Roxsanna Stenuis

Experienced Michigan LMSW guiding practical change

LMSW Michigan

Experience: 20 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Roxsanna

Roxsanna Stenuis is a licensed clinical social worker in Michigan who brings 20 years of experience to her therapeutic practice.

Background and approach

She supports people facing a wide range of concerns including stress, anxiety, depression, trauma and abuse, addiction, grief, relationship struggles, sleep and eating difficulties, anger, self-esteem issues, bipolar disorder, ADHD, and coping with life changes.

Her work also addresses focused areas such as attachment and abandonment issues, caregiver stress, chronic illness and pain, communication and control problems, dissociation, and substance use concerns. Her style blends evidence-based tools with a warm, client-centered stance that values each person’s story.

She uses approaches like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), and client-centered techniques to help clients explore emotions, build practical coping skills, and make meaningful behavioral changes. Sessions emphasize collaboration, skills practice, and gradual steps toward goals.

Roxsanna frames treatment around the individual’s needs and preferences, aiming to enhance resilience, improve communication, and support recovery from trauma and addictive patterns.

How therapeutic approaches translate to online care

Roxsanna guides clients using Cognitive Behavioral Therapy (CBT) to identify patterns of thought and behavior that contribute to stress, anxiety, depression, and relationship difficulties; CBT emphasizes practical strategies and homework to support change. She also draws on Acceptance and Commitment Therapy (ACT), which helps people clarify values, accept difficult emotions, and take committed action toward meaningful goals. Both approaches are useful for managing mood, coping with life transitions, and addressing addictive or avoidance behaviors.

Choosing the right approach is part of the collaborative work in therapy. Roxsanna tailors interventions based on a client’s goals, personal preferences, and the issues they bring to sessions, and she discusses options so clients can weigh what feels most helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which can make it easier to fit therapy into a busy schedule or access support from home. These options allow for flexible check-ins, skills practice between sessions, and different modes of communication so clients can engage in the way that suits them best.

Frequently asked questions

What kinds of concerns does this therapist address?

Roxsanna works with a broad range of issues including stress, anxiety, depression, trauma and abuse, addictions, grief, relationship and communication problems, sleep and eating concerns, bipolar disorder, ADHD, and coping with life changes.

What therapeutic approaches does she use in sessions?

Her approach integrates several evidence-based methods such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), and client-centered techniques to fit each client’s needs.

How long has she been practicing?

She has 20 years of clinical experience working with adults through a variety of emotional and behavioral challenges.

Where is the therapist licensed and what credential do they hold?

She is licensed in Michigan and holds the credential MI LMSW 6801081960, listed as LMSW in professional materials.

Are sessions available in languages other than English or to international clients?

Sessions are offered in English only, and she is not currently accepting international clients.

What session formats are offered for therapy?

Clients can meet with her via video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.

How does pricing for sessions work?

Cost varies with location and therapist availability; sessions are arranged through a subscription model that can be canceled at any time.

How do I start working with this therapist?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Grief Depression

Also works with

Relationship issuesEating disordersSleeping disordersAnger managementSelf esteemBipolar disorderCoping with life changes Compassion fatigue ADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDomestic violenceDrug and alcohol addictionEmptinessForgivenessGuilt and shame Impulsivity Isolation / lonelinessJealousyLife purposeMood disorders Obsessions, compulsions, and OCD Panic disorder and panic attacksPersonality disordersPhobias Post-traumatic stress Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

20+ years

Licensed

Michigan

Languages

English