Mariellen LePage, LCSW

Mariellen LePage is a licensed clinical social worker with 21 years of experience based in Tennessee. She helps people facing anxiety, depression, addiction, grief, relationship and intimacy concerns, and stress. Parents and caregivers will find practical support for sleeping, eating, parenting pressures, and caregiver fatigue.

Mariellen uses clear, straightforward methods in sessions. She focuses on skills people can apply between meetings. Sessions often include goal setting, behavior experiments, and learning ways to handle strong emotions.

Her practice draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and client-centered principles. She mixes these approaches to match each person's needs rather than using a single method.

Over two decades in the field give her experience with complex situations such as co-occurring conditions, addiction, trauma, and major life transitions. She emphasizes building coping skills for anger, codependency, commitment worries, and feelings of emptiness.

Mariellen works with people dealing with career strain, aging and geriatric concerns, blended family dynamics, communication problems, and recovery from domestic violence or natural disasters. Her approach centers on listening carefully, setting realistic steps, and teaching tools to manage setbacks.

People who choose her can expect a collaborative process focused on practical strategies and steady progress. Appointments are scheduled to fit each person's needs and rhythm.

How CBT, ACT, and Client-Centered Work Online

CBT focuses on identifying unhelpful thoughts and testing new behaviors. Online CBT sessions often include specific homework, behavior experiments, and practical tools to reduce anxiety, depression, or problematic habits.

Acceptance and Commitment Therapy helps people notice difficult feelings and commit to values-based actions. Online ACT uses mindfulness exercises and short practices to build willingness to face stress while moving toward meaningful goals.

Client-centered therapy centers on being heard and understood first. In remote work that means the therapist listens closely, reflects what matters to you, and partners with you to set the pace and direction of care.

Deciding which approach fits is a shared process. The therapist will talk with you about goals, preferences, and what has worked in the past. Together you can try methods and adjust the plan if something isn’t helping.

Online sessions offer practical flexibility. Video calls allow face-to-face interaction for skills practice and emotion work. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text-based messaging suit brief check-ins, coaching-style support, or when writing helps you express things more clearly. These options make it easier to fit therapy into busy days and different routines.