About Nancy
Nancy Lefler-Panela is a licensed clinical social worker who has worked in Tennessee and California. She brings several years of direct clinical experience to sessions and a history of supervising staff who supported children, youth, and families. She focuses on practical steps people can take when life feels overwhelming.
She helps people dealing with stress and anxiety. She also provides support for trauma and abuse, grief and loss, and family conflict.
Background and approach
Nancy believes people already carry strengths that can help them move forward. In sessions she listens first and asks questions to understand what matters most to the client. She aims to turn big problems into smaller, manageable steps.
Conversations focus on concrete skills and choices clients can try between meetings. Her background includes hands-on clinical work and supervisory roles with teams serving children and families. That mix informs a style that balances direct guidance with respect for each person's story.
People often come to her with concerns about parenting, addictions, anger, self-esteem, career stress, depression, or life changes. She also attends to issues such as attachment, adoption and foster care, codependency, and multicultural concerns. Nancy practices as an LCSW - Licensed Clinical Social Worker - and works in Tennessee.
She offers practical support and coaching-style help when clients want tools to manage symptoms and move toward clearer goals.
Evidence-based approaches and online care
She uses evidence-based therapeutic techniques that focus on practical skills and coping strategies. One approach centers on teaching concrete coping tools to reduce anxiety and manage stress, such as breathing strategies, grounding exercises, and stepwise problem solving. These techniques are useful for everyday overwhelm, panic symptoms, and persistent worry.Another common approach emphasizes processing trauma and grief in manageable ways, helping people tell their story at a pace they can handle and learn methods to reduce distressing memories or reactions. This work often pairs emotional support with tasks that improve daily functioning and safety.
Finding the right approach is a collaborative process. The therapist will talk with each person about their goals, preferences, and life situation and then tailor techniques that fit. Clients help set the pace and choose which tools to try between sessions.
Online therapy offers flexibility for people with busy schedules or limited travel options. Video calls let therapists see nonverbal cues and have fuller conversations, phone sessions work well when bandwidth is limited, live chat is useful for short check-ins, and text-based messaging can support ongoing reflection and coaching. These options make it easier to fit therapy into work, parenting, or daily routines.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- Adoption and foster care
- Anger management
- Attachment issues
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Multicultural concerns
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Self esteem
- Workplace issues
- Young adult issues
- Experience
- 3 years
- Licensed
- Tennessee, California
- Languages
- English
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