Jessica Caruana, LPMHC

Jessica Caruana is a licensed mental health counselor in Delaware with eight years of clinical experience. She focuses on helping people facing addictions, grief, depression, and questions about self-worth. She speaks English and uses straightforward, practical methods in sessions.

Jessica believes clients know their own stories and brings a respectful, nonjudgmental stance to conversations. She supports people working through trauma, relationship and intimacy concerns, anger, and mood shifts by listening carefully and helping them clarify next steps. Her approach honors each persons strengths while offering concrete ways to cope.

In sessions she often uses cognitive behavioral ideas to identify unhelpful thoughts and try new patterns of behavior. She also draws on client-centered methods that prioritize the client's perspective and emotionally-focused work to address close relationship struggles. Mindfulness and existential perspectives may appear when people want help with meaning, presence, or life direction.

Her background includes helping people with substance use challenges, codependency, panic and anxiety, postpartum concerns, and post-traumatic stress. She helps clients explore guilt, shame, forgiveness, and isolation and find practical steps toward feeling more stable.

Jessica encourages small experiments between sessions and clear, shared goals during therapy. She knows starting therapy takes courage and works to make the process as practical and manageable as possible.

How Jessica blends approaches in online therapy

Jessica commonly uses cognitive behavioral strategies to help people spot unhelpful thoughts and try small behavior changes that ease symptoms like anxiety, panic, and low mood. She also draws on client-centered therapy to make space for each person's perspective, offering empathic listening and support for building self-esteem.

These methods are combined in a collaborative way. The therapist will work with the client to identify goals, pick strategies to test between sessions, and adjust the plan based on what helps. Deciding which approach to emphasize is part of the work together rather than a one-time choice.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well for deeper conversation and nonverbal cues, phone can be easier when bandwidth is limited, and chat or messaging suits quick check-ins, brief coaching, or steps between sessions. These options make it easier to fit therapy into busy schedules and to keep continuity when life gets in the way.