About
- Cognitive Behavioral Therapy
- Narrative Therapy
- Goal setting and homework
About Twila
Twila Quaid is an LMHC (Licensed Mental Health Counselor) with ten years of clinical experience based in New York. She works with adults who are coping with stress, anxiety, grief, depression, ADHD, addiction concerns, relationship and family issues, parenting strain, trauma and intimacy-related difficulties. She also addresses sleep problems, bipolar mood concerns, compassion fatigue, and life changes that leave people feeling stuck or unsure of their purpose.
Twila uses practical tools in sessions, including goal setting and homework. She encourages trying new behaviors and practices that affect personal, physical, emotional, psychological, and spiritual life. Sessions focus on identifying what is unprocessed and what keeps patterns repeating.
Her work draws on Cognitive Behavioral Therapy and Narrative Therapy to help people make concrete changes. That means talking through how thoughts and behaviors interact, then practicing different ways of responding. It also means looking at the stories people tell about themselves and testing alternative, more helpful narratives.
Clients can expect straightforward conversation and action steps between appointments. Twila often lays out small, manageable tasks to practice outside sessions. These tasks are used to build momentum and to check what changes feel useful in day-to-day life.
She frames difficulties like low self-esteem, impulsivity, seasonal mood shifts, and questions of life purpose as pieces of what a person wants to change. The focus is on clear goals and steps toward them, not on labels. Twila invites people who feel stuck to explore practical ways to feel more like themselves again.
How sessions work
How CBT and Narrative Work in Online Sessions
Twila uses Cognitive Behavioral Therapy to identify links between thoughts, feelings, and actions. In a session this looks like naming unhelpful thoughts, testing them, and trying different behaviors to see what changes. CBT is often used for anxiety, depression, stress, sleep problems, and impulsivity.Narrative Therapy focuses on the stories a person tells about themselves. Sessions examine those stories and look for alternative, more helpful ways to view events. This approach can help with grief, identity questions, life purpose, and relationship patterns.
Choosing an approach is collaborative. Twila will work with each person to pick methods that fit their goals and preferences. She may combine elements of CBT and Narrative Therapy and adjust plans as progress is made.
Confirm the current session formats before booking, as the biography does not specify which online or in-person options are offered. Online sessions can make it easier to fit appointments around work, school, or childcare. They also allow shorter check-ins when a full session is not needed and remove the need to travel to an office.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
New York, Florida
Languages
English
Questions
Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, grief, ADHD, addictions, relationship and family concerns, parenting strain, trauma, intimacy issues, sleep problems, bipolar mood concerns, compassion fatigue, and related life changes.
What style of therapy does she use?
Her work draws on Cognitive Behavioral Therapy and Narrative Therapy, with practical goal setting and homework to test changes between sessions.
How much experience does she have?
She has ten years of clinical experience working with adults on a range of personal and relational concerns.
Is she a licensed clinician and where is she based?
She is an LMHC licensed in New York and practices from that location.
Does she work in other languages or with international clients?
Sessions are offered in English and she is not currently accepting international clients.
What session formats are offered?
Please confirm the current session formats before booking, as the biography does not list specific formats.
How does payment and cost work?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule your first 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.