Brooke Ayoub, LMHC

Brooke Ayoub is a licensed mental health counselor (LMHC) who brings a trauma-informed, client-centered perspective to her clinical work. She is EMDR-trained, and her clinical background includes roles across mental health settings in Erie and Niagara counties where she has supported people living with diagnoses such as schizophrenia, bipolar disorder, anxiety, depression, personality disorders, and post traumatic stress disorder. Her experience spans work with children, adolescents, and adults in crisis intervention and suicide prevention, grounding her practice in practical skills for managing acute stress and emotional upheaval.

She holds a master’s degree in Vocational Rehabilitation Counseling from Auburn University and is a Certified Rehabilitation Counselor (CRC) through the New York State Education Department, with specialized experience assisting individuals with mental health diagnoses who are entering or reentering the workforce. Brooke also graduated from SUNY University at Buffalo and integrates a vocational lens into therapy when appropriate to help clients align mental health and career goals.

Outside of traditional talk therapy, Brooke is a Registered Yoga Teacher (RYT 500) and incorporates elements of yoga, ayurveda, and mindfulness meditation into her approach when it fits a client’s needs. She works with stress, anxiety, relationship and family issues, trauma and abuse, self-esteem and motivation, parenting and intimacy-related concerns, anger and coping with life changes. Brooke emphasizes that clients are the experts in their own lives and aims to support and empower them to build tools and strategies for a more balanced, fulfilling life.

Therapeutic Approaches and Remote Care

Brooke draws from evidence-informed approaches to tailor therapy to each person’s needs. Acceptance and Commitment Therapy (ACT) helps clients clarify personal values and accept difficult thoughts or feelings while taking action toward a meaningful life - it is often useful for managing anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thought patterns and behaviors to reduce symptoms and improve daily functioning - it can be effective for anxiety, depression, and anger. Eye Movement Desensitization and Reprocessing (EMDR) is a trauma-focused method Brooke is trained in that aims to help people process distressing memories and reduce their emotional impact.

Finding the right approach is part of the therapeutic process, and Brooke collaborates with clients to determine which methods best fit their goals, preferences, and life circumstances. She adapts techniques over time so therapy remains responsive and relevant.

Online therapy formats - including video calls, phone sessions, live chat, and text-based messaging - increase flexibility and make it easier to fit care into busy schedules. These options allow licensed professionals to support clients across distances, maintain continuity of care during life changes, and offer a range of communication styles to match individual comfort and practical needs.