About Teresa
Teresa Lewis is a Licensed Clinical Social Worker with twenty years of practice in Montana. She focuses on helping people manage stress, anxiety, depression, grief, trauma, addictions, and relationship or intimacy concerns. Teresa aims to make the first steps feel manageable and clear for people who are worried or overwhelmed.
She uses a person-centered approach that keeps each person’s goals at the center of the work. Teresa blends that approach with cognitive and behavioral methods to help change unhelpful patterns.
Background and approach
She also offers therapies aimed at trauma processing when needed. Her background includes outpatient, intensive outpatient, and psychological inpatient settings. Teresa has experience as a medical social worker, which informs her work with chronic illness and co-morbid conditions.
That history helps when health problems complicate emotional or behavioral concerns. Teresa brings experience addressing a wide range of life challenges, including mood disorders, addiction and co-occurring issues, caregiver stress, sleep problems, anger, and career strain. She also works on concerns such as abandonment, attachment, adoption and foster care issues, and adjustment around divorce or separation.
Sessions are offered using formats that fit people’s schedules, including video calls, phone sessions, live chat, and text-based messaging. Teresa uses a collaborative style and helps people set practical steps toward the changes they want to make.
Therapeutic approaches and online care
Teresa often uses Acceptance and Commitment Therapy to help people clarify their values and build actions that match those values. ACT is helpful for worry, depression, and life transitions because it focuses on what matters and small steps toward it.She also draws on Cognitive Behavioral Therapy to identify unhelpful thoughts and habits and replace them with more effective ways of coping. CBT can be useful for anxiety, mood problems, sleep issues, and many day-to-day struggles.
Choosing an approach is a collaborative process. Teresa will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which methods to try and adjust the plan as progress is made.
Online therapy offers practical benefits for people with busy lives. Video calls let sessions feel more like face-to-face meetings, while phone sessions require less bandwidth and can fit into short breaks. Live chat and text-based messaging work well for quick check-ins, ongoing support between sessions, or when writing feels easier than talking. These options make it easier to keep therapy consistent and accessible alongside other responsibilities.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Jealousy
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Trauma and abuse
- Women's issues
- Workplace issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 20 years
- Licensed
- Montana
- Languages
- English