About Gretchen
Gretchen Van Blair is a Licensed Mental Health Counselor (LMHC) based in Washington. She focuses on helping people manage stress and anxiety, address addictions, and rebuild self-esteem. Gretchen brings affirming care for LGBT clients and support for those struggling with eating and body image concerns.
Her work centers on understanding each person’s story. She helps people develop more self-love and clearer communication. Sessions often address attachment wounds, abandonment, and difficulties with trust.
Background and approach
Gretchen also supports people dealing with chronic pain, illness, or caregiver stress. Gretchen draws on evidence-based therapeutic techniques and keeps language simple in sessions. She helps people break down problems into small, workable steps.
That practical focus is aimed at reducing overwhelm and improving daily coping skills. People turn to her for help with life purpose, isolation or loneliness, and guilt or shame. She also supports those who face control issues, forgiveness struggles, or the effects of narcissistic relationships.
Pregnancy and childbirth related worries are included in her scope of care. Her approach is warm and nonjudgmental. Gretchen works alongside each person to set goals and to try strategies that fit their life.
She believes steady progress comes from small changes practiced over time.
How evidence-based techniques work online
Gretchen uses evidence-based therapeutic techniques that focus on clear, practical steps. One approach helps people identify unhelpful thoughts and try alternative ways of thinking to ease anxiety and stress. Another approach concentrates on building skills for emotion regulation and communication so relationships and day-to-day life feel more manageable.Choosing the right approach is a collaborative process. Gretchen works with each person to review needs, goals, and preferences before deciding which techniques to try. She adjusts methods over time based on what is working and what isn’t, so the plan fits the person rather than the other way around.
Online therapy offers flexibility and convenience through video calls, phone sessions, live chat, or text-based messaging. Video lets people have a more face-to-face conversation, phone can be easier when bandwidth is limited, and live chat or text can work for quick check-ins or moments when writing feels easier. These options make it simpler to fit therapy into work, caregiving, or treatment for chronic illness.
Questions people ask
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What this therapist works with
Most often
Also listed
- Abandonment
- Attachment issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Control issues
- Eating disorders
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Narcissism
- Post-traumatic stress
- Pregnancy and childbirth
- Self esteem
- Self-love
- Women's issues
- Workplace issues
- Experience
- 6 years
- Licensed
- Washington
- Languages
- English
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