Roxsanna Stenuis, LMSW

Roxsanna Stenuis is a licensed social worker who offers calm, straightforward help for people feeling overwhelmed by stress, anxiety, grief, addiction, or low mood. She has 20 years of clinical experience and aims to make therapy practical and easier to fit into everyday life. Roxsanna also supports people dealing with relationship strain, eating or sleeping problems, anger, and issues like abandonment or body image concerns.

Clients can expect a warm, patient approach that focuses on the person in front of her. Sessions are conversational and goal-focused. Roxsanna listens, helps people name what matters to them, and works with them to try new skills between sessions. She uses that feedback to adjust what comes next.

Her work draws on several well-known approaches such as cognitive behavioral techniques to change unhelpful thought patterns, acceptance-based ideas to handle painful emotions, and client-centered listening to follow the client's lead. She also uses skills from dialectical behavior work and emotionally-focused methods for strong feelings and relationship issues. Those tools are used in simple, concrete ways so clients can practice them at home.

Roxsanna has a broad background in supporting people through trauma, addiction, chronic illness, caregiving stress, and major life changes. She helps people facing jealousy and commitment worries by focusing on communication, boundaries, and understanding triggers. Her practice is based in Michigan and she speaks English.

To begin, visitors complete a short questionnaire and schedule sessions that match their needs and timing. Roxsanna holds an MI LMSW, which stands for Michigan Licensed Master Social Worker.

How therapy approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts and feelings without getting stuck in them. It focuses on identifying values and taking small actions that match those values. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and behaviors and teaches simple techniques to shift unhelpful patterns. CBT is often used for anxiety, depression, and stress. Emotionally-Focused Therapy helps people understand strong emotions and improve how they connect with others, which can be useful for relationship-related distress and jealousy.

Finding the right approach is a collaborative process. Roxsanna works with each person to figure out which methods fit their needs and goals. She adapts tools from different approaches so sessions match what the client wants to work on and how they prefer to learn new skills.

Because the therapist's session formats are not specified here, confirm available formats before booking. Online therapy can make it easier to fit sessions into a busy life by removing commute time and letting people join from a quieter space, by allowing short check-ins during a break, or by avoiding the need to be on camera when that helps someone focus. Talk with the therapist about scheduling, session length, and how to structure work between meetings.