B. Winnifred Cazeau, LICSW, MD, LCSW-C

B. Winnifred Cazeau, known professionally as Ms. Winnie, guides individuals and families toward clearer direction and greater well-being through counseling, coaching, and training. She centers clients as the experts of their own stories and draws on a strengths-based approach to support people through transitions, relationship challenges, grief, trauma, parenting concerns, career decisions, and issues related to self-esteem and ADHD. Her practice, Perfect Imperfection, LLC, reflects a focus on progress over perfection with the motto "It’s not perfection, It’s direction."

Ms. Cazeau holds a Master’s Degree in Social Work from the University of Maryland with a concentration in Child, Adolescent, and Family Health, and she is a John Maxwell Leadership Certified Trainer. She is credentialed as LICSW, MD, and LCSW-C and is licensed to practice clinical social work in Maryland and the District of Columbia - demonstrating formal training and clinical oversight in her work. Her background includes roles as a crisis counselor, director of a family preservation program, advocate, and clinical supervisor, which inform a pragmatic and compassionate style.

In her practice she offers support to individuals, couples, families, and groups, and addresses a wide range of concerns including family and blended family issues, adoption and foster care matters, caregiver stress, codependency, domestic violence, disruptive mood dysregulation disorder (DMDD), hoarding, and communication or commitment difficulties. Ms. Cazeau emphasizes collaboration, practical strategies, and empowerment so clients can move toward meaningful change and improved functioning.

Approaches for Online Care and Personal Growth

Acceptance and Commitment Therapy (ACT) helps clients notice unhelpful thoughts and feelings without getting stuck in them, and then commit to actions that reflect deeply held values - it is often used for anxiety, mood challenges, and life transitions. Client-Centered Therapy focuses on listening with empathy and creating a collaborative space where the individual leads the pace and direction of change - it is helpful for building self-esteem, processing grief, and strengthening relationships. Cognitive Behavioral Therapy (CBT) teaches practical skills to identify and change patterns of thinking and behavior that contribute to depression, anxiety, anger, and other concerns.

Finding the right approach is part of the therapeutic journey. Ms. Cazeau works collaboratively with each person to determine which methods fit their goals, needs, and preferences, adapting techniques over time as progress unfolds. This flexibility helps tailor treatment to how a client responds and what feels most useful.

Online therapy offers practical benefits by making care accessible via video calls, phone sessions, live chat, or text-based messaging. These options allow scheduling flexibility, easier attendance during busy or transitional periods, and ongoing connection with licensed professionals and therapists regardless of location within the therapist's service area.