Desireah Riley, LPC, LMHC

Desireah Riley is a licensed professional counselor (LPC) and a licensed mental health counselor (LMHC) based in Texas. She brings four years of clinical experience to helping people manage relationship strain, grief, self-esteem struggles, and addiction. She uses clear, practical techniques in sessions and keeps communication direct and compassionate.

Her main methods include cognitive behavioral therapy and client-centered work. These approaches help people understand thoughts that fuel difficult feelings and practice new responses. She also draws on dialectical behavior therapy and solution-focused techniques when people need skills for emotional regulation or fast, goal-oriented change.

Desireah pays attention to family dynamics and attachment patterns. She helps individuals sort out blended family stress, divorce and separation issues, and communication problems. She also supports people facing fertility challenges, caregiver stress, body image concerns, and substance use struggles.

Sessions balance skill building and empathic listening. Expect practical exercises, check-ins about progress, and concrete steps to try between meetings. The work aims to reduce overwhelm and increase confidence in daily life.

Desireah works with people who want steady, understandable tools for coping and change. She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules. Sessions are conducted in English and she practices from Texas.

Approach-driven online therapy for skills and relationships

Desireah commonly blends cognitive behavioral techniques with client-centered care to help people notice unhelpful thoughts, test new behaviors, and build everyday skills for mood and relationship challenges. CBT focuses on the link between thoughts, feelings, and actions and can be helpful for anxiety, low self-esteem, and addiction-related patterns. Client-centered work prioritizes empathic listening and the client's own goals, creating space to name values and choices.

She also draws on dialectical behavior therapy for emotion regulation and distress tolerance when intense feelings get in the way of daily functioning. DBT offers concrete skills for managing strong emotions and improving communication in stressful moments. Choosing the right mix of approaches is a collaborative process; the therapist will work with each person to decide which methods match their goals and preferences.

Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face interaction for deeper conversation. Phone sessions can be a good shorter check-in and need less bandwidth. Chat or text messaging work well for quick updates, skill reminders, or when someone prefers typed communication. These options make it easier to fit therapy into a busy life and try different ways of staying connected with a licensed professional.