- Guilt and shame
- Grief and loss
- Self esteem work
About Nancy
Nancy Buchanan is a Washington state LMHC (Licensed Mental Health Counselor) with 29 years of professional experience. She works with adults who are dealing with stress, anxiety, relationship problems, grief and loss, low self-esteem, and depression. Nancy lists guilt and shame among the issues she addresses as part of her wider practice.
Nancy approaches therapy with the belief that each person knows their own story and already carries strengths that can help them manage hard things. Sessions are conversational and practical. She helps people notice patterns, name painful feelings, and consider small changes that reduce daily burden.
In sessions she focuses on what is getting in the way now - for example, fears that hold someone back from connecting, or self-criticism that keeps confidence low. She works with grief and loss by helping people sort through what they miss and what they still have. For relationship concerns she helps people clarify communication patterns and set realistic next steps.
Nancy also supports people dealing with addiction, family of origin wounds, illness such as cancer, and aging-related concerns. She offers help around forgiveness, abandonment issues, and social anxiety when these come up with other problems like depression or loneliness.
Her style favors clear, honest conversation and practical steps rather than jargon. If you are carrying guilt or shame about a past action, a relationship, or a personal identity, she helps you name those feelings and look at choices you can make next.
Approaches to difficult feelings and online work
Evidence-based therapeutic techniques are part of her practice. One common approach she uses focuses on identifying unhelpful thought patterns and testing them against real evidence; this helps with anxiety, self-criticism, and guilt by making thoughts clearer and more manageable. Another approach emphasizes coping skills for strong emotions, teaching practical tools for grounding, pacing grief, and reducing overwhelm that can come with shame.Finding the right approach is treated as a collaborative process. The therapist and client look at goals, current struggles, and what methods feel most practical to try. Adjustments are made over time so work stays relevant to day-to-day life and to changing priorities.
The original biography does not list which online session formats are offered, so confirm current options before booking. Online work can make it easier to fit sessions into a busy schedule, avoid travel time, and have shorter check-ins when needed. Phone or video formats often let people join from a quieter place, use less bandwidth, or make a quick appointment during a break at work. Licensed professionals can adapt tasks and exercises to the online setting so sessions remain focused and useful.
Areas of expertise
Primary focus
Additional focus areas
Experience
29+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, relationship problems, grief and loss, self-esteem issues, and depression. Guilt and shame are listed among her additional focus areas.
How would she approach feelings of guilt or shame?
Nancy uses conversational, practical sessions to help people name painful feelings and spot the patterns that keep those feelings active. She focuses on small, manageable steps rather than abstract promises.
How much experience does she bring?
She has 29 years of professional experience working with adults on a range of concerns from anxiety to grief and depression.
What are her credentials and where is she based?
She is an LMHC, licensed in Washington, and practices with that credential in the state of Washington.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English. She is not currently accepting international clients.
What session formats are available?
The original biography does not specify session formats. Please confirm current session options before booking.
How are sessions paid for and what does cost look like?
Cost varies with location and sessions are provided through a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session to get started.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.