About Mary
Mary "Elizabeth" Guinea is a Licensed Mental Health Counselor (LMHC) in Florida with 15 years of experience. She helps people who are feeling stressed, anxious, or uncertain after a difficult event. She also supports those dealing with trauma, anger, low self-esteem, and major life changes.
Elizabeth keeps sessions straightforward and grounded. She encourages people to talk about what matters most to them and listens without judgment. Sessions focus on practical steps people can try between meetings to reduce anxiety and manage stress.
Background and approach
Her approach centers on building trust and understanding each person's history. She pays attention to attachment patterns, codependency, and family of origin issues that often shape how people relate to others. She also addresses relationship concerns such as communication problems, infidelity, and challenges in non-monogamous arrangements.
Elizabeth has worked with people affected by natural or human-caused disasters and with veterans and armed forces issues. She helps clients process guilt, shame, isolation, and the disorientation that follows major life transitions. Her style aims to help people regain a sense of control and purpose.
In sessions she combines listening with concrete tools for coping. People can expect a collaborative process where goals are set together and progress is checked regularly. She provides video calls, phone sessions, live chat, and text-based messaging to fit different needs.
How therapeutic approaches translate to online care
Elizabeth uses evidence-based therapeutic techniques that focus on present-day coping and processing past harm. One approach emphasizes practical coping strategies to manage anxiety and stress through breathing, pacing, and activity planning; this helps people feel steadier day to day. Another approach focuses on processing trauma and its effects by helping people tell their story at a pace that feels manageable while learning ways to reduce flashbacks and intense reactions.Finding the right approach is part of the work. The therapist collaborates with each person to choose methods that match their goals, needs, and comfort level. Goals are set together and adjustments are made as progress is tracked over time.
Online formats - video calls, phone sessions, live chat, and text-based messaging - offer flexibility. Video calls let people read facial cues and do deeper conversations. Phone sessions work when bandwidth is limited or when being off camera feels easier. Live chat and text messaging are useful for brief check-ins, written reflection, and ongoing support between scheduled talks. These options make it easier to fit therapy into busy schedules and different life situations.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- Attachment issues
- Codependency
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Divorce and separation
- Family of origin issues
- Family problems
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Experience
- 15 years
- Licensed
- Florida
- Languages
- English
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