Adriana Caughie, LPC

Adriana Caughie is a Licensed Professional Counselor (LPC) based in Pennsylvania who helps people facing stress, anxiety, relationship strain, trauma, grief, and low self-esteem. She speaks plainly and listens first, aiming to make sessions feel like a steady place to be heard. Adriana emphasizes practical steps so clients can move toward clearer thinking and better days.

She brings 19 years of counseling experience to the work and focuses on finding patterns that keep people stuck. Adriana uses conversations to uncover where thoughts, feelings, and behaviors come from. From there she helps people try small changes that lead to different feelings and actions over time.

Adriana blends Cognitive Behavioral Therapy with client-centered listening and skills from Dialectical Behavior Therapy when helpful. She also draws on existential ideas about meaning and Imago approaches for relationship concerns to guide conversations about connection and purpose. Her goal is to match methods to each person’s needs rather than use one fixed plan.

Clients can expect a calm, direct style that values honesty and vulnerability. Adriana will occasionally share relatable experiences to normalize feelings and build trust. She encourages steady effort, noting that therapy takes courage and work but can lead to real change.

Outside core specialties, she brings attention to aging and geriatric issues, cancer-related concerns, caregiver stress, codependency, grief at end of life, and problems rooted in family of origin. Adriana invites people who want practical tools and clearer perspective to begin a conversation and explore next steps.

Approaches that guide online sessions

Adriana commonly uses Cognitive Behavioral Therapy and Client-Centered Therapy when working with people online. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing new ways of thinking so feelings and behaviors can shift. Client-Centered Therapy emphasizes listening deeply, validating what someone feels, and building a safe space for self-understanding.

She also brings elements of Dialectical Behavior Therapy for people who need concrete skills for managing strong emotions and improving relationships. DBT offers practical tools for emotional regulation, distress tolerance, and clearer communication that translate well to remote sessions. Adriana treats the choice of approach as a shared decision and will work with each person to find the right fit based on goals and preferences.

Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video lets people use nonverbal cues and see one another, phone sessions can be easier when bandwidth is limited or a shorter check-in is needed, live chat works for quick exchanges during the day, and text-based messaging supports ongoing reflection between meetings. These options aim to make therapy more flexible and easier to fit into busy lives.