- Guilt and shame
- Stress and anxiety
- Caregiver support
About Tristan
Tristan Keller is a Licensed Clinical Social Worker (LCSW) in New Mexico with 25 years of clinical experience. He works with adults facing stress, anxiety, depression, trauma and abuse, and people wrestling with guilt and shame.
He helps people dealing with life changes, caregiver stress, and social isolation. He also addresses self-esteem struggles, communication problems, and mood concerns. Sessions focus on practical steps and clearer thinking rather than labels or lectures.
In sessions he talks through past experiences and current problems to identify patterns that keep someone stuck. He uses evidence-based therapeutic techniques to teach coping skills and emotional regulation. Conversations often include concrete practices people can use between meetings.
Tristan aims to help clients untangle guilt and shame connected to relationships, faith, or choices. He supports people working toward forgiveness of self and others while exploring what matters most to them. The work emphasizes small, manageable changes rather than sudden fixes.
Clients can expect a direct, steady approach that combines listening with specific tools. Tristan draws on his long experience to help people build clearer communication and stronger day-to-day coping. He sees English-speaking adults in New Mexico and structures sessions around each person’s practical needs.
Using evidence-based methods in online sessions
Tristan works with approaches described broadly as evidence-based therapeutic techniques. One common approach focuses on identifying unhelpful thoughts and testing them against real evidence to reduce anxiety and shame-related thinking. This method teaches practical steps for changing day-to-day reactions.Another approach emphasizes building coping skills and emotional regulation. That includes breathing and grounding exercises, short behavioral experiments, and planning responses to difficult situations to reduce stress and mood swings. These methods suit people managing trauma reactions, caregiver strain, or persistent guilt.
Finding the right approach is part of the work. Tristan will collaborate with each person to choose methods that match their goals and preferences, and adjust the plan as progress or new issues arise.
Confirm current session options before booking, since specific formats are not listed in the biography. Online sessions can make it easier to fit appointments into a week, allow shorter check-ins when schedules are tight, and remove travel time so people can keep therapy alongside work and family commitments. Licensed professionals and therapists often use these practical advantages to help people maintain regular contact and steady progress.
Areas of expertise
Additional focus areas
Experience
25+ years
Listed in
New Mexico
Languages
English
Frequently asked questions
What kinds of problems does he address?
He works with stress, anxiety, depression, trauma and abuse, and issues like guilt and shame listed in his specialties.
How does he approach guilt and shame?
He uses evidence-based techniques to help people examine beliefs, practice new behaviors, and develop better coping strategies.
How much clinical experience does he have?
He has 25 years of experience as a practicing clinician in New Mexico.
What credential does he hold and where is he based?
He is an LCSW licensed in New Mexico and provides services from that state.
Does he offer sessions in other languages?
Sessions are offered in English.
Can international clients work with him?
He is not currently accepting international clients.
How are sessions paid for and what do they cost?
Cost varies by location; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.