- Stress and anxiety
- Life purpose
- Cognitive Behavioral Therapy
About Twarner
In sessions she focuses on practical ways to manage symptoms and move forward. She uses Cognitive Behavioral Therapy to look at how thoughts, behaviors, and feelings interact. Conversations aim to identify small, achievable steps that reduce anxiety and build confidence.
She pays attention to everyday pressures like caregiving duties, aging concerns, body image, and loneliness. When end-of-life or hospice matters arise, she brings attention to the immediate emotional and communication needs that come with those situations. Forgiveness, guilt, and control issues are also part of her work.
Twarner's style is direct and structured. Sessions include clear goals, tools to practice between meetings, and time to review progress. The emphasis is on doable changes rather than abstract concepts.
People come to her for help sorting through work or relationship doubts, managing social anxiety, or finding direction after a life shift. She asks practical questions and helps clients try small experiments in daily life to test what works and what needs adjusting.
License and NPI on record
- LICSW
- Alabama · 5506C
- LICSW
- Washington · LW 61566641
- LCSW
- Oregon · L16412
- LCSW
- California · 131256
- LMSW
- Michigan · 6801121580
- LICSW
- Rhode Island · ISW04715
- LCSW
- Mississippi · C-11862
- NPI
- 1982373189
As listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
6+ years
Credentials
Alabama, Washington, Oregon, California, Michigan, Rhode Island, Mississippi
Languages
English
How CBT shapes online sessions and practical next steps
CBT focuses on the link between thoughts, feelings, and actions. It helps identify unhelpful thinking patterns and tests them with real-life experiments. This approach is useful for anxiety, low mood, self-esteem, and coping with life transitions because it breaks problems into concrete parts to work on.Sessions can also center on communication skills and behavior changes that reduce stress in relationships or caregiving roles. These conversations involve practicing small changes and reviewing results in later meetings, which helps track progress in clear ways.
Finding the right approach is part of the work. The therapist will collaborate with the client to decide whether CBT techniques, communication practice, or a mix best match goals and preferences. This planning is revisited as needs change so the plan stays practical and relevant.
Confirm the therapist's current session formats before booking. Online work can make it easier to fit appointments into a busy week, reduce travel time, or allow shorter check-ins when needed. It also lets clients try tools between sessions and bring those experiences back to discussion, which supports steady problem-solving over time.
Frequently asked questions
What concerns does she address related to feeling stuck?
She helps with stress, anxiety, depression, relationship strain, low self-esteem, and coping with life changes including questions about life purpose.
How does she approach therapy for someone unsure what comes next?
She uses a practical, structured approach that looks at thoughts and behaviors. Sessions focus on small steps and skills to test in everyday life.
How much clinical experience does she have?
She has six years of experience working with adults on issues like stress, relationships, and motivation.
What are her credentials and where is she based?
She holds LMSW and LCSW credentials and practices in Alabama.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
She is not accepting international clients at this time.
What formats are available for sessions?
Please confirm current session options before booking as formats are not specified here.
How are costs and starting therapy handled?
Cost varies with location and sessions use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Good to know
Therapists listed here offer talking therapy online. It is not career, financial or medical advice, and no therapist can promise a particular result.
If you are thinking about harming yourself, or you are in danger, contact a crisis line or emergency services. The numbers are at the foot of this page.