Things people ask before the first call.

The honest answer is that a first conversation tells you more than a website can. Therapy here is evidence-based, client-centered, and solution-focused — you set the goals, and the approach is chosen to fit them.

Call or email and describe what's going on. If this practice is a good fit, we'll schedule a first session. If it isn't, we'll say so.

• Adolescents, ages 12–17
• Adults, 18 and up
• Veterans and active military

Psychotherapy covers a range of approaches — cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, EMDR, and family or group work among them. Each one suits different needs.

Rather than running everyone through the same program, the approach is matched to your circumstances and adjusted as things change.

It's a structured assessment of mental health, thinking, and emotional wellbeing, carried out by a licensed professional using established assessment tools.

The point is clarity: understanding what's happening, identifying any conditions present, and using that to shape treatment and support going forward.

Signs vary, but often include:

• Feeling like you're losing control
• Intense stress after an event or major change
• Persistent fear, anxiety, worry, or depression
• Feeling stuck, overwhelmed, or unable to act
• Significant weight gain or loss
• A decline in performance at work or school
• Pronounced changes in mood
• Pulling away from routines and relationships
• Expressing no sense of purpose
• Acting impulsively

• Reassure them that you care about them
• Keep your voice calm and even, and move slowly
• Listen actively — eye contact, nodding, kind body language
• Reflect back what you hear so they know you understand
• Ask open-ended questions without judgment
• Hold off on advice

Then help them reach support. The 988 line below is available to you as well, not only to the person in crisis.

Monday through Friday, 8:00am to 8:00pm. The practice is based in Lafayette, LA and sees clients virtually across the entire state of Louisiana — there's no physical office to visit.

Sessions are held virtually, by secure video. This means you can work with Sheena from anywhere in Louisiana — you're not limited to the Lafayette area to get started.