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Juanita Gamache

Therapist profile

Juanita Gamache, LCMHC, LPC

Tennessee

LCMHC and LPC - Addictions and Relationships

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Where Juanita stands

Credentials
LCMHC, LPC
License
LPC, Tennessee / 1813; LCMHC, Utah / 12981259-6004
NPI
1881874402
Experience
22 years
Languages
English
Location
Tennessee

About

  • Addictions support
  • Attachment focus
  • Acceptance and commitment

About Juanita

Juanita Gamache is an LCMHC (Licensed Clinical Mental Health Counselor) and an LPC (Licensed Professional Counselor) practicing in Tennessee with 22 years of experience. She supports people coping with addictions, trauma and abuse, relationship difficulties, anxiety, depression, grief, stress, and issues around intimacy and self-esteem. She also lists codependency among her areas of focus.

She uses several approaches to therapy and keeps sessions focused on practical steps. Conversations often include identifying unhelpful patterns, trying new ways of reacting, and practicing small skills between meetings. The work can involve looking at how early attachments shaped current relationships and learning ways to notice and shift automatic thoughts and behaviors.

Juanita describes a straightforward style. She listens without judgment and offers options for responding to hard situations. Sessions move at a realistic pace and emphasize skills people can use outside of therapy.

Her toolkit includes acceptance and commitment ideas, cognitive behavioral techniques, dialectical behavior skills, attachment-based perspectives, and a client-centered stance. These methods are used to address things like setting boundaries, coping with strong emotions, and reducing patterns that keep someone stuck.

People are encouraged to bring what matters to them, including faith when relevant. The first step is a brief matching process and then scheduling a session to begin practical work together.

How sessions work

Therapeutic approaches and online sessions

Juanita uses acceptance and commitment therapy (ACT) and attachment-based ideas in her work. ACT helps people notice painful thoughts and choose actions that match their values, which can reduce avoidance and increase purposeful behavior. Attachment-based therapy looks at how early relationship patterns influence current connections and helps people identify and change recurring interaction styles.

Finding the right approach is treated as a collaborative effort. She will talk with each person about goals and preferences, try methods that match those aims, and adjust the plan as needed rather than imposing a single technique.

The original biography refers to connecting by video or phone, so confirm the current session options before booking. Online sessions can make it easier to fit therapy into a busy life, allow shorter check-ins when schedules are tight, and remove travel time. Video can support face-to-face conversation and use of worksheets, while phone calls can be simpler when bandwidth is limited or a quieter interaction is preferred. Ask about the specific session formats offered and how they fit your routine before scheduling.

Areas of focus

Areas of expertise

Primary focus

Also works with

Stress, AnxietyFamily conflictsGriefIntimacy-related issuesParenting issuesSelf esteemCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBlended family issuesCaregiver issues and stressCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameImmigration issuesInfidelityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMulticultural concernsPanic disorder and panic attacksPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

22+ years

Listed in

Tennessee, Utah

Languages

English

Questions

Frequently asked questions

What concerns does she work with?

She works with addictions, trauma and abuse, relationship challenges, anxiety, depression, grief, stress, intimacy concerns, and related issues such as codependency.

How does she approach therapy?

She uses practical methods like acceptance and commitment ideas, cognitive behavioral techniques, dialectical behavior skills, attachment-informed work, and a client-centered stance to help people change patterns.

How much experience does she have?

She has 22 years of clinical experience working with the listed concerns.

What are her credentials and where is she based?

She is an LCMHC and an LPC licensed in Tennessee and practices there.

Does she offer sessions in other languages or to international clients?

Sessions are offered in English and she is not accepting international clients.

What session formats are used?

The original biography mentions connecting by video or phone; please confirm the current session options before booking.

How are sessions paid for and what does it cost?

Cost varies with location; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule your first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.

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Juanita Gamache

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