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Juanita Gamache

Therapist profile

Juanita Gamache, LCMHC, LPC

Tennessee

Licensed counselor - Family and parenting concerns

Continue with Juanita

About

  • Addictions support
  • Trauma and abuse
  • Mindfulness and ACT

About Juanita

Juanita Gamache is a Licensed Clinical Mental Health Counselor (LCMHC) and a Licensed Professional Counselor (LPC) practicing in Tennessee with 22 years of experience. She works with adults facing addiction, relationship strain, trauma and abuse, depression, anxiety, parenting stress, grief, and other family-related concerns. Juanita also addresses intimacy-related issues, self-esteem, career stress, and compassion fatigue.

Her approach is direct and practical. She listens without judgment and helps people name the problems they bring. Sessions focus on identifying options and building skills that fit daily life. She encourages people to notice what matters and take small steps toward change.

Juanita draws from several therapy models. She uses Cognitive Behavioral Therapy to spot unhelpful thinking and change behaviors. She employs Acceptance and Commitment Therapy to help people clarify values and act on them. Attachment-based ideas inform work around relationship and family patterns.

People can expect a conversational tone rather than a lecture. She offers guidance, tools, and chances to practice new responses between meetings. Work often includes skill-building from Dialectical Behavior Therapy and mindfulness practices to reduce reactivity.

Her practice also attends to specific family and caregiving stresses such as blended family issues, adoption and foster care concerns, caregiver strain, and family-of-origin patterns. She explains options, helps people weigh choices, and supports practical problem solving.

To begin, clients complete a brief questionnaire and schedule a first session. Sessions use a subscription model that can be canceled at any time, and costs vary with location.

How sessions work

How her approaches translate to online sessions

Acceptance and Commitment Therapy helps people clarify what matters and take small steps toward those values. Online work can include exercises to notice thoughts, choose actions, and set simple at-home practice tasks that reinforce those choices.

Cognitive Behavioral Therapy focuses on spotting unhelpful thoughts and changing behavior. In virtual sessions this often means reviewing recent situations, practicing different responses, and planning short behavioral experiments to try between meetings.

She also uses Attachment-Based ideas when patterns from early relationships affect current connections. Online conversations can map those patterns, link them to present-day reactions, and rehearse new ways of relating during everyday interactions.

Finding the right approach is part of the work. The therapist will collaborate with clients to choose methods that fit their goals and style. That may mean mixing techniques across ACT, CBT, attachment work, DBT skills, or client-centered listening until a good fit is found.

The bio mentions video and phone connection as ways she meets people, though you should confirm the current session options before booking. Online sessions can make it easier to fit therapy into busy days by removing commute time, allowing a shorter check-in during a break, or letting people meet without being on camera. These practical benefits help therapy slot into everyday life while focusing on the issues that matter at home.

Areas of focus

Areas of expertise

Primary focus

AddictionsLGBTRelationship issuesTrauma and abuseDepression

Also works with

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

Listed in

Tennessee, Utah

Languages

English

Questions

Frequently asked questions

What kinds of problems does she help with?

She works with adults facing addiction, relationship strain, trauma, depression, anxiety, parenting stress, grief, intimacy concerns, and related family issues.

How would she describe her therapeutic style?

She uses a conversational, skills-focused approach that combines talk with practical exercises and mindfulness work.

How much experience does she have?

She has 22 years of clinical experience working with adults on a range of concerns including family and caregiving stress.

What are her credentials and where does she practice?

She holds LCMHC and LPC credentials and practices in Tennessee.

Can I work with her if I live outside the United States?

She does not accept international clients; sessions are offered in English and limited to her practice region.

What session formats does she offer?

The biography mentions virtual connecting by video or phone, but please confirm current session options before booking.

How much do sessions cost?

Cost varies with location; sessions use a subscription that can be canceled at any time.

How do I get started with a first session?

Select the See online therapy options button, complete a short matching questionnaire, and schedule your initial session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Juanita Gamache

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