About Diana
Diana Elstad is a licensed mental health counselor with 35 years of experience in Washington. She helps people facing anxiety, depression, addiction, trauma, grief, and stress. She also supports people dealing with relationship strains, parenting challenges, and issues around self-esteem and body image.
She has worked across community clinics, treatment centers, hospitals, and independent practice. That breadth means she has seen many situations and practical ways to help. Diana describes her approach as warm, kind, and respectful, and she listens for the feelings people may not name right away.
Background and approach
In sessions she draws from several therapeutic methods rather than using only one. She adapts techniques to the person in front of her and keeps conversations focused on what will help most right now. She pays attention to patterns that affect mood, behavior, and relationships.
Diana has particular experience with addiction and substance use concerns as well as geriatric mental health matters. She names codependency, attachment issues, and communication problems among common areas she supports, and she brings practical skills for stress management and coping with life changes. People can expect a listening, collaborative space with straightforward tools.
Diana aims to hear the feelings beneath the words and to help clients try small, manageable changes. She invites people to say what they need and to work together on clear next steps.
Therapeutic approaches and online options
Client-Centered Therapy focuses on listening and empathy so people feel heard and valued; it helps with low self-esteem, grief, and relationship concerns by prioritizing the person's experience. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact and provides concrete strategies to change unhelpful patterns; it is often used for anxiety, depression, and stress. Dialectical Behavior Therapy, or DBT, teaches skills for managing intense emotions and improving relationships through skills in mindfulness, distress tolerance, and emotion regulation.Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit best for their goals and situation. Sessions can blend techniques and change over time as needs shift, and the therapist will check in to make sure the plan feels helpful.
Online therapy offers flexible ways to connect. Video calls let people use face-to-face conversation when they want that level of contact. Phone sessions can work well when bandwidth is limited or a camera is not preferred. Live chat and text-based messaging allow for shorter check-ins, written reflections, or ongoing support between sessions. These options make it easier to fit sessions into a busy life and to choose the format that suits each moment.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Codependency
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- Washington
- Languages
- English
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