About Erika
Erika Coombs is a licensed independent clinical social worker who helps people facing anxiety, depression, grief, and challenges with self-esteem. She focuses on creating a calm, nonjudgmental space where clients can talk through what matters most to them. Erika speaks plainly and works to make early steps feel manageable for worried people searching for change.
Erika draws on nine years of clinical experience in New Hampshire and uses practical strategies to address everyday struggles.
Background and approach
She listens closely to each person’s story before suggesting approaches that fit their needs. Sessions emphasize real skills for coping with stress, managing strong emotions, and improving motivation. Her work often includes elements from client-centered therapy, which centers the client’s goals, and dialectical behavior therapy, which teaches tools to tolerate distress and regulate emotions.
Narrative ideas are used to help people reframe problems and find new meaning. Solution-focused techniques help set clear, short-term goals and track progress. Erika aims to make therapy understandable and useful.
Conversations stay grounded and goal-oriented, with concrete steps between sessions. She supports people who are navigating parenting strains, work stress, grief, ADHD-related challenges, and identity questions. People who choose Erika can expect a collaborative approach that balances listening with practical coaching.
She helps clients plan small, achievable changes and build confidence over time.
Approaches that guide online sessions
Erika commonly uses client-centered therapy, which focuses on the individual’s goals and priorities and offers a respectful, listening-based way to explore concerns. It helps when people need space to sort feelings and decide what they want to change.She also draws on dialectical behavior therapy - DBT - which teaches concrete skills for tolerating distress, managing intense emotions, and improving interpersonal effectiveness. These tools are useful for stress, anxiety, and emotion regulation challenges. Narrative therapy is used as well to help people reframe difficult experiences and find new perspectives on their stories.
Choosing the right approach is part of the work together. The therapist will ask about needs, goals, and preferences, and then recommend methods to try. This is collaborative and can change over time based on what helps most.
Online therapy offers flexible ways to stay connected. Video calls let people have face-to-face conversation when a fuller interaction is helpful. Phone sessions can work when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging are options for between-session check-ins, quick updates, or for people who prefer writing over speaking.
Questions people ask
What concerns does Erika commonly address?
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How much clinical experience does she have?
What credentials and location are listed?
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How is payment handled and what does it cost?
How do I begin working with her?
What this therapist works with
Most often
- Family conflicts
- Grief
- Self esteem
Also listed
- ADHD
- Anger management
- Career difficulties
- Coaching
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- LGBT
- Parenting issues
- Stress, Anxiety
- Trauma and abuse
Therapeutic approaches
- Experience
- 9 years
- Licensed
- New Hampshire, Massachusetts
- Languages
- English
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