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JG Portrait of Juanita Gamache

Juanita Gamache

Experienced, compassionate licensed counselor

LCMHC, LPC Tennessee

Experience
22 years in practice
Focus areas
Addictions, LGBT, Relationship
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Juanita

About Juanita

Juanita Gamache is a licensed counselor with more than two decades of clinical experience helping people navigate addiction, trauma, grief, anxiety, depression, and relationship concerns. She emphasizes a nonjudgmental atmosphere where clients can explore difficult emotions, consider practical coping strategies, and find renewed direction amid life transitions.

Background and approach

Her work includes attention to intimacy issues, self-esteem, parenting stresses, career concerns, and compassion fatigue. Juanita draws from evidence-informed methods such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy (DBT).

She combines structured skill-building with compassionate listening to tailor plans that match each person’s needs and goals. Licensed in Tennessee as an LCMHC and LPC, she offers online sessions by video, phone, live chat, or text messaging to accommodate different schedules and comfort levels.

Prospective clients are invited to begin by completing a brief matching questionnaire and scheduling according to availability.

Therapeutic approaches and online flexibility

Juanita commonly integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) into her online work. CBT focuses on identifying and changing unhelpful thought and behavior patterns to reduce symptoms like anxiety or depression, while ACT emphasizes accepting difficult emotions and committing to values-guided action to build a meaningful life.

She also uses Attachment-Based Therapy to help clients understand how early relationship patterns influence current connections and coping styles, which can be useful for intimacy, relationship, and family-of-origin issues. Choosing the right approach is part of the collaborative process; she works with clients to evaluate goals, preferences, and responses to different strategies and adjusts the plan as progress is made.

Online therapy with her is available by video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules or those who prefer communicating from home. These formats make it easier to fit regular sessions into life while maintaining continuity of care and adapting therapeutic tools to the client’s daily context.

Frequently asked questions

What kinds of concerns does she address?
Services cover addictions, trauma and abuse, depression, anxiety, relationship and intimacy issues, grief, parenting challenges, self esteem, career stress, and compassion fatigue, among other related areas.
What is her therapeutic approach and style?
She blends structured, skills-based work with empathic, client-centered listening and uses approaches such as CBT, ACT, attachment-informed work, and DBT techniques to meet practical goals.
How much clinical experience does she have?
She brings 22 years of experience working with a wide range of concerns and has developed a practice that integrates several evidence-informed modalities.
Where is she licensed to practice?
She is licensed in Tennessee and holds the credentials LCMHC and LPC with license details UT LCMHC 12981259-6004 and TN LPC 1813.
Can sessions be conducted in other languages or for international clients?
Services are provided in English and she is not accepting international clients at this time.
Which session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexible options for care.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What should a new client do to begin working together?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

AddictionsLGBTRelationship issuesTrauma and abuseDepression

Also works with

Stress, AnxietyFamily conflictsGriefIntimacy-related issuesParenting issuesSelf esteemCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBlended family issuesCaregiver issues and stressCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameImmigration issuesInfidelityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMulticultural concernsPanic disorder and panic attacksPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

22+ years

Licensed

Tennessee, Utah

Languages

English