About Constance
Constance Guthrie, LMSW, focuses on stress and anxiety along with related concerns like depression, grief, anger, and low self-esteem. She sees adults and young people who are struggling with life changes, panic, social anxiety, or the challenges of ADHD. Constance speaks plainly and centers the person’s own strengths when starting therapy.
She uses short practical steps to help people manage strong emotions. Sessions often include breathing and present-moment practices from mindfulness.
Background and approach
She also draws on cognitive behavioral techniques to notice unhelpful thoughts and try different responses. Constance includes skills from dialectical behavior therapy when emotion regulation and impulsivity get in the way. Motivational interviewing helps people sort through mixed feelings about change and decide on small, realistic goals.
Conversations are collaborative and paced to the person’s readiness. Her background includes a master’s degree in clinical social work and seven years of practice in Michigan. Constance describes the person seeking help as the expert on their story and treats their experience with respect.
She aims for clear, doable tools rather than lengthy explanations. People often come for help with parenting stress, blended family concerns, adoption and foster care questions, or chronic health challenges that affect mood and daily life. Constance also supports those dealing with money worries, isolation, or relationship communication problems.
Approaches that support change online
Constance commonly uses client-centered work that puts the person’s concerns and goals first. This approach means conversations focus on what matters to the person and build on their own strengths and choices.She also uses cognitive behavioral therapy, which helps identify unhelpful thoughts and test new ways of reacting. CBT is useful for anxiety, panic, low mood, and stress because it teaches simple, testable skills to shift patterns.
Dialectical behavior therapy skills are used when emotion regulation or impulsivity is a concern. DBT-based skills teach concrete ways to manage intense feelings, tolerate distress, and improve communication.
Finding the right mix of approaches is part of the work. Constance will collaborate with each person to choose methods that suit their goals, pace, and preferences. She helps set small, achievable steps and revises the plan as progress is made.
Online therapy offers practical flexibility. Video calls allow face-to-face interaction for skill practice and guided exercises. Phone sessions can work when bandwidth is limited or when someone prefers not to be on camera. Live chat or text messaging are helpful for brief check-ins, quick coping reminders, or when a shorter contact fits into a busy day.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Grief
- Anger management
Also listed
- ADHD
- Adoption and foster care
- Blended family issues
- Chronic pain, illness, and disability
- Communication problems
- Coping with life changes
- Depression
- Forgiveness
- Impulsivity
- Isolation / loneliness
- Money and financial issues
- Panic disorder and panic attacks
- Parenting issues
- Pregnancy and childbirth
- Self esteem
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Michigan
- Languages
- English
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