About Paula
Dr. Paula Ehrmantraut focuses on stress, anxiety, addictions, relationship struggles, and depression. She uses straightforward conversation and practical steps to help people feel less overwhelmed.
Her approach aims to teach tools someone can use between sessions to manage day-to-day difficulties. She draws on 17 years of experience as a licensed counselor. Dr.
Ehrmantraut listens without judgment and helps callers notice small positive changes. Sessions usually mix focused skills practice with time to talk about what matters most now.
Background and approach
Cognitive Behavioral Therapy is a common part of her work. That means noticing unhelpful thoughts and learning ways to change them so feelings and behavior can shift. Client-Centered Therapy guides the pace of sessions, with the person’s goals leading the plan.
She also uses Dialectical Behavior Therapy skills for emotion regulation and Emotionally-Focused Therapy ideas when relationship patterns come up. These methods are adapted to each person’s needs rather than applied the same way to everyone. Dr.
Ehrmantraut understands issues like adoption and foster care, aging, attachment concerns, autism, body image, chronic illness, codependency, communication problems, and recovery from substance use. She frames therapy as a collaborative process focused on practical change. People meet with her by phone, video, live chat, or text messaging.
Sessions are arranged from South Dakota, and she works with English-speaking clients, including people outside the United States.
Therapeutic approaches that translate online
Client-Centered Therapy focuses on listening and following the person's goals. Online sessions using this approach let people set the pace while the therapist mirrors concerns and helps clarify next steps.Cognitive Behavioral Therapy (CBT) involves identifying unhelpful thoughts and practicing different responses. In remote sessions, CBT can include guided exercises, homework between sessions, and step-by-step plans to reduce anxiety or change behavior.
Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions and improving distress tolerance. Online work can include teaching skills, practicing them together in session, and checking progress in follow-up messages.
Finding the right approach is part of the work together. The therapist will collaborate with each person to pick methods that match their goals and preferences, and adjust the plan as progress is made.
Online therapy offers flexible ways to connect. Video calls are useful for face-to-face conversation and skills demonstration. Phone sessions fit when bandwidth or being on camera is difficult. Live chat and text-based messaging make it easy to fit quick check-ins into a busy day or to share brief updates between sessions. These options make it simpler to practice skills regularly and keep momentum toward change.
Questions people ask
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What this therapist works with
Most often
Also listed
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Montana, Washington, South Dakota, Utah
- Languages
- English
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