About Roxsanna
Roxsanna Stenuis is a licensed social worker in Michigan with 20 years of practice. She helps people facing anxiety, stress, depression, grief, addiction, and other difficult life moments. Her approach is direct and compassionate, aimed at helping clients feel steadier in daily life.
Roxsanna focuses on practical tools that people can use between sessions. She listens for what matters most, then offers skills for coping, managing emotions, and improving communication.
Background and approach
Sessions are conversational and goal-oriented, with attention to immediate concerns and longer term growth. Her background blends years of clinical experience with several evidence-informed approaches. She draws from cognitive behavioral strategies to identify unhelpful thoughts and from acceptance-based work to teach willingness and values-driven action.
Dialectical and emotionally focused methods are also used when emotion regulation and relationship patterns are central. Roxsanna often helps people dealing with sleep disruption, eating concerns, anger, self-esteem issues, ADHD-related struggles, and life transitions. She also offers support for trauma, domestic violence, chronic illness, caregiver stress, and substance use challenges.
Her practice aims to meet each person where they are and build practical steps forward. People can expect clear explanations, simple exercises, and tools to try between meetings. Roxsanna frames therapy as a collaborative process where small changes add up to better daily functioning and more stable moods.
How therapy approaches translate to online care
Acceptance and Commitment Therapy emphasizes noticing difficult thoughts and feelings without getting stuck in them, then taking small steps that align with personal values; it can help with anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy focuses on spotting unhelpful thinking patterns and testing new behaviors to reduce symptoms like worry, sleep problems, and low mood. Dialectical Behavior Therapy offers concrete emotion regulation and distress-tolerance skills that are useful when strong emotions or relationship conflict interfere with daily life.Finding the right approach is part of the process. The therapist will work together with the client to try methods, adjust what isn’t working, and pick strategies that fit the client’s goals and preferences. Therapy is collaborative and paced to the person’s needs rather than a one-size-fits-all prescription.
Online sessions can include video calls, phone sessions, live chat, or text-based messaging. Video calls let people speak face to face for full conversations, while phone sessions can be easier when bandwidth is limited or when a shorter check-in is preferred. Live chat and text messaging are helpful for quick reflections, brief check-ins, homework discussion, and flexible scheduling. These formats make it easier to fit therapy into work, caregiving, or other routines.
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Michigan
- Languages
- English
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