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TH Portrait of Toni Hernalsteen

Toni Hernalsteen

Supportive therapist blending evidence-based tools

LMSW Michigan

Experience
17 years in practice
Focus areas
Stress, Anxiety, Addictions, Relationship
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Toni

Toni Hernalsteen is an LMSW based in Michigan whose practice focuses on helping people manage stress, anxiety, addiction challenges, grief, depression, relationship concerns, and life transitions. With 17 years of experience, she combines practical strategies with empathetic listening to help clients identify motivation and persist through difficult change.

Background and approach

Toni emphasizes collaboration and tailors treatment to each person's needs rather than using a one-size-fits-all method. Her work draws on Cognitive Behavioral Therapy along with Acceptance and Commitment Therapy and client-centered principles, and she has training in Motivational Interviewing and Mindfulness techniques.

Toni describes herself as creative in her clinical approach, willing to think outside the box to help clients uncover what drives them and to design interventions that support long-term coping and growth. She routinely adapts conversations and treatment plans to reflect each client’s situation and goals.

Respect, sensitivity, and compassion guide her interactions, and she aims to be an active listener who helps clients build understanding of themselves. Prospective clients are encouraged to view beginning therapy as a courageous step; Toni supports that process and works with them to develop practical, personalized steps forward.

Approaches and online care that adapt to your goals



Cognitive Behavioral Therapy helps clients identify unhelpful thoughts and behaviors and learn practical skills to reduce symptoms like anxiety, depression, and sleep disruption; it is typically goal-focused and skill oriented. Acceptance and Commitment Therapy (ACT) emphasizes clarifying personal values and developing psychological flexibility so people can pursue meaningful actions even when difficult feelings are present. Client-Centered Therapy centers the person's experience through empathic listening and support, creating space for clients to explore concerns such as relationship struggles, grief, or changes in life circumstances.

Finding the right blend of approaches is part of the collaborative work Toni offers. She will partner with each client to determine which methods fit their goals and preferences, adjusting the plan as progress and needs evolve. This process is guided by active listening, tailored interventions, and clear discussion about expected steps in therapy.

Online sessions are available by video calls, phone sessions, live chat, or text-based messaging, offering flexible ways to engage in therapy around work, caregiving, or geographic limits. These options make it easier to maintain continuity of care and to try different formats for skills practice, coaching, or shorter check-ins when needed.

Frequently asked questions

What concerns does Toni commonly address?
She works with a broad range of concerns including stress, anxiety, addictions, grief, depression, relationship and family issues, trauma and abuse, sleeping difficulties, parenting and career concerns as well as compassion fatigue and ADHD.
What is her general therapeutic style?
Toni combines practical, skill-based methods like Cognitive Behavioral Therapy with acceptance-oriented and client-centered approaches, aiming for an active, collaborative style that adapts to each client.
How much clinical experience does she have?
She has 17 years of professional work experience supporting individuals, couples, and groups in clinical and counseling roles.
What are her credentials and where is she located?
She holds the LMSW credential with license MI LMSW 6801090847 and practices in Michigan.
Does she offer services in languages other than English or to international clients?
Sessions are offered in English, and she is not currently accepting international clients.
In what session formats can clients connect with her?
Clients may meet by video calls, phone sessions, live chat, or text-based messaging depending on availability and preference.
How are sessions paid for and what does therapy cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Also works with

Family conflictsTrauma and abuseIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesFamily problemsFirst responder issuesForgivenessGuilt and shameHoardingHospice and end-of-life counselingImpulsivityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPostpartum depressionPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexual dysfunctionSmoking / vaping cessationSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

17+ years

Licensed

Michigan

Languages

English