MintLeaf
Helena Marshall LICSW, LCDP

Helena Marshall LICSW, LCDP

Online & In-Person

Therapist

Johnston, Rhode Island

Onestepatatimecounseling.org
About Helena
Welcome. My goal is to provide a safe and welcoming space where we can work together to understand your challenges, explore your strengths, and create meaningful, positive changes in your life. In our work together, we’ll talk about what you’re experiencing, identify what you’d like to shift, and empower you to take steps toward healing. Recovery is possible. I utilize a variety of therapeutic approaches to best fit each individual's needs; Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Solution Focused Therapy, Reality Therapy and motivational interviewing; with focus on problem solving, coping skills, relapse prevention and continued recovery. Treatment is available and there is no shame in seeking support. Take the first step—reach out today. You don’t have to do this alone.
How does cognitive behavioral therapy (CBT) work and how can it help?
Cognitive Behavioral Therapy (CBT) is a structured, goal-oriented form of psychotherapy that helps people identify and change unhelpful thought patterns and behaviors. It’s one of the most widely used and well-researched therapies for mental health and emotional challenges. CBT is based on the idea that our thoughts, feelings, and behaviors are interconnected. When we change how we think, we can change how we feel and act. CBT teaches coping strategies like problem-solving, relaxation techniques, and assertiveness training. Clients learn to recognize distorted or automatic thoughts—like catastrophizing, black-and-white thinking, or overgeneralizing, guide clients in questioning the accuracy of these thoughts and replacing them with more balanced, realistic ones, clients engage in activities that challenge their fears or avoidance patterns, helping them build confidence and resilience, Clients often practice skills between sessions to reinforce learning and apply insights to real-life situations,
How do you work with clients with anxiety?
Help clients understand that anxiety is a natural response to perceived threat, encourage clients to explore their anxious thoughts, teach simple techniques like deep breathing, sensory awareness, grounding exercises and mindfulness, explore whether anxiety stems from trauma, stress, perfectionism, or other sources and help clients identify triggers and patterns to build self-awareness.
For people that are hesitant to try therapy, what do you wish you could tell them?
Therapy isn’t just for people at rock bottom. It’s for anyone who wants to understand themselves better, cope with stress, or improve relationships. Even small concerns are valid reasons to seek support. Opening up can feel scary, but therapists are trained to create a space where you can be vulnerable without fear. You set the pace. You decide what to share and when. Feeling anxious, sad, or stuck doesn’t mean something is wrong with you. Therapy helps you explore those feelings and find new ways to cope. It’s a sign of strength, not weakness. Therapy is a collaborative process. You’re not being “fixed”—you’re being supported in discovering your own insights and strengths. Progress takes time. Some sessions may feel light, others heavy. But every step you take is part of building a healthier, more resilient you. If you’re considering therapy but unsure where to start, I can help you explore options, prepare questions for a first session, or even write a message to a potential therapist. Want to take that first step together?
How do you work with clients with depression?
Supporting clients with depression requires a blend of empathy, structure, and evidence-based techniques. Assist by helping individuals acknowledge that depression is a legitimate and painful condition, help clients recognize subtle signs of improvement—like getting out of bed, making a phone call, or feeling slightly more hopeful, offer a consistent, predictable therapeutic space. Use session agendas, goal-setting, and regular check-ins to provide stability, and monitor for suicidal ideation, self-harm, or substance use.
How does dialectical behavioral therapy (DBT) work and how can it help?
Dialectical Behavior Therapy (DBT) is a powerful, evidence-based form of psychotherapy designed to help people manage intense emotions, improve relationships, and reduce harmful behaviors. DBT combines principles of cognitive behavioral therapy (CBT) with mindfulness and acceptance strategies. It’s structured around four key skill modules: Mindfulness- Teaches awareness and acceptance of the present moment. Helps individuals observe thoughts and feelings without judgment. Distress Tolerance- Builds skills to cope with crises and intense emotions without resorting to self-destructive behaviors. Emotion Regulation- Helps people understand and manage overwhelming emotions. Encourages healthier responses to emotional triggers. Interpersonal Effectiveness- Focuses on assertiveness, setting boundaries, and maintaining relationships.
How do you work with clients with trauma and PTSD?
Help clients feel safe, regain control, and process their experiences in a way that promotes healing, create a physically and emotionally safe environment, Respect boundaries and avoid re-traumatization, validate their strengths and resilience, use grounding techniques (e.g., 5-4-3-2-1 method) to manage flashbacks, teach breathing exercises and progressive muscle relaxation and encourage journaling, art, or movement as expressive outlets.
How do you work with clients with grief?
Use the Stages of Grief as a Framework, Denial, Anger, Bargaining, Depression, Acceptance (Kubler-Ross model) can help clients name their feelings, emphasize that these stages are not linear and may resurface over time, Let clients express their grief in their own way and time, help clients tell the story of their loss and explore its meaning, Encourage legacy-building or rituals to honor the person or situation lost, role-play conversations that were left unfinished, teach grounding techniques to manage overwhelming emotions and use of trauma-sensitive approaches to avoid re-traumatization
How do you work with clients with addiction?
Working with clients who struggle with addiction in a compassionate, structured, and multi-dimensional approach. Addiction affects physical, emotional, and spiritual well-being. Addressing all aspects of a client’s life—trauma history, relationships, mental health, and values. Help clients articulate their own reasons for change, teach clients to identify triggers, develop coping strategies, and build a relapse prevention plan, normalize their experience and validate their courage in showing up Recovery is a journey, and setbacks are part of the process.
How do you work with clients on anger management?
Helping them understand the roots of their anger, develop emotional regulation skills, and build healthier responses to triggers. Cognitive Behavioral Therapy (CBT)- Use the ABCDE model to challenge irrational beliefs fueling anger, teach cognitive restructuring to reframe triggering thoughts. Mindfulness and Relaxation- Help clients recognize early warning signs (e.g., muscle tension, racing thoughts 0, Introduce breathing exercises, progressive muscle relaxation, and guided imagery. Anger Logs and Journaling- Track triggers, intensity, and responses to build awareness, use logs to identify patterns and progress over time. Assertiveness Training- Teach “I” statements and active listening to reduce passive-aggressive or explosive communication. Empathy and Perspective-Taking- Encourage clients to visualize others’ experiences to reduce objectification and hostility. Rehearsal and Visualization- Practice mental rehearsal of calm responses to common triggers.
How do you work with clients with ADHD?
ADHD affects executive functioning, emotional regulation, and attention. Use tools like planners, visual schedules, and alarms to support organization and time management, Break tasks into small, manageable steps and celebrate micro-successes, focus on restructuring distorted thoughts that lead to procrastination, avoidance, or self-criticism, use behavioral activation to build momentum and motivation, encourage clients to design ADHD-friendly spaces: minimal clutter, clear zones for tasks, and visual cues, allow flexibility—some clients focus better with music or movement breaks, Teach grounding techniques and distress tolerance skills, address rejection sensitivity and emotional flooding with compassion and skill-building and work together to identify barriers and brainstorm creative solutions.
How do you work with clients with obsessive-compulsive disorder (OCD)?
Gradually expose clients to feared thoughts or situations and guided to resist performing compulsions (This breaks the cycle of anxiety and ritualistic behavior), Cognitive Behavioral Therapy (CBT) (CBT helps clients identify distorted beliefs and challenge them.), Psychoeducation- Teach clients about OCD as a brain-based disorder, normalize their experience and reduce shame, help them understand the difference between intrusive thoughts and intent, encourage clients to observe thoughts without judgment and to help clients accept uncertainty and commit to values-based actions.
How do you work with clients with borderline personality (BPD)?
BPD is characterized by emotional dysregulation, unstable relationships, identity disturbance, and impulsivity. Providing Dialectical Behavior Therapy (DBT)- Specifically designed for BPD. Combines cognitive-behavioral techniques with mindfulness. Focuses on emotion regulation, distress tolerance, interpersonal effectiveness, and acceptance. Help clients feel heard and validated, avoid getting stuck in past behaviors, guide clients toward actionable steps forward, focus on thoughts and tasks to promote stability, help clients avoid getting stuck in past behaviors, and maintaining calmness helps regulate their distress.
How can you provide care remotely?
Offer virtual counseling, coaching, or check-ins to reduce isolation, Use secure video platform, set expectations around frequency, duration, and availability, schedule regular calls or video chats to maintain connection and monitor well-being,
How do you work with clients with bipolar disorder?
Bipolar Disorder is characterized by alternating episodes of depression and mania or hypomania, and treatment must address both ends of the mood spectrum. Cognitive Behavioral Therapy (CBT): Helps clients identify and challenge distorted thinking during both depressive and manic phases, empowering clients to recognize early warning signs and manage symptoms proactively, focus on stabilizing daily routines and sleep patterns to reduce mood swings, monitor sleep and routines- encourage consistent sleep-wake cycles and daily structure (Irregular sleep is a common trigger for manic episodes), teach clients to track mood changes and identify triggers, use mood journals, apps, or visual charts to build awareness and Develop safety plans and coping strategies for high-risk periods.
How do you work with clients with stress?
Helping them understand their stress response, build coping skills, and create a lifestyle that supports emotional regulation, explain that stress is a natural response to perceived challenges or threats, help clients identify the difference between acute stress (short-term) and chronic stress (long-term), explore life events contributing to stress, help clients feel safe and grounded, Teach breathing techniques, progressive muscle relaxation, and mindfulness practices, Use sensory grounding (e.g., 5-4-3-2-1 technique) to anchor clients in the present moment, Encourage clients to de-commit from unnecessary responsibilities and prioritize self-care.
Interested in talking?
(401) 871-2379
Email Me
Office Location
1200 Hartford Avenue
Suite102
Johnston, Rhode Island 02919
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Costs and Insurance
$150 - 200 per session
Out of Pocket
Aetna
Blue Cross Blue Shield (BCBS)
Medicaid
Neighborhood Health Plan of Rhode Island
Optum
Tufts Health Plan
UnitedHealthcare (UHC / UBH)
Specialties
Addiction
Anxiety
Bipolar Disorder
Borderline Personality (BPD)
Depression
Individual Therapy
Client Focuses
Straight / Heterosexual
Age Groups
Adult
Elders (65+)
Approaches
Cognitive Behavioral (CBT)
Dialectical Behavior (DBT)
Motivational Interviewing
Multicultural
Person-Centered