Dr. Nanesha Courtney, LMHC

Dr. Nanesha Courtney emphasizes practical, evidence-informed care rooted in cognitive behavioral therapy. She uses clear, direct conversation to help people make small changes that add up. Dr. Courtney is a Licensed Mental Health Counselor with 25 years of experience and practices from Washington.

She helps people who feel overwhelmed by anxiety, stress, depression, and life transitions. She also supports those facing chronic pain, illness, caregiving strain, grief, and trauma. Her work includes attention to relationship and communication concerns, intimacy issues, and challenges tied to parenting and career stress.

In sessions she blends cognitive behavioral therapy with client-centered talk and mindfulness practices. She also uses eye movement desensitization and reprocessing for trauma work when appropriate. The focus is on identifying patterns that keep problems stuck and testing practical alternatives in daily life.

Dr. Courtney takes a collaborative approach. She listens first, then helps set specific, achievable goals. Together with clients she builds coping tools for emotion regulation, pain management, and problem solving.

Her background includes long experience with medical and vocational issues connected to mental health. That practical perspective informs how she addresses co-occurring challenges like chronic illness, bipolar mood concerns, or caregiver stress. She aims to help people feel more adaptable and able to manage day-to-day demands.

Sessions are offered via video, phone, live chat, or text messaging. Response hours for messaging tend to be Monday through Wednesday, 8 am to 4 pm, with therapy scheduling arranged based on those availability windows.

How CBT, client-centered care, and EMDR work online

CBT helps you identify unhelpful thoughts and try new behaviors to reduce distress and improve daily functioning. Online sessions use step-by-step work on thoughts, activity scheduling, and skills practice that translate into real-life changes.

Client-centered therapy focuses on listening and understanding your experience without judgment. In virtual meetings that means the therapist follows your lead, reflects what matters most, and helps you clarify goals and choices.

Eye Movement Desensitization and Reprocessing, or EMDR, is a method used for processing traumatic memories and reducing their emotional intensity. When offered online it uses guided attention and structured processing adapted to video or phone formats to help people work through distressing memories.

Finding the right approach is part of the process. The therapist will collaborate with the client to choose or combine methods based on needs, goals, and what feels most useful. That conversation guides whether sessions emphasize CBT exercises, reflective client-centered work, or trauma processing with EMDR.

Practically, online therapy offers flexibility. Video calls let you work face-to-face when visual feedback helps. Phone sessions use less bandwidth and can be easier during busy days. Live chat or text messaging enable brief check-ins, homework sharing, and ongoing support between sessions. These options make it easier to fit therapy into work, caregiving, or medical schedules.