- stress management
- relationship issues
- guilt and shame
About Doreen
Doreen Gaffney is a Licensed Mental Health Counselor (LMHC) in Washington with 11 years of clinical experience. She works with people who are dealing with stress, anxiety, relationship concerns, trauma and abuse, low self-esteem, and depression. She also addresses related problems such as communication difficulties, feelings of guilt and shame, isolation or loneliness, and panic symptoms.
Her way of working is direct and practical. She talks through current problems and helps clients identify small, manageable steps they can try between sessions. Conversations focus on what is happening now, how thoughts and behaviors interact, and what might change how someone feels day to day.
She adapts conversations and plans to each person’s situation. That includes looking at how relationships and past experiences affect current reactions. Sessions may cover coping skills for anxiety and panic, rebuilding trust in relationships, and addressing low mood and motivation.
Doreen encourages people who feel weighed down by guilt or shame to bring those specific feelings into session. She listens for what keeps a person stuck and works with them on practical ways to challenge harsh self-judgments and to reframe unhelpful thinking.
People who contact her follow a short matching questionnaire and then schedule a first session. Sessions use a subscription model that can be canceled at any time, and fees vary with location.
How evidence-based techniques are used in online sessions
Evidence-based therapeutic techniques focus on clear, practical steps you can try between sessions. One common approach helps people notice and change unhelpful thoughts and behaviors that keep anxiety or low mood going. This method is useful for panic attacks, social anxiety, and persistent negative self-talk.Another approach emphasizes skill building for immediate symptoms. That might include breathing and grounding practices for panic, communication strategies for relationship stress, and activity planning for depression. These skills aim to reduce overwhelm and make everyday life more manageable.
Choosing the best mix of techniques is a collaborative process. The therapist will work with each person to figure out which methods match their needs, goals, and preferences. That includes checking in and adjusting the plan as progress or challenges emerge.
The biography does not specify session formats, so confirm current online session options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and remove travel time. Licensed professionals adapt exercises and homework to suit how someone prefers to meet, helping therapy fit into everyday life without promising a specific result.
Areas of expertise
Primary focus
Additional focus areas
Experience
11+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she address related to guilt and shame?
She works with guilt and shame alongside stress, anxiety, relationship issues, trauma, low self-esteem, and depression.
How does she approach feelings of guilt or shame in sessions?
Doreen focuses on current thoughts and behaviors and helps people test small changes that can reduce overwhelming self-blame.
What experience does she bring to these issues?
She has 11 years of professional work experience supporting people with anxiety, trauma, mood concerns, and related challenges.
What are her credentials and where is she based?
She is an LMHC licensed in Washington and practices from that state.
Can I work with her if I live in another country?
Sessions are not offered to international clients at this time; services are provided within Washington.
Which session formats are available?
The original biography does not list specific session formats; confirm current session options before booking.
How are sessions priced?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What do I do to begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.