Nancy Cechvala, LPC

Nancy Cechvala is a Licensed Professional Counselor (LPC) with 20 years of experience helping people through big life changes. She aims to build a calm, respectful space where clients can talk about hard things and find steady ways forward.

Nancy focuses on practical help for problems like trauma and abuse, anxiety, depression, grief, stress, and relationship difficulties. She also supports people facing parenting strain, career transitions, attention challenges, sleep and eating concerns, and compassion fatigue. Her work often addresses how life events affect day-to-day functioning and relationships.

Her sessions use straightforward tools from cognitive behavioral therapy and client-centered methods to help people change unhelpful thoughts and practice new behaviors. She also draws on emotionally-focused techniques and mindfulness to help clients notice feelings and respond differently in relationships and stressful moments.

Nancy brings two decades of clinical practice in Wisconsin to each session. She combines practical strategies with listening and reflection so clients can set clear goals and try small changes between meetings. This approach is useful for people who want both understanding and concrete steps to feel better.

She offers phone, video, chat, and text-based messaging so people can choose what fits their life. The first steps involve a short matching questionnaire and scheduling a session to see if the therapist and approach feel like a good fit.

How therapeutic approaches work online

CBT helps people notice and change unhelpful thoughts and behaviors. Online CBT sessions may include setting concrete practice tasks, tracking thoughts between sessions, and reviewing progress together, which can help with anxiety, depression, sleep, and ADHD-related challenges.

Client-centered therapy focuses on listening deeply and helping people find their own solutions. In remote sessions this approach gives space for reflection and collaborative goal-setting while the therapist follows the client's pace.

Emotionally-focused techniques help people identify and name strong feelings and learn new ways to respond in relationships. These methods can be used in video or phone sessions to work on communication patterns and emotional reactions.

Nancy will work with each client to decide which approach or combination fits best. Choosing a method is a team effort based on the client's goals, day-to-day needs, and preferences. She checks in regularly and adjusts strategies as progress is made.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video is good for face-to-face conversation and reading nonverbal cues. Phone calls can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging are useful for quick updates, brief coaching between sessions, or when written reflection helps the client process thoughts. These options make it easier to fit therapy into busy schedules and varied routines.