- Addictions
- Trauma
- Depression
About Juanita
Juanita Gamache is a Licensed Clinical Mental Health Counselor (LCMHC) and a Licensed Professional Counselor (LPC) with 22 years of experience. She practices in Tennessee and works with people who are carrying shame or guilt around addictions, relationships, trauma, depression, anxiety, grief, parenting, self-esteem, and related life stresses.
She uses clear, direct conversation to help people sort their thoughts and feelings. Sessions focus on understanding what happened, naming the feelings that stay behind, and finding practical ways to respond. She relies on methods drawn from cognitive behavioral work, acceptance and commitment ideas, attachment perspectives, and skills-based approaches to manage intense emotion.
In the room she listens without judgment and offers options to try between sessions. That may include short behavioral experiments, mindfulness exercises, or steps to change unhelpful thinking patterns. She also draws on strategies from dialectical behavior work when emotion regulation or strong urges are present.
Her approach pays attention to how early relationships shape what people expect and feel now. That can be useful for clients dealing with abandonment, adoption and foster care questions, family of origin problems, or attachment wounds. Sessions also address practical problems like communication, codependency, and caregiver stress.
She mentions faith as one resource some clients bring into sessions. To begin, the site matching questionnaire is used, then a first session is scheduled so people can talk through immediate concerns and plan next steps.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) emphasizes noticing thoughts and feelings without fighting them, then choosing actions that align with what matters. It can help when guilt keeps someone stuck and they want clearer next steps. Attachment-Based Therapy looks at how early relationships shape present patterns and helps people understand and change repeating cycles of hurt in close relationships.Finding the right approach is part of the work. She will talk with each person about what feels most relevant and try methods that fit the person's goals and preferences. That means decisions about techniques and pace are made together rather than imposed.
The original biography mentions connecting by video or phone using any digital audio or video device, so confirm current session formats before booking. Online contact can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and avoid travel time. It also makes it possible to use mindfulness exercises, behavioral experiments, or skills coaching in real time while staying in familiar surroundings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
22+ years
Listed in
Tennessee, Utah
Languages
English
Frequently asked questions
What kinds of guilt or shame does she help with?
She works with shame and guilt related to addictions, relationships, trauma, grief, parenting, and life changes.
How does she approach feelings of shame?
She combines acceptance-oriented approaches with cognitive behavioral strategies and skills-based work to name feelings and try practical responses.
How much experience does she have working with these issues?
She has 22 years of clinical experience working with trauma, addiction, mood concerns, and relationship difficulties.
What are her credentials and where does she practice?
She holds LCMHC and LPC credentials and practices in Tennessee.
Which languages are supported in sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions paid for and what does it cost?
Cost varies with location and services; sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Use the See online therapy options button, complete the short matching questionnaire, and 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.