- Client-centered approach
- Focus on coping skills
- Support for caregivers
About Roxana
Her approach is practical and conversational. She uses Client-Centered Therapy to follow each person's pace and priorities. She draws on Cognitive Behavioral Therapy to identify unhelpful thinking and try different ways of responding to stress and anxiety.
Roxana also brings Mindfulness Therapy and Solution-Focused Therapy into sessions to help people notice what's happening now and try small changes that make a difference. Narrative Therapy is another tool she uses to help people reframe stories about themselves and their lives. These methods are chosen to match what a person wants to work on, from intimacy-related issues to finding life purpose.
She has worked with concerns such as caregiver stress, compassion fatigue, and coping with life changes. Roxana also supports people facing hospice and end-of-life counseling questions and those dealing with aging or geriatric issues. Her style is warm, straightforward, and focused on helping people build useful skills.
To begin, Roxana encourages completing a short matching questionnaire and scheduling a session based on availability. She uses a subscription model for sessions, which can be canceled at any time.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
29+ years
Credentials
North Carolina
Languages
English
How her approaches translate to online therapy
Client-Centered Therapy focuses on listening closely to each person's goals and responding to their pace. In online sessions this means the conversation stays focused on what matters most to the client, whether that is managing daily anxiety or making decisions about caregiving.Cognitive Behavioral Therapy helps people notice patterns of thinking and try new actions. Online CBT often uses short, concrete exercises and between-session tasks that a person can practice in daily life to reduce stress and manage mood.
Mindfulness Therapy teaches simple ways to notice thoughts and bodily sensations without judgment. Practicing mindfulness in sessions can help with anxiety, seasonal mood shifts, and coping with the emotional demands of caregiving or end-of-life situations.
Finding the right approach is a collaborative process. Roxana will work with each person to decide which methods fit their needs and goals, and she adjusts plans as those needs change. The choice of techniques comes from discussion and trial, not from a preset list.
Confirm the available session options before booking to know how she currently meets with clients. Online therapy can make it easier to fit sessions into a busy life, allow shorter check-ins when needed, and reduce travel time. These practical benefits help people keep therapy consistent while they manage work, caregiving, or other daily demands.
Frequently asked questions
What kinds of concerns does Roxana help with?
Roxana works with stress, anxiety, intimacy-related issues, and coping with life changes. She also addresses caregiver stress, compassion fatigue, and hospice and end-of-life counseling.
What is her style of therapy like?
Her style is person-centered and conversational. She focuses on strengths and practical steps people can try between sessions.
How much experience does she have?
She has 29 years of professional experience working with a range of concerns related to stress, caregiving, and life transitions.
What credential does she hold and where is she located?
She holds an LCMHC license and practices in North Carolina.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How are sessions billed and what do they cost?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I start working with Roxana?
Use the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.