Lia Bigelow, LMHC, LPC

Lia Bigelow is a licensed mental health counselor who centers conversations on practical problem solving and emotional understanding. She brings 15 years of professional experience and works to create a respectful, sensitive space for people seeking change.

She uses approaches such as cognitive behavioral therapy and client-centered work to help people manage addictions, anger, and major life transitions. Lia also offers coaching-style support for career and executive concerns. Sessions focus on clear goals and steps that fit each person's situation.

People come to her for a range of concerns, including codependency, communication problems, and struggles with guilt or shame. Lia also addresses issues related to body image, gender dysphoria, HIV/AIDS, and impulsivity. She listens for patterns that cause repeated distress and helps clients try different tools to respond differently.

Her style mixes skills training with reflective conversation. She may introduce behavioral strategies from cognitive behavioral therapy, as well as emotion regulation skills drawn from dialectical behavior therapy. Motivational interviewing and psychodynamic ideas can inform deeper exploration when useful.

Lia holds LMHC and LPC credentials and is licensed to practice in Florida. She aims to tailor the plan to each person's needs and moves at a pace that feels doable. Taking the first step is hard, and she focuses on steady, practical progress rather than quick fixes.

How therapy approaches translate to online care

CBT focuses on identifying unhelpful thoughts and trying different behaviors. In online sessions this can include setting clear homework, practicing coping skills between meetings, and tracking progress together to reduce symptoms like anxiety or difficulties with impulsivity.

Client-centered therapy emphasizes listening and building a respectful relationship. Online meetings use that same approach by letting clients lead the conversation while the therapist reflects and helps clarify priorities for change.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose which methods fit their goals and preferences. That might mean trying skills from CBT for a few weeks, then shifting to coaching-style work or deeper exploration if needed.

Online formats offer flexibility for busy schedules. Video calls let you meet face-to-face for skill practice and conversation. Phone sessions work well when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging provide brief, written check-ins and support between sessions. These options make it easier to fit therapy into work, caregiving, or travel routines while keeping the focus on steady progress.