Juanita Gamache

Juanita Gamache is a Licensed Clinical Mental Health Counselor (LCMHC) and a Licensed Professional Counselor (LPC) in Tennessee with 22 years of clinical experience. She helps people facing addictions, trauma, depression, anxiety, relationship and intimacy concerns, career questions, parenting strain, grief, and life changes. She also supports work around family of origin issues, attachment and abandonment, caregiver stress, codependency, and related concerns.

Her sessions focus on talking through what feels stuck and finding practical ways forward. She uses several evidence-based approaches including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based methods, and a client-centered stance. That means sessions often combine looking at thoughts and behaviors with attention to values and relationships.

Juanita writes that people do better when they have connection and options. She aims to listen, offer approaches that fit the problem, and resource people with concrete coping tools. Conversations may cover boundaries, communication strategies, relapse prevention for substance use, and skills for managing anxiety or mood.

She mentions working by phone or video for virtual appointments, describing these as practical ways to connect when in different places. Prospective clients should confirm current session options before booking.

Her style is straightforward and goal-focused, with attention to personal values and relationships. People often start by identifying a few priorities and then practicing skills between sessions. The first step is a brief matching and scheduling process through the site.

How her approaches translate to online sessions

Juanita uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy as core parts of her practice. ACT focuses on clarifying personal values and taking committed action toward them while learning to live with unwanted thoughts and feelings. CBT addresses unhelpful thinking and behavior patterns and teaches concrete skills to change those patterns and reduce distress.

She also draws on Attachment-Based and client-centered ideas to pay attention to how relationships shape feelings and choices. This helps when relationship patterns, intimacy concerns, or family of origin issues are part of the problem. Deciding which approach to emphasize is a collaborative process between the therapist and the client.

Online sessions can make it easier to fit therapy into a busy week and to continue work after a life change. The biography refers to connecting by phone or video as practical ways to meet when people are in different places. Confirm the currently offered session formats before booking so you know what to expect. Online work lets people practice skills in everyday settings, check in between life demands, and bring real-life moments into the conversation without the need to travel.