Constance Guthrie, LMSW

Constance Guthrie, LMSW, helps people facing stress, anxiety, grief, anger, low self-esteem, depression, trauma and abuse, and ADHD. She also supports those coping with parenting challenges, life changes, chronic illness or pain, and relationship communication problems. Her tone is warm and direct, aimed at people who want practical tools and steady support.

Constance uses straightforward conversations to help clients spot unhelpful thoughts and try new behaviors. She draws from cognitive behavioral therapy, dialectical behavior therapy, and mindfulness to teach skills for emotion regulation, coping with panic, and managing daily stress. Sessions focus on skills people can use between meetings and on small, achievable steps forward.

Her professional credential is LMSW, which stands for Licensed Master Social Worker. She has seven years of experience working with adolescents and adults in clinical settings. Constance trained at Oakland University for her bachelor’s degree and at Michigan State University for her master’s degree in clinical social work.

People who choose her can expect a nonjudgmental, collaborative approach. She listens first, then helps craft practical strategies tailored to each person’s goals. Her style blends skill teaching with support for making changes that fit real life.

Constance practices from Michigan and offers sessions in English. She is comfortable guiding people dealing with parenting stress, adoption or foster care concerns, blended family issues, pregnancy and childbirth transitions, and the emotional effects of illness or disability.

Practical approaches that work online

Constance draws on cognitive behavioral therapy to help people identify and change unhelpful thought and behavior patterns that feed anxiety, depression, panic, and stress. CBT focuses on small experiments and steps that lead to noticeable change. She also uses client-centered therapy to create a listening, accepting space where clients set the pace and goals for their work. That approach is helpful when someone needs to feel heard and understood before trying new skills. Dialectical behavior therapy techniques are used to teach emotion regulation, distress tolerance, and interpersonal effectiveness skills useful for strong emotions and impulsivity.

Finding the right mix of approaches is part of the process. Constance works collaboratively, checking in about what is helping and what feels off. Together the client and therapist decide which methods to emphasize based on needs, goals, and personal preferences.

Online sessions can be scheduled as video calls, phone appointments, live chat, or text-based messaging to fit different routines. Video is useful for in-depth conversations and skill practice, phone calls work when bandwidth is limited, and chat or messaging can suit quick check-ins or consistent support between sessions. These options offer flexibility for people juggling work, childcare, health conditions, or long commutes.