- Guilt and shame
- Parenting support
- CBT and ACT methods
About Vivette
Vivette Lanzas is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 26 years of experience. She works with adults on stress, anxiety, parenting concerns, anger, self-esteem, and depression. She also focuses on issues such as abandonment, adoption and foster care, attachment difficulties, blended family challenges, body image, caregiver stress, commitment concerns, communication and control issues, coping after disasters, divorce and separation, eating and food-related problems, family problems, forgiveness, and guilt and shame.
Vivette favors clear, person-centered conversation that centers what matters to each individual. Sessions tend to be practical and straightforward. She listens for patterns that keep people stuck and then helps them try different ways of coping. That can include noticing thoughts, testing beliefs against real-life steps, and practicing new ways to respond to strong feelings.
She draws on several therapeutic approaches, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), and Client-Centered Therapy. Those approaches shape how she helps people examine painful self-judgments and work with overwhelming guilt or shame.
Vivette aims to adapt the conversation and the plan to each person's situation. She often balances talking through emotions with concrete skills to use between sessions. The focus is on managing distress, improving relationships, and finding clearer choices when guilt or shame get in the way.
People who reach out are usually looking for practical ways to reduce ongoing worry, repair strained relationships, or handle parenting and family stress more confidently. Vivette supports that work by combining reflective listening with hands-on strategies that can be practiced in daily life.
How therapeutic approaches support online sessions
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without letting those thoughts dictate action. It focuses on values and small committed steps that fit everyday life, which can help with persistent guilt or avoidance. Cognitive Behavioral Therapy (CBT) breaks down the thoughts, feelings, and behaviors that keep distress going and teaches specific skills to test and change unhelpful thinking. That approach is useful for anxiety, depression, and repeated guilt cycles.Choosing the right approach is part of the work. The therapist will collaborate with the client to decide whether ACT, CBT, or another method fits best based on goals and what feels most useful. That decision can be adjusted as progress is tracked during sessions.
The original biography does not list specific session formats, so confirm current options before booking. Online work can make it easier to fit therapy into a busy day, reduce travel time, and allow sessions from different locations when that helps. Some formats also let people use shorter check-ins or avoid being on camera when needed. Vivette uses these therapeutic approaches to shape sessions so skills and observations can be practiced between meetings and applied to daily situations.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
26+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she address related to guilt and shame?
She works with adults on guilt and shame alongside stress, anxiety, self-esteem, family problems, parenting, and related issues.
How would she approach feelings of persistent guilt?
She uses conversational, practical methods from approaches like CBT and ACT to notice unhelpful thoughts and try different responses to those thoughts.
What is her professional background and experience?
She is an LCMHC with 26 years of professional experience working with people on stress, relationships, parenting, and emotional concerns.
Where is she licensed to practice?
She holds the NC LCMHC credential and practices in North Carolina.
Can sessions be done in other languages or from other countries?
Sessions are offered in English and she is not 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 session costs handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I start working with her?
Click 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.