on how educators and parents could help foster social cognition. I have expertise in neurodivergent diagnoses including autism, ADHD, and learning differences including gifted learners. Additionally, I have a strong passion for working with neurodivergent women and AFAB individuals as they are chronically under- and misdiagnosed due to their presentation of symptoms. When I’m not counseling, I love spending time with my three children. I also enjoy singing, traveling, and reading books, especially on the topics of neuroscience and psychology.
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