Juanita Gamache, LCMHC, LPC

Juanita Gamache is a licensed counselor who helps people work through stress, anxiety, depression, relationship strain, trauma, and addiction concerns. She brings 22 years of clinical experience and a calm, nonjudgmental approach to sessions. Her tone is steady and encouraging, and she aims to help clients feel heard and find practical ways forward.

She uses a mix of approaches to match the person in front of her. That can include strategies from cognitive behavioral therapy to help change unhelpful thinking, mindfulness and acceptance work to build tolerance for difficult feelings, and attachment-informed ideas to improve close relationships. Sessions focus on clear skills, real-life problem solving, and identifying values that matter to each client.

Juanita describes therapy as a partnership. She listens first, then offers tools and options people can try between sessions. She also draws on longer-term experience supporting people through grief, parenting stress, life transitions, and compassion fatigue for caregivers.

Her credentials include Licensed Clinical Mental Health Counselor, LCMHC, and Licensed Professional Counselor, LPC. She practices in Tennessee and conducts sessions in English. People considering therapy are encouraged to reflect on what they want to change and be ready to try practical steps in weekly work.

To begin, she asks people to share their story so she can tailor methods and pace to each person. The emphasis is on steady progress rather than quick fixes, and on building skills that fit everyday life.

How treatment approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting stuck in them and then choose actions that match their values. It is often useful for persistent anxiety, stress, and life changes. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behavior and teaches concrete skills to shift unhelpful patterns, which can help with depression, anxiety, and addiction-related urges. Attachment-Based Therapy focuses on how early connections shape current relationships and helps people build more secure ways of relating to others.

Choosing the right approach is a team effort. Juanita will listen to your concerns, goals, and day-to-day life and then suggest methods that fit. She adjusts strategies over time so therapy stays aligned with what is most helpful for you.

Online sessions can make it easier to fit therapy into a busy schedule and to connect from places that are convenient. The biography references connecting by video or phone, but confirm the current session options before booking so you know which formats are offered. In practical terms, remote sessions can reduce travel time, allow shorter check-ins when needed, and make it simpler to attend during a break at work or between other commitments.