**NOT ACCEPTING NEW CLIENTS** I am dedicated to empowering individuals to take actions that will move them closer to their goals and values. These values guided changes many times lead to an improvement in mental health and overall wellness. I have extensive experience implementing clinically tested and evidence based interventions . I have collaborated with clients seeking help for various concerns such as anxiety, depression, relationship concerns, and adjustment disorders. My counseling style is integrated and collaborative. I promote a supportive, nonjudgmental space for my clients that is conducive to values guided changes and self-awareness in my clients lives. My approach combines acceptance commitment therapy (ACT), mindfulness, cognitive-behavioral, psycho dynamic and relational counseling. In many cases, it may feel difficult or overwhelming to identify our goals, and the actions needed to get there. It takes insight, willingness and dedication to move in the direction of a more fulfilling life. If you feel you are ready to make meaningful changes, I am here to support you during your journey. I look forward to working with you! COMMUNICATION OPTIONS *PLEASE NOTE: The on-line venue does not allow for emergency response, therefore if you have a crisis/emergency please call 911 or go to the nearest hospital. Below is information about the communication options I offer. Please read carefully so you can determine if I would be a good fit for your needs in terms of the communication. Recommended Structure My clinical recommendation is 1 live (video or phone) 45-minute session once a week and 1-3 e mail exchange for follow ups if needed. This offers the opportunity for clients to process outside of session and apply some of the skills that may be discussed during sessions. *I offer the E mail/messaging as an adjunct to live sessions but not a standalone modality of therapy. Communication Modalities 1.Email/Messaging o Response time 24-48 hrs. M-F, between 9 am -5 pm EST. o Emails sent via the Better Help platform 2.Video (Similar to Skype): o 45-minute session per week o by appointment (M-F) o Conducted using the Better Help platform. o Advantages > Non-verbal communication. > Real-time discussion and response 3.Phone: o 45-minute session per week o by appointment (M-F) o Conducted through BetterHelp ‘s phone routing service o Advantages > Real-time discussion and response Areas of Focus: Stress Life Coaching Adjustment Disorders Anxiety Depression Relationship Issues Women’s Issues romano-lmhc.com

I am a licensed psychologist with over 10 years of clinical experience. I completed my doctoral training in Clinical Psychology at the University of South Florida followed by clinical internship in Medical and Health Psychology at the University of Florida/Shands Hospital. I completed a two year postdoctoral fellowship at the University of South Florida Department of Internal Medicine specializing in eating/weight disorders, anxiety, OCD, depression and general stress management. More recently, I have had the privilege of providing mental health services to our nation's veterans, many of whom are adjusting to life with a spinal cord injury or disease (trauma, ALS, MS). I have additional certification in evidence-based treatment for PTSD and trauma. Although I am trained to provide research-supported therapies for a multitude of emotional and behavioral problems (e.g., Cognitive Behavioral Therapy, Cognitive Processing Therapy, Mindfulness, Exposure Therapy, Behavioral Therapy), I find it very important to individualize therapy based one's unique circumstances and needs. I also understand that sometimes life can just seem a bit overwhelming, and what is most helpful is more general stress management and support through a difficult life transition or situation. Therapy is a collaborative process, and we will work together to determine your specific needs and goals. I am so glad you are considering some extra support. It certainly takes courage to reach out for help. I look forward to working with you!

Welcome as it takes courage to for us to ask for help from others and seek therapy. I am here to tell you that it is okay to ask for help and seeking a professional therapist is the first step in your journey. Life is hard at times, with a multitude of life transitions, from graduating from high school to finishing college, starting a new job, or have feelings of being stuck either personally and/or professionally. Life is not an easy road to travel, but as we travel through different life challenges, sometimes we need help from others and it’s okay to seek the help. I have been a License Professional Counselor for the past eight years. I am very passionate about the mental health field and each client I have had the pleasure of working with. I am very respectful of everyone’s journey and believe respect, compassion, and sensitivity are very important in building and maintaining a healthy therapeutic relationship. I have experience with working with clients who have struggled with anxiety, depression, stress and major life transitions, PTSD, trauma, relationship issues, ADHD symptoms, mood disorders, parent-child relationship issues, behavioral problems, parenting techniques, and grief/loss. My therapeutic approach is Cognitive Behavioral Therapy, Motivational Interviewing, TF-CBT, and Solution-Focused Brief Therapy. I utilize different therapeutic techniques to assist my clients, which ensures each client has a personalized treatment plan. When working with my clients, I like to build a strong therapeutic rapport to gather a clear understanding of the client’s needs, goals they want to work on and/or issues they want to address in therapy, barriers to progression in therapy, and objectives to reaching their therapeutic goals. My philosophy is working with each client is that I am here to help you. My hope is that I work with you, helping you understand where you are in the process of change, motivate you to move towards the next stage, assist you throughout the therapeutic process, and we move at your pace. The client’s progression in the therapeutic process is to understand and acknowledge that, to a large degree, a successful treatment outcome depends on the amount of energy and effort the client makes. I will always have an open and honest line of communication with clients; as well as be empathy and very respectful. I look forward to working you!

I am a Licensed mental health counselor in the state of Florida with over 16 years of experience working as a mental health counselor in different settings. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, and ADHD. My experience includes working with individual with substance abuse issues. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines person- centered, cognitive-behavioral, solution focus and rational-emotive counseling. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek for a more fulfilling and happier life and to take the first steps towards a change. I will be available to help you when you are ready to take the next to achieve the help that you seek. I am looking forward to working with you!

Hello, I am Carol Parham, Ed.D., LMHC. I earned a doctorate degree in education. counseling and supervision a master’s degree in mental health counseling and licensed mental health counselor. I am an adoption-competent trainer/therapist and a certified trauma therapist. Throughout my mental health internship and licensure years I have worked with children, adults and families toward improving how to navigate through life’s daily challenges. I have provided therapeutic mental health services for children and adults that include topics of anxiety, anger, stress, depression, low self-esteem, living placement adjustments, adoption process, bonding and attachments with peers and adults, relationship building, separation from loved ones, grief, loss, end of life, and physical/emotional traumatic abuse. It is of the upmost importance to provide everyone with care, compassion and understanding. I believe in a holistic and organic way of exploring each person’s wants and needs, as well as encourage active participation to develop a personal healing journey of what one’s life is meant to be. I offer client centered therapy, cognitive behavioral therapy, motivational interviewing, trauma-focused therapy, solution-focused therapy, expressive activities and/or mindfulness activities; all of which contribute to creating a safe and comfortable therapy experience. I am honored and look forward to moving through this journey with you.

If you’re feeling anxious, overwhelmed, grieving a loss, out of balance and alone, it’s time to get support to find a path to regain your peace of mind. You don't need to be alone with sadness, pain or anxiety, I am here to encourage you to develop the skills to find your inner strength and change thoughts and emotional patterns that are keeping you feeling hopeless, stuck or unworthy. I work primarily with individuals in transition who are dealing with change or loss and are seeking support to grow spiritually and emotionally in order to move forward with realizing their dreams. I am a Licensed Mental Health Counselor, with a Master of Science in Counseling and a Master of Arts in Spiritual Psychology. I have 7 years of experience in addiction counseling, family grief counseling and I support my clients to gain insight, strength and a greater sense of self-compassion and well-being. I use a holistic approach of cognitive behavioral therapy, mindfulness and communication skills to heal relationships and change addictive behavior. My techniques include physical, mental, emotional and spiritual practices to assist you in regaining your clarity and enthusiasm for your life.

I am a licensed counselor in the states of Florida and Virginia and life coach. I have been honing my skills for over 20 years. Many people have difficulties with feeling overwhelmed and anxious, particularly after a major life change or traumatic event. I listen to each client carefully. Together we create a specific plan for your better future. You will have specific objectives and will see your progress. You can get back your sense of peace and well being, feeling back in charge of your life, calm and confident I have worked with clients with a wide range of concerns including depression, anxiety, relationships, parenting and life transitions. You will be treated with respect , compassion and sensitivity. My goal is to get to the core of whatever is bothering you and help you find satisfaction with your choices and feel that you are living in accordance with your values and on a path to your highest potential in your life rather than simply surviving day to day. I have helped individuals and families explore new ways of looking at problems through a variety of modalities including Cognitive Behavioral Therapy, Solution-Focused Counseling, and Emotional Freedom techniques. In the end, however, it is not a technique that resolves a problem but that you find fresh strategies to enable you to transform blocks and limitations into creative energy, calm, and confidence. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support: to equip you with new skills and cheer on each new success. I look forward to working with you!

Are you struggling to cope with a new “normal” of life? You're doing the best you can, AND you can do better! I believe everyone has the potential to manifest a life worth living, and I would love to help you take the steps towards making your vision your reality. With over 10 years experience in the mental health field, I have supported countless individuals and families achieve their goals through therapy, and look forward to the opportunity to serve you today. I am formally trained in Dialectical Behavior Therapy, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and I am also a Nationally Certified Trauma Focused Cognitive Behavioral Therapy provider as well. I utilize an eclectic approach to support the unique needs you are coming to services to gain support for. I have worked with clients of all backgrounds from a variety of different age groups, ethnic, cultural, and religious backgrounds. I provide a client-centered, non-judgmental approach and will meet you where you are at to help support you in reaching your goals through this uncertain time period. It takes courage to reach out and ask for help. If you are ready to take the next step I look forward to the opportunity to bring a fresh perspective and help you navigate to your true potential!

I am licensed in Florida with 3 years of professional work experience. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

I am licensed in Florida with 24 years of professional work experience. I have experience in helping clients with coping with grief and loss, motivation, self esteem, and confidence, & coping with life changes. I also have experience working with compassion fatigue. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

I am licensed in Florida with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, relationship issues, & anger management. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. In order for me to work with you, you must live in the state of Florida.

I am Licensed Clinical Social Worker (LCSW) in the state of Florida with 3 years of professional work experience in both agency and school-based settings. I have experience in helping clients with stress and anxiety, depression, motivation, self-esteem, maternal mental health and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

I am licensed in Florida with 27 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

I'm a Licensed Clinical Social Worker in the state of Florida who has been providing therapeutic services since 2015. I have experience in helping clients with stress and anxiety, relationship issues, grief and loss, and coping with life changes. I believe that my clients are the experts on themselves and I am just there to help sort things out and teach some skills which may be helpful. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

I am licensed in Florida with 9 years of professional work experience. I have experience in helping clients with relationship issues, anger management, motivation, self esteem, and confidence, & bipolar disorder. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!