Orion Block, LICSW, LCSW - Therapist in Rhode Island

Guilt and shame work
Gender and sexuality
ACT and CBT informed

About Orion

Orion Block is a Licensed Independent Clinical Social Worker (RI LICSW) and a Licensed Clinical Social Worker in Nevada (NV LCSW) with eight years of clinical therapy experience and over 15 years in community organizing and education. Orion works with adults facing stress, anxiety, depression, relationship struggles, grief, trauma and abuse, and issues connected to gender and sexuality. They also list guilt and shame among their focus areas.

Orion uses a client-centered approach that treats each person as the expert on their life. Sessions tend to build on a person's strengths, beliefs, and abilities. The aim is practical work that helps people act on what matters and move toward greater independence.

Their practice draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, mindfulness approaches, Motivational Interviewing, and narrative ideas. Those methods are used to notice difficult thoughts and feelings, shift unhelpful patterns, and try small changes that make daily life more manageable.

Orion has a background in LGBTQIA+ community work and brings that perspective into conversations about gender, sexual identity, kink, and nontraditional relationship styles. They work with concerns such as gender dysphoria, body image, intimacy-related problems, and communication issues connected to sexuality.

Other areas Orion addresses include abandonment and attachment issues, adoption and foster care history, caregiver stress, chronic illness and pain, eating and body-related difficulties, hoarding, and self-esteem problems. Sessions are conducted in English and take place with consideration for each person's goals and context.

How therapy approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that reflect their values. It suits issues like guilt, shame, anxiety, and decisions about relationships. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing small behavioral changes to reduce symptoms and improve everyday functioning. It is often used for anxiety, depression, and eating or body image concerns. Client-Centered Therapy emphasizes respect for the client's perspective and uses that viewpoint to guide what to work on next, which can be useful when sorting identity, intimacy, or attachment questions.

Finding the right mix of approaches is part of the work. Orion will collaborate with each person to decide which methods feel most useful based on goals, preferences, and what comes up in sessions. That choice can shift over time as new needs emerge.

Confirm current session formats before booking since specific formats are not listed here. Online work can make it easier to fit appointments around jobs, caregiving, or busy days. It can also allow shorter check-ins when needed, or sessions without video when that helps with focus or bandwidth. Licensed professionals generally use online options to keep therapy practical and easier to join from everyday life.

Areas of expertise

Primary focus

Stress, Anxiety LGBT Intimacy-related issuesBipolar disorderCoping with life changes

Also works with

Relationship issuesFamily conflictsTrauma and abuse GriefEating disordersSelf esteem DepressionCoaching

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBDSM, kink, and alternative sex cultureBody image Caregiver issues and stress Chronic pain, illness, and disability Commitment issuesCommunication problemsDependent personalityEating and food-related issuesFamily of origin issuesGender dysphoriaGuilt and shameHoardingIsolation / loneliness Life purpose Multicultural concerns Panic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stress Prejudice and discriminationSelf-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused Therapy

Experience

8+ years

Listed in

Nevada, Rhode Island

Languages

English

Frequently asked questions

What concerns does Orion help with?

Orion works with stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, grief, eating and body image problems, and guilt and shame among other areas.

How would Orion approach shame or guilt in sessions?

They use client-centered work combined with Acceptance and Commitment Therapy and cognitive behavioral tools to notice unhelpful thoughts, clarify values, and try practical steps that change daily patterns.

What is Orion's professional background?

Orion has eight years as a practicing therapist and over 15 years in community organizing and education focused on race, women's, and LGBTQIA+ issues.

What are Orion's credentials and where are they based?

They hold RI LICSW and NV LCSW credentials and are located in Rhode Island.

In which languages can sessions be held?

Sessions are offered in English.

Does Orion accept clients from other countries?

International clients are not accepted at this time.

How are sessions arranged and what formats are used?

Please confirm current session options before booking, as the profile does not list specific formats. The listing advises checking available online therapy options when scheduling.

How does cost and starting therapy work?

Cost varies with location and sessions use a subscription that can be canceled at any time. To begin, select 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.