Dr. Keith Breiman, LCSW

Dr. Keith Breiman, LCSW, brings 42 years of clinical experience to individual, family, and couples counseling, working over decades in private practice as well as in a range of organizational settings. His earliest formal training was in Gestalt Therapy, a foundation that sharpened his ability to stay present with clients and to attend closely to cognitive, emotional, and bodily experience. Over time he has added extensive training in psychodynamic approaches, cognitive behavioral methods, and mindfulness practices, and he integrates elements from each orientation to match the needs of the person, couple, or family he is working with.

He approaches therapy as a collaborative process in which strengths, problematic habits, blind spots, and unmet needs are gradually and respectfully explored. Together with the client he aims to develop clearer understanding of the challenges at hand and then to create practical strategies to address them. His areas of focus include stress, anxiety, relationship concerns, self-esteem, career and coaching work, and issues such as guilt, shame, isolation, and loneliness. As an LCSW - a Licensed Clinical Social Worker - he combines clinical training and long-term practice to offer thoughtful, individualized care.

Therapeutic approaches and online care

Dr. Keith Breiman draws on client-centered therapy to create a supportive, collaborative atmosphere in which the client’s perspective guides the work. This approach helps people explore personal values, strengths, and goals while feeling heard and respected. Cognitive Behavioral Therapy, another core method he uses, focuses on identifying and changing unhelpful thinking and behavior patterns to reduce symptoms of stress and anxiety and to improve day-to-day functioning. Mindfulness Therapy is used to help clients develop present-moment awareness and stress management skills, which can be particularly helpful for anxiety, self-esteem concerns, and feelings of isolation.

Choosing the right approach is part of the therapeutic process. Dr. Breiman works collaboratively with each person to assess needs, preferences, and goals, and then tailors techniques from these approaches to fit the situation. That collaborative planning helps ensure the work feels relevant and practical.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into a busy schedule, to maintain continuity when travel or relocation occurs, and to access licensed professionals from different locations. The range of modalities supports a variety of communication styles and makes consistent progress more achievable.