Trelease Hartfield, MD, LCPC, LPC

Trelease Hartfield is a licensed clinician with an MD and counseling credentials who brings 16 years of experience to her work. She practices in Georgia and offers care for people facing stress, anxiety, grief, low self-esteem, depression, and major life changes. She also helps with issues such as relationship strain, intimacy concerns, parenting struggles, anger, career decisions, and ADHD-related challenges.

She approaches therapy as a collaborative effort and treats each person as the expert on their own life. Sessions focus on clear goals and practical steps. Trelease emphasizes strengths and small, doable changes that build toward larger progress.

Her clinical work includes Cognitive Behavioral Therapy, mindfulness approaches, and trauma-focused methods. In session she uses straightforward tools to identify unhelpful thoughts, practice present-moment skills, and address past hurts that continue to cause pain. The emphasis is on skills people can use between sessions.

Trelease also brings personal insight into living with an amputation and has supported others coping with chronic illness, pain, and disability. She listens for how medical and physical challenges affect day-to-day life and helps people adapt routines and expectations.

Her style is direct and encouraging. She helps people name problems, try small experiments, and track what works. Practical solutions and steady support are central to her approach.

How her approaches translate to online therapy

CBT, or Cognitive Behavioral Therapy, focuses on identifying and changing unhelpful thoughts and behaviors. Online sessions use talking, worksheets, and at-home exercises to practice new responses to stress and anxiety.

Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and increase calm. In online appointments Trelease guides short exercises and helps integrate those skills into daily routines for coping and emotional regulation.

Trauma-Focused Therapy addresses the impact of traumatic events on current life and relationships. Work can include pacing exposure to difficult memories, building safety skills, and learning ways to manage triggers while progressing at a persons comfort level.

Finding the best approach is collaborative. Trelease will discuss goals and preferences and adapt methods to fit each person's needs. She checks in about what helps and adjusts the plan over time so therapy stays useful and relevant.

Online formats - video calls, phone sessions, live chat, and text-based messaging - make therapy more flexible. Video is good for full conversations and real-time demonstrations. Phone sessions work when internet bandwidth is limited. Live chat or messaging can be used for brief check-ins, homework review, or when someone prefers typed communication. These options help people fit sessions into busy days and continue work between appointments.