Tracy Grothe, LMHC, LIMHP

Tracy Grothe is a licensed counselor in Nebraska with 25 years of experience helping people through relationship problems, grief, career shifts, and major life changes. She focuses on practical steps people can use to feel steadier and more in control. Tracy speaks plainly and keeps sessions focused on what matters now. She believes each person knows their own story and brings strengths into the room. Therapy is a collaborative process where she helps clients notice patterns, try new behaviors, and build skills that fit their life. Cognitive Behavioral Therapy (CBT) is one tool she uses to change unhelpful thoughts and actions. Tracy also draws on client-centered methods that follow the client’s pace and priorities. Mindfulness techniques are offered to help manage stress, sleep troubles, and strong emotions. Motivational Interviewing and solution-focused strategies help people clarify goals and take small steps forward. Her work covers a wide range of concerns, including intimacy-related issues, parenting stress, compassion fatigue, depression, anger, body image, and chronic illness challenges. She helps people cope with caregiver strain, divorce and separation, and feelings of isolation or emptiness. Starting therapy with Tracy begins with a simple matching process and scheduling. She uses language that is direct and encouraging, aiming to make the work feel useful and doable. Many clients find the mix of practical tools and supportive listening helps them move toward clearer choices.

How Tracy Uses Different Approaches Online

Tracy often uses Cognitive Behavioral Therapy to help people spot thoughts that make problems worse and to try small behavior changes that bring relief. CBT is useful for depression, anxiety, sleep problems, and managing reactions to stress.

She also uses client-centered therapy, which means she follows the client’s priorities and helps them set the pace. This approach is helpful when someone needs a supportive space to sort through feelings and make decisions. Mindfulness techniques are offered to help people notice their body and breath, calm intense emotions, and improve focus during busy days.

Choosing the right method is part of the work. Tracy will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which approaches to try and adjust those methods over time based on results.

Online sessions include video calls, phone sessions, live chat, and text-based messaging. Video is good for longer therapy sessions and visual cues. Phone works well when bandwidth is limited or for quick check-ins. Live chat and messaging suit brief updates, scheduling, or ongoing support between sessions. These options make it easier to fit therapy into a busy life and keep progress moving forward.