- ACT and CBT
- DBT skills
- Emotion-focused work
About Marsha
Marsha Oxamendi is a Florida LCSW - Licensed Clinical Social Worker with 14 years of practice. She works with adults facing stress, anxiety, grief, anger, low self-esteem, depression, addictions, relationship and family concerns, trauma and abuse, intimacy-related issues, sleep problems, career stress, bipolar disorder, ADHD, and coping with life changes.
She takes a straightforward, respectful style in sessions. Conversations are paced to the client's comfort. Marsha listens and uses practical tools from several approaches to help people manage emotions and make changes they choose.
Her background includes a Master of Social Work from Florida State University, earned in 2010, and many years working in varied settings. She has provided counseling in prisons, led group anger management, supported dialysis patients, worked with veterans and their families in hospice, and assisted pregnant and postpartum women.
In practice she draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and client-centered methods. That mix lets her focus on thoughts, feelings, behavior, and relationships in ways that fit the person she is working with.
Sessions tend to focus on concrete skills and clearer thinking about decisions and relationships. She helps people talk through grief, manage intense feelings, and build routines that support better sleep, recovery from addiction, and day-to-day coping. The tone is direct and practical, aimed at small steps clients can try between appointments.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people get clearer about their values and take committed steps toward them while learning to live with difficult thoughts and feelings. It can be useful for anxiety, depression, and long-standing shame. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and changing patterns of behavior that keep problems going; it works well for anxiety, depression, sleep issues, and some aspects of addiction. Emotionally-Focused Therapy (EFT) pays attention to how emotions shape relationships and personal patterns, and it can help when intimacy, attachment, or strong emotional reactions are central concerns.Deciding which approach to use is part of the work. She will review your goals and preferences and help pick methods that fit what you want to address. That collaborative process can include trying different tools and then keeping what helps.
Confirm the specific session formats before booking so you know what is offered. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and remove travel time. It also lets the therapist and client use worksheets, in-session exercises, and skill-building practices together across sessions to reinforce changes in daily life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
14+ years
Listed in
Florida
Languages
English
Frequently asked questions
Which concerns does she help with related to guilt and shame?
She works with grief, trauma and abuse, relationship and intimacy issues, low self-esteem, anxiety, depression, addictions, and related concerns that often include guilt and shame.
What is her therapeutic style like?
She uses a respectful, direct counseling style that combines practical skills work with longer conversations about values and relationships.
How much clinical experience does she have?
She has 14 years of experience providing mental health counseling in a range of settings since completing her MSW in 2010.
What are her credentials and where is she based?
She is a Florida LCSW (Licensed Clinical Social Worker) and practices from Florida.
Can I work with her if I live outside the United States?
Sessions are offered in English and she accepts international clients; confirm time zones and scheduling when you book.
What session formats are offered?
Please confirm current session options before booking so you know whether video, phone, or other formats are available.
How does payment and cost work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete a 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.