Lisa Fehr, LMHC

Lisa Fehr is a licensed mental health counselor in Iowa with 12 years of clinical experience. She helps people who are dealing with stress, anxiety, anger, depression, and life changes. She also supports people managing focus challenges related to ADHD. Lisa approaches each person with respect and a belief that they are the expert on their own story.

She uses a client-centered style that aims to listen first and follow the person's goals. That means sessions focus on what matters most to the individual and build on existing strengths. Lisa also draws on Cognitive Behavioral Therapy, which looks at how thoughts and actions affect feelings and teaches practical ways to change unhelpful patterns.

Mindfulness techniques are part of her work too, offering simple practices to reduce reactivity and increase calm. She helps people learn relaxation and stress-management exercises they can use day to day. Lisa also incorporates solution-focused ideas to set clear, achievable steps toward change.

Sessions tend to be collaborative and straightforward, with an emphasis on skills people can try between meetings. Common concerns she addresses include panic and social anxiety, impulsivity, isolation, communication struggles, and questions about life purpose. The overall aim is to help people build tools that fit their lives.

Lisa provides therapy in English and practices from Iowa. She frames progress as a stepwise process and works with people to set realistic goals and track small wins over time.

How Lisa Uses Evidence-Based Approaches Online

Lisa combines Cognitive Behavioral Therapy and client-centered work to help people change unhelpful thoughts and build on personal strengths. CBT focuses on identifying and testing thoughts that lead to anxious or low moods and introduces practical skills to change behavior. Client-centered therapy centers the person's goals and lived experience, so sessions are guided by what the person wants to work on rather than a fixed agenda.

She also integrates mindfulness techniques to teach short exercises for grounding, breath work, and reducing reactivity. These practices can help with stress, panic symptoms, and rumination by bringing attention to the present moment and easing automatic responses. Choosing the best mix of these approaches is a collaborative process; the therapist will work with the person to try techniques, check what helps, and adjust the plan over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face interaction for skill practice and discussion, while phone sessions can be easier when bandwidth is limited or a simpler check-in is needed. Live chat and text-based messaging offer brief, flexible ways to process thoughts between meetings. Together these options give practical flexibility so therapy can fit around work, caregiving, or other commitments.