Laci Struble, LMHC

Laci Struble is a licensed mental health counselor (LMHC) based in Iowa with nine years of clinical experience. She greets people with a direct, respectful style and aims to make early steps into therapy feel manageable. Laci emphasizes a calm, nonjudgmental presence so people can speak openly about what’s worrying them.

She uses a mix of evidence-informed methods, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and client-centered techniques. Sessions are tailored to the person’s concerns, whether that is anxiety, depression, ADHD, grief, or issues with mood and self-esteem. Laci helps people break problems into smaller parts and build practical skills for day-to-day life.

Her approach is straightforward and collaborative. She listens first, then works with each person to set clear, realistic goals. Conversations focus on what’s happening now and what can change, with tools people can try between sessions.

Laci also addresses relationship and family-related stress, coping with life changes, impulse control, and substance-related concerns. She pays attention to patterns like attachment struggles, codependency, and emotional emptiness, and helps people identify habits that keep those patterns going.

People who choose her often want a therapist who is warm but practical. Laci aims to guide clients toward clearer thinking, better emotional regulation, and small, achievable steps that improve daily functioning.

Therapy approaches you can use online

CBT focuses on the links between thoughts, feelings, and actions. It helps people notice unhelpful thinking patterns and practice new behaviors to reduce anxiety, depression, and mood swings.

Dialectical Behavior Therapy, or DBT, teaches skills in emotion regulation, distress tolerance, and interpersonal effectiveness. It can be useful for people who struggle with intense emotions, impulsivity, or repeated relationship conflict.

Client-centered therapy centers on clear listening and unconditional respect. The therapist follows the person’s lead, offering empathy and reflection so the client can find their own solutions to problems like low self-esteem, grief, or family stress.

Laci works collaboratively to find the best approach for each person. She will listen to concerns, discuss goals, and recommend methods that match those goals and personal preferences. Together they decide whether to focus on skill-building, problem-solving, or deeper conversational work.

Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues. Phone sessions can fit into a busy day or use less bandwidth. Live chat and text-based messaging make brief check-ins and ongoing support easier between scheduled sessions. These options help people fit therapy into work, school, or family routines while continuing consistent care.