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Patsy Tivitt-Moore

Patsy Tivitt-Moore, LCSW

Kentucky

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LCSW - Anxiety and Guilt-focused care

  • Anxiety and depression
  • LGBT concerns
  • Mindfulness and ACT

About Patsy

Patsy Tivitt-Moore is a Kentucky licensed clinical social worker, LCSW, with five years of experience. She works with adults facing stress, anxiety, depression, LGBT concerns, addiction, relationship strain, trauma and abuse, grief, and issues around intimacy and self-esteem. She also lists help for ADHD, bipolar, and career questions.

Patsy focuses on clear conversations and practical steps. Sessions look at what keeps difficult feelings active and what small changes might ease them. She uses methods such as acceptance-based work, cognitive techniques, mindfulness skills, and strategies drawn from client-centered and dialectical approaches.

In practice she listens for how guilt or shame shows up in daily life - in relationships, work, faith, or family roles. She helps people name the pattern, notice triggers, and try different responses that fit their values. The pace is collaborative and paced to the person's comfort.

Patsy has experience supporting people through life transitions, workplace stress, and identity questions, including sexual orientation concerns. She also addresses caregiving stress, body image, codependency, and relationship breakup or separation. Her background includes work with clients coping with trauma and addictive behaviors.

Sessions combine talk, skill building, and mindfulness exercises. Clients work on practical tools for managing anxiety and anger, and on building clearer choices around relationships and career. To begin, readers are asked to use the site's scheduling flow and complete the short matching questionnaire before arranging a first session.

How her approaches are used in online sessions

Patsy draws on acceptance and commitment therapy to help people clarify what matters to them and take small steps toward those values. ACT involves noticing difficult thoughts and feelings without getting ruled by them, which can help when guilt or shame blocks action.

She also uses cognitive behavioral techniques to spot unhelpful thinking patterns and test them with real-life experiments. CBT offers concrete tools for anxiety, low mood, and relationship worries. Mindfulness therapy is woven into sessions to build present-moment focus and reduce reactivity to painful memories.

Choosing the best approach is collaborative. Patsy will discuss goals and preferences and try methods that fit the person's needs. That may mean mixing ACT, CBT, and mindfulness skills rather than using a single model.

Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into work or caregiving schedules, allow a shorter check-in when time is limited, and reduce travel time. Therapists can adapt skill practices for at-home use and offer paced steps for people dealing with shame or guilt.

Areas of expertise

Also works with

AddictionsRelationship issuesTrauma and abuseGriefIntimacy-related issuesEating disordersAnger managementSelf esteemCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesControl issuesDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationEating and food-related issuesFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameInfidelityJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

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

Experience

5+ years

Listed in

Kentucky

Languages

English

Frequently asked questions

What concerns does she help with related to guilt or shame?

She works with anxiety, depression, trauma, relationship and intimacy issues, and identity concerns that often involve guilt or shame.

How would she approach feelings of guilt?

Patsy uses acceptance and commitment ideas, cognitive strategies, and mindfulness to help people notice guilt, test the stories around it, and choose actions aligned with their values.

What is her professional background?

She is a licensed clinical social worker with five years of experience working with adults on mental health and life transition issues.

Where is she licensed and practicing?

She holds an LCSW license in Kentucky and practices with that credential in the state.

Does she hold sessions in languages other than English?

Sessions are offered in English.

Can people from other countries work with her?

She is not taking international clients at this time.

How are sessions paid for?

Cost varies with location and 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 through the site's booking flow.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Patsy Tivitt-MooreLCSW

Continue with Patsy