About Nancy
Nancy Gilmer is a Kentucky-licensed LPCC with 20 years of experience in mental health and substance use care. She works with people feeling overwhelmed by stress, anxiety, panic, grief, or major life changes. Nancy aims to make the first steps toward change feel manageable and clear.
Nancy uses a down-to-earth style in sessions. She focuses on what is happening now and how a person can take small, practical steps. She listens without judgment and treats the therapeutic relationship as a collaboration.
Background and approach
That means she and the client set goals together and adjust the plan as needed. Her approach draws on cognitive behavioral techniques to notice and change unhelpful thinking and behavior. She also uses Acceptance and Commitment Therapy to help people identify important values and take meaningful action.
Mindfulness practices are included to reduce reactivity and improve emotional awareness. Over two decades she has supported people facing trauma, addiction, anger, career challenges, bipolar mood struggles, and compassion fatigue. Additional focus areas include aging and caregiver stress, hospice and end-of-life concerns, isolation and loneliness, and issues around guilt or forgiveness.
Nancy helps people sort priorities and find practical ways forward. Nancy offers sessions in English and accepts clients internationally. She provides video calls, phone sessions, live chat, and text-based messaging.
She encourages prospective clients to consider how they prefer to engage and to begin by completing the short matching questionnaire.
Approaches that guide online support
Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small, purposeful steps toward those values while accepting difficult feelings. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and changing patterns of behavior to reduce anxiety and improve mood. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve emotional awareness.Deciding which approach fits best is part of the work. The therapist will collaborate with each client to match methods to their goals, needs, and preferences. That might mean using CBT tools for immediate anxiety reduction, adding ACT exercises to support long-term values-based action, or bringing in mindfulness practices for stress management.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video can be useful for face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or for a quick check-in. Live chat or text messaging can fit between commitments and allow shorter, focused exchanges. These options help people fit therapy into busy schedules and different life situations.
Questions people ask
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What this therapist works with
Most often
Also listed
- Addictions
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Drug and alcohol addiction
- Emptiness
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Personality disorders
- Post-traumatic stress
- Self esteem
- Self-love
- Social anxiety and phobia
- Somatization
- Women's issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Kentucky
- Languages
- English
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