Scott Underwood, LCSW

Scott Underwood is a Licensed Clinical Social Worker (LCSW) with 23 years of experience who describes himself as an older, more conservative therapist. His clinical journey began in 1984 as an Army Behavioral Science Specialist, and over the years he has worked in community mental health, psychiatric hospitals, private practice, and most recently has served primarily active duty Air Force personnel at Nellis and Creech Air Force bases. He brings substantial training and hands-on experience in treating trauma, depression, and anxiety and offers focused assistance with problem solving, anger management, and related challenges.

He has treated individuals with very serious conditions as well as highly functional people who have hit a rough patch, adapting interventions to match each person’s circumstances. Scott aims to make counseling approachable rather than intimidating and, when appropriate, uses humor to ease tension and create space for growth. He is comfortable providing both short-term, goal-focused work and longer-term therapy depending on a client’s needs.

Scott values clarity about therapy goals and encourages new clients to consider what they want from counseling. He is flexible when priorities change and can provide assessment, diagnosis, consultation, or the steady listening that some people need. For clients who prefer remote care, he offers sessions via video, phone, live chat, or text-based messaging and will tailor the process to match availability and preferences.

Therapeutic Approaches and Online Care

Scott Underwood uses established methods that translate well to remote work. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and learning practical skills to change feelings and behaviors; it is commonly used for anxiety, depression, and stress-related difficulties. Eye Movement Desensitization and Reprocessing (EMDR) is a trauma-focused approach that helps process distressing memories and reduce their emotional intensity through guided protocols; it is often used for post-traumatic stress and lingering traumatic reactions. Trauma-Focused Therapy concentrates directly on the effects of trauma, combining stabilization, processing, and rebuilding strategies to address trauma-related symptoms and improve daily functioning.

Finding the right approach is part of the therapeutic process, and Scott collaborates with each client to determine the best fit based on their needs, goals, and preferences. He adapts methods over time, inviting feedback and adjusting plans as progress unfolds so therapy feels aligned with what the client hopes to achieve.

Online therapy offers flexible ways to engage - video calls, phone sessions, live chat, or text-based messaging - which can make it easier to fit treatment into a busy life, accommodate travel or relocation, and maintain continuity of care. Licensed professionals and therapists can deliver effective, goal-oriented work through these formats while supporting accessibility and convenience for clients.