Angela Therrien, LMHC

Angela Therrien currently offers video sessions only.

She practices in Massachusetts as an LMHC, which stands for Licensed Mental Health Counselor. For over eight years her clinical work focused primarily on supporting people with opioid addiction and those receiving medication-assisted treatment (MAT/MOUD). She has also provided care for men who were incarcerated by the Department of Correction, and those experiences have influenced an approach that can differ from standard counseling methods.

Her style is warm and interactive while remaining assertive and direct. She emphasizes respect, sensitivity, and compassion without coddling or relying on stigmatizing labels. Angela asks clients to help establish a foundation so she can clearly understand the reasons they are seeking support, and she uses careful listening and paraphrase to confirm understanding. Her ability to help is tied to the client’s willingness and capacity to communicate openly.

She has worked with a wide range of concerns, including depression, anxiety, relationship and communication problems often secondary to addiction, as well as trauma and abuse. Her approach blends cognitive-behavioral therapy (CBT), humanistic methods, psychodynamic ideas, solution-focused techniques, and rational-emotive behavioral therapy (REBT). Treatment is tailored to each person, and she commonly assigns homework that some clients may find challenging.

Angela acknowledges the limits of her expertise and will discuss referrals when a different skill set would better serve a client. As therapy progresses, a different therapist may be appropriate and she will support that transition. She encourages patience with a process that unfolds over time, and she offers support to those ready to pursue change. She looks forward to working with individuals who are prepared to take that step.

Therapeutic approaches and online care

Angela integrates several evidence-based approaches to tailor care to each person. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and teaching practical skills to address symptoms such as anxiety, depression, and stress. Psychodynamic therapy explores how past experiences and relationship patterns influence present feelings and choices, which can be useful for understanding long-standing interpersonal and self-esteem issues. Motivational Interviewing is a collaborative way of exploring ambivalence and strengthening motivation for change, often applied when addressing substance use or other behaviors clients want to modify.

Choosing the right approach is part of the therapeutic process and Angela works collaboratively with clients to determine the best fit based on their needs, goals, and preferences. She and the client revisit methods and adjust plans as progress is made, keeping the process flexible and client-centered.

Online therapy offers practical advantages for many people. Video calls, phone sessions, live chat, and text-based messaging provide flexibility for scheduling, reduce travel time, and make it easier to maintain continuity of care across busy days. These formats allow licensed professionals to deliver consistent, goal-focused treatment that fits into clients' lives.