As a licensed therapist in Utah, I specialize in supporting individuals navigating complex emotional landscapes. My practice centers on creating a compassionate, affirming space for clients exploring challenges related to mental health, relationships, identity, and personal growth. I bring extensive expertise in addressing depression, anxiety, trauma, and LGBTQ+ experiences. My approach is deeply client-centered, focusing on helping individuals develop self-love, improve communication, overcome isolation, and discover meaningful life purpose. With a commitment to understanding diverse experiences, I offer supportive guidance for young adults, veterans, multicultural populations, and individuals facing workplace challenges, sexual health concerns, and relationship dynamics. My therapeutic style emphasizes empathy, respect, and collaborative healing, helping clients build resilience and authentic connections. I'm dedicated to supporting individuals through life transitions, helping you develop stronger coping strategies, heal from past experiences, and move toward greater emotional well-being.

Taking the first step toward a more fulfilling life requires immense courage, and I am honored to support you in that process. With 14 years of experience as a licensed clinician in Virginia, I specialize in helping individuals navigate depression, anxiety, grief, and the complexities of life transitions. My approach is rooted in respect, sensitivity, and deep compassion. Because no two journeys are the same, I tailor our dialogue and your treatment plan to meet your unique needs and goals.

"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom." ~ Anais Nin Hello. My name is Karen Gano, and I am a Licensed Independent Clinical Social Worker in New Mexico, Colorado, Maine, Pennsylvania, Maryland, Virginia, the District of Columbia, and Australia. I received my Masters degree in Social Work from the University of Pittsburgh, and I have over 30 years of clinical counseling experience. My specialty is what I call Empowerment Counseling. I have a Motivational Interviewing style, and I use Compassion-Focused, Client-Centered, Solution Focused Brief (SFBT), Mindfulness, and Strength Based therapies to assist clients in improving their outlook and life. I have a holistic and goal oriented practice, working primarily with women who are going through some type of life transition whether it be separation, divorce, career changes, relocation, empty nest, illness, etc. I also provide counseling to healthcare workers as I have been a practicing medical social worker throughout my career, and I have worked in trauma, emergency medicine, critical care, oncology, palliative care, and domestic abuse. We can all benefit from talking to someone now and again. It is my primary goal to empower clients so that they can build and expand their "team," discover their voice, increase self-awareness and esteem, and make wanted changes in their life. My professional and personal mantra is "Self-Care + Time = Healing." I can help you with healthy coping strategies and tools to guide you from surviving to thriving. I very much look forward to working with you!

I am a seasoned psychotherapist/family therapist with over 26 years of experience in alleviating and/or resolving a broad spectrum of psychological, behavioral, and emotional issues. Using scientifically proven treatment methods, I can help you to start improving your life today. I work with individuals, couples, families and groups and I work with people of all ages. I use a hybrid of cognitive-behavioral therapy/Rational Emotive Behavior Therapy combined with family systems therapy. I also incorporate Gestalt/experiential approaches, psychodrama approaches, client centered/Rogerian approaches and psychodynamic approaches into my therapeutic work. I can help you to effectively address your issues and concerns. I also can help you to become more aware of your strengths and potentials and to even identify and develop new strengths and potentials and to make significant changes in your self and in your life. Knowing yourself and being at peace with yourself will help you to have a more satisfying life and more satisfying relationships. Please do not judge your future by your present. Don't give the power to your negative thoughts to convince you that they have the final and unalterable say about you, about life and about reality in general. The future is full of beautiful possibilities and by choosing to work on addressing your problems you begin to make those possibilities come true. I can help you to do that. May you find peace and joy in your journey. Orlando

I am a Licensed Clinical Social Worker, who believes in empowering others to succeed. I have 12 years of experience providing both Christian and Non- Christian counseling. I also believe that establishing a rapport is paramount during the therapy process, and once created, I will identify and utilize the most effective therapeutic approach that will maximize your time, as well as allow you to reach your therapeutic goals. This includes Cognitive Behavior Therapy, Solution-Focused Therapy, Crisis Intervention Strategies, Motivational Interviewing, and Psychotherapy. l have experience working in both individual and group therapy settings. I am described by former clients, supervisors, and colleagues, as a person who is caring and compassionate, with a known reputation for establishing a good rapport with others and treating all with respect, with a focus on expressing the dignity and worth of all individuals. Since obtaining my Master's Degree in the year 2013, I have devoted my time to developing my skills as a therapist and to increasing my knowledge of issues pertaining to mental health and human behavior. I am currently pursuing my Ph. D degree in the field of Social Work with and specialty focus on Crisis, Disaster, and Intervention as they pertain to human behavior. I would like to thank you as well as, commend you for taking the first step toward becoming the best version of yourself. I look forward to working with you! Thank you for sharing information about yourself. I'm so happy that you reached out for help. I am Mironda Womack, a licensed therapist. You can read more about my background, education, experience, and therapy approach by clicking on my name on this page. I generally check my messages here a few times per day, Monday -Friday, and respond as quickly as I can. I appreciate your patience when it takes a bit longer, as I may be tending to other members or professional/personal responsibilities. I would also appreciate it if you would take the time to read over the telemental health informed consent form and afterward, submit a statement with your full legal name, DOB, and current state of residence, a statement indicating that you agree/confirm the terms and conditions of the form, along with an attachment of your driver's license or photo ID. TELEMENTAL HEALTH INFORMED CONSENT: I understand that the service provided through BetterHelp is not intended for crisis situations and urgent needs. While my therapist, Mironda Womack, LCSW (VA LCSW #0904013707) is a licensed therapist in the state of Virginia, Better Help services and/or online or text-based services may not be the best avenue for me to receive mental health care. If the use of this site or online services is not appropriate for my situation, I understand that my therapist will assist in providing me with additional options of in-person referrals where I can obtain care. VERIFICATION OF IDENTITY AND LOCATION AT THE TIME OF THE SESSION: I understand and agree to provide my therapist with a COPY OF A VALID PHOTO IDENTIFICATION, such as a driver’s license, state ID, or passport, at the start of our work together. This is to verify my identity including my legal name, date of birth, home address, and proof of VA state residency. If my address on the submitted ID is not included or is not current, I will provide my clinician with my current correct address with proof. I agree to provide my clinician with a phone number to reach me in an emergency, as well as an emergency contact name and number. I understand that there will be no recording of any of the online sessions by either party. All information disclosed within sessions and written records pertaining to those sessions are confidential and may not be disclosed to anyone without written authorization, except where the disclosure is permitted and/or required by law. I understand that, for safety reasons, my therapist will NOT meet with clients in a moving vehicle, and that failure to comply will result in the session being canceled. I understand that if I am having suicidal or homicidal thoughts, actively experiencing psychotic symptoms, or experiencing a mental health crisis that cannot be resolved remotely, it may be determined that telemental health services are not appropriate and a higher level of care is required. IN A CRISIS SITUATION, I AGREE THAT I WILL EITHER: TEXT: You can text the Crisis Text Line by texting “Help” to 741-741 PHONE/VOICE: Call the Crisis Hotline via phone at (800) 273-8255 You can also call your psychiatrist, primary care physician, or medical/mental care providers for assistance IN PERSON: Go to your nearest emergency room for in-person help if you are in an immediate crisis. I understand that my confidentiality is fully protected by law with the exceptions of these circumstances: If my therapist has concerns or suspicions of abuse or neglect of a child, elderly person, someone with a disability, or someone otherwise unable to care for themselves. If I present as a risk of harm to myself or others in the professional judgment of my therapist. If my therapist is legally compelled through a subpoena or court order in any court proceedings regarding my care (This is extremely rare, and if it were to happen, we would discuss it thoroughly.). If I choose to sign a Release of Information form. I have read, understand, and agree to the Client Terms of Service at https://www.betterhelp.com/terms/ 70 THIS INCLUDES UNDERSTANDING AND AGREEING THAT: My Better Help clinician cannot provide, verify, or produce reports related to the clinical diagnosis of a mental health condition. While trained to do so, services of this nature must be provided outside of the Better Help site/services at the discretion of my provider. My Better Help clinician cannot provide proof of attendance at, or reports regarding progress in, the use of the site, or services provided through the site. This includes documentation for court, custody agreements, employers, or any other party. My Better Help clinician cannot provide letters of support for Emotional Support Animal designations (or ESA.) I understand that I can seek out online therapy services from another therapist other than Mironda Womack, LCSW or another clinician OUTSIDE of Better Help if I have needs for clinical diagnosis, biopsychosocial assessment with diagnosis (including psychological testing), or referrals for treatment that come from the legal system, child welfare services, or my employer, and may require documentation or proof of attendance. PRIVACY OF SESSIONS: I understand that the privacy laws that protect the confidentiality of my protected health information (PHI) also apply to telemental health unless an exception to confidentiality applies (i.e. mandatory reporting of a child, elder, or vulnerable adult abuse; danger to self or others; I raise mental/emotional health as an issue in a legal proceeding). If having a “live” session with my clinician, my clinician will ensure my privacy by being alone at the time of sessions, as well as having “white noise” devices playing in the meeting space. I understand that I am solely fully responsible for the privacy in my own environment for meetings. To ensure the greatest privacy, my clinician recommends: Ensuring that I am alone in the room I am meeting Using headphones for phone and video sessions whenever possible Muting the microphone (or turning off apps) that listen to my environment, such as Amazon Alexa, Google Home, Siri on Mac devices, or Bixby on Samsung devices If possible, place a Bluetooth speaker or device outside of the space I am in that plays “white” noise or music to mute any options of hearing me speak during sessions. Scope/Location of Practice I understand that my therapist is ONLY able to work with clients who reside in Virginia full-time. This is a legal requirement for their clinical license to practice, and they will not jeopardize their licensure status by violating this rule. If you are quarantined out-of-state, traveling, working, or residing at college outside of Virginia, please let your therapist know at the start of your work together. There may be some exceptions that can be made; however, you must be a primary resident of Virginia. RISKS AND BENEFITS OF COUNSELING: I understand that there are risks, benefits, and consequences associated with telemental health, including but not limited to, disruption of transmission by technology failures, interruption and/or breaches of confidentiality by unauthorized persons, and/or limited ability to respond to emergencies. I understand that the privacy laws that protect the confidentiality of my protected health information (PHI) also apply to telemental health unless an exception to confidentiality applies (i.e. mandatory reporting of a child, elder, or vulnerable adult abuse; danger to self or others; I raise mental/emotional health as an issue in a legal proceeding). First and foremost, I can’t help if you aren’t here! In making an appointment, you are committing to that time for yourself to the exclusion of others. If you must CANCEL an appointment, you must provide NO LESS THAN 24 HOURS' NOTICE. Failure to cancel in advance may result in changes to the type or frequency of sessions your clinician is able to offer. To gain the most from the therapy process, it’s helpful if you are honest about your commitments to self-examination, understanding, and our relationship. This includes any concerns you may have regarding services or with me. I want to serve you well and appreciate any feedback you may have that will help me to do so. Unwise applications of new learning are a common risk in therapy (e.g. being too harsh when learning to assert yourself) as well as feeling as though you are regressing when feeling vulnerable. Therapy is a process that is often like taking three steps forward and one step back at times, but the overall momentum should be forward. Talking openly about this can help minimize stress about this process. You are responsible for maintaining the confidentiality of others that participate in your counseling sessions, such as in family therapy sessions. In marital therapy, secrets between spouses work against successful outcomes; in this regard, your counselor is not obliged to keep secrets of one spouse from the other spouse. It is best to avoid abrupt terminations from counseling and to honestly discuss, preferably by video or phone, the reasons for your desire to end care or transfer to a different clinician. This method can maximize growth and health at these times. TERMINATION OF SERVICES: If you do not interact with me for a period of time (either through appointments or messaging back and forth), I cannot ethically continue a treatment relationship with you. Sometimes I am not the best fit to work with a client for a variety of reasons (personal fit, clinical experience, schedule availability, etc.) Clients can decide to end services or change counselors at any time, however, it is in your best interests to let your therapist know you are doing so in advance. If you’d like to switch counselors within Better Help, you can do so by clicking on the icon in the top right corner of the “Counseling” page and choosing “Change counselor” from the drop-down menu. Make sure you specify in the feedback to support what you are looking for that is different. If you have any trouble with this, please reach out to Support at Contact@betterhelp.com. Know that if you decide to take this action, you will lose all written correspondence with me at that time on your client dashboard. To cancel your BetterHelp subscription, contact Customer Service via email (contact@betterhelp.com) or online at https://www.betterhelp.com/contact/ and ask them to cancel your account altogether. If you cancel your account and decide to return at a later date, Better Help will prompt you upon logging in about whether you would like to return to work with me or find a different therapist. Please know that while I am happy to resume working with you at a later time, this is subject to my availability to see new or returning clients at that time. If you do not cancel your account or request a new therapist, you will continue to show as an “inactive” client on my caseload whether or not you are logging in to the site or participating in services or not. Please note that your agreement for counseling services with me is considered no longer valid once you have not been in contact with me here for a period of 30 (thirty) calendar days. Exceptions to this are only made in the discussion of clear dates and plans between us on a case-by-case basis. On the Better Help site/app, I will continue to send you this same message regularly until you either: 1. respond and resume contact with me, 2. change therapists, or 3. cancel your account. Thank you. BY PROVIDING THE FOLLOWING REQUESTED INFORMATION VIA A MESSAGE YOU ARE LEGALLY AGREEING TO THE TERMS OF THIS FORM: I HAVE READ AND FULLY AGREE TO THE CONDITIONS AND TERMS OF THE CLIENT INFORMATION FORM, ENTER THE DATE THAT YOU AGREED, ALONG WITH YOUR FULL LEGAL NAME, DOB, CURRENT STATE OF RESIDENCE, FULL ADDRESS, COPY OF A CURRENT PHOTO ID OR DRIVER'S LICENSE, ALONG WITH A STATEMENT STATING "I ALSO AGREE TO NOTIFY MY CLINICIAN OF ANY CHANGES PERTAINING TO THIS INFORMATION AND UNDERSTAND THAT MY CLINICIAN WILL DO THE SAME".

Tikita Ficklin is a Licensed Professional Counselor for the State of Georgia, and a National Certified Counselor who specializes in Anger Management, Self Esteem and Confidence boosters, along with several of specialties. Tikita utilizes different modalities that fits the needs of the client . Tikita is a graduate of Mercer University with a Bachelor in Science of Social Science (Human Service) , and a Master of Science Degree, in Clinical Mental Health Counseling. Tikita also has 3 years of Doctorate education in Marriage & Family Therapy from NorthCentral University. Tikita’s passion is to inspire others to run after their destiny, by understanding who they are and their unique purpose, while healing from their past. Tikita’s Motto: Just trust the process.

I am licensed clinical social worker in Virginia with over 30 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & depression. I believe that forming a relationship with a professional is the first step in taking the journey to a better life . I would be honored to assist you on your journey.

I am licensed in Virginia with 43 years of professional work experience. I have experience in helping Children, Teen and Adult clients with relationship, family, spirituality, career, work issues, stress and anxiety, depression, sexuality and identity issues, coping with addictions, trauma and abuse, & anger management. I use a cognitive behavioral and existential therapeutic approach to help people progress to a more fulfilling life. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

I am licensed in Massachusetts with 11 years of professional work experience. I have experience in helping clients with stress and anxiety, motivation, self esteem, and confidence, depression, & coping with life changes. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

I am licensed in Virginia with 20 years of professional work experience. I have experience in helping clients with stress, anxiety, relationship issues, anger management, motivation, self esteem, & confidence. I also have experience working with depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

I am licensed in Virginia with 19 years of professional work experience. I have experience in helping clients with stress, anxiety, trauma, abuse, coping with grief, coping with loss, & bipolar disorder. I also have experience working with depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

As a licensed therapist in Virginia, I bring over two decades of dedicated experience supporting individuals navigating complex emotional landscapes. My professional approach centers on helping clients work through challenging experiences like depression, anxiety, trauma, addiction, and anger management. I specialize in creating compassionate, non-judgmental spaces where individuals can explore deep-seated feelings of guilt and shame. My therapeutic style is collaborative and empowering, focusing on understanding each person's unique journey and supporting their path toward healing and personal growth. With extensive clinical expertise, I am committed to providing thoughtful, evidence-based guidance that honors each client's individual strengths and challenges. My goal is to walk alongside you, offering professional support as you develop healthier coping strategies and move toward greater emotional well-being.

As a licensed therapist in Virginia and Maryland, I bring three decades of compassionate clinical experience supporting individuals through life's complex challenges. My approach centers on understanding each person's unique journey, with specialized expertise in addressing depression, anxiety, relationship dynamics, and personal growth. I'm deeply committed to creating a supportive, inclusive therapeutic environment that honors diverse experiences and backgrounds. My practice focuses on helping clients navigate critical life transitions, workplace challenges, family dynamics, and personal development. Whether you're struggling with mood disorders, communication barriers, or seeking deeper self-understanding, I offer empathetic guidance rooted in evidence-based practices. My work is particularly attuned to the nuanced experiences of women, young adults, and multicultural communities. I approach each therapeutic relationship with respect, cultural sensitivity, and a genuine commitment to supporting your individual path toward healing and self-discovery.

As a licensed therapist in Virginia, I bring 15 years of dedicated experience supporting individuals through complex emotional landscapes. My practice centers on helping clients navigate challenges like depression, anxiety, relationship dynamics, and personal growth. I specialize in addressing trauma, self-esteem concerns, and life transitions with a compassionate, evidence-based approach. My therapeutic work focuses on empowering individuals to develop deeper self-understanding, improve communication skills, and cultivate meaningful personal connections. I'm particularly passionate about supporting women through workplace challenges, midlife transitions, and healing from past experiences. I create a supportive, non-judgmental space where clients can explore their inner world, challenge limiting beliefs, and develop strategies for emotional resilience. Whether you're struggling with social anxiety, processing complex emotions, or seeking greater life purpose, I'm committed to walking alongside you with genuine care and professional expertise.