Elizabeth Underwood, LMHC

Elizabeth Underwood is a licensed mental health counselor who uses practical, evidence-informed methods to help people feel steadier during hard times. She draws on Cognitive Behavioral Therapy alongside client-centered and mindfulness approaches to address worry, low mood, and problems that interfere with daily life. Elizabeth welcomes straightforward conversations and focuses on clear steps people can use between sessions.

She has 15 years of experience working with people facing stress, anxiety, depression, grief, and the fallout of trauma and abuse. She also supports those dealing with addictions, sleep problems, anger, and compassion fatigue. Her approach aims to make emotional challenges easier to name and manage.

Sessions emphasize listening first. Elizabeth creates space for people to talk about what matters and then helps them test small, practical changes. She uses CBT techniques to spot unhelpful thought patterns, and mindfulness practices to build awareness and calm.

Motivational Interviewing is part of her toolbox when someone needs help finding reasons and motivation to change. Narrative Therapy ideas can help people rewrite difficult personal stories and reclaim a sense of agency. Together, these methods give people tools to cope with life changes, career strain, loneliness, and persistent self-doubt.

Elizabeth practices in Florida and works in English. She focuses on clear communication and steady progress so people feel more capable of handling their next steps.

How therapy approaches translate online

Elizabeth uses Cognitive Behavioral Therapy to help people identify thought patterns that increase worry or low mood and to practice small behavior changes that reduce distress. This method works well for anxiety, depression, and sleep problems because it focuses on clear steps and measurable change.

She also uses Client-Centered Therapy to make sessions feel respectful and nonjudgmental, allowing people to lead conversations about what matters most to them. Mindfulness Therapy is used alongside these approaches to build moment-to-moment awareness, reduce reactivity, and support emotional regulation.

Choosing the right approach is part of the work. Elizabeth collaborates with each person to match methods to their goals, needs, and preferences. That might mean emphasizing CBT homework for concrete symptom relief, using motivational interviewing to build readiness for change, or practicing mindfulness exercises during sessions.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful when visual cues help the conversation. Phone calls can fit shorter check-ins or lower bandwidth situations. Live chat and messaging support ongoing check-ins and brief reflections between sessions. These options offer flexibility so therapy can fit into busy schedules and different daily rhythms.