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More Therapists Nearby

Photo of Tanya M Brooks - Empowerment Counseling, Licensed Professional Counselor in Luna Pier, MI
Tanya M Brooks - Empowerment Counseling
Licensed Professional Counselor, LPC
Verified Verified
Monroe, MI 48161  (Online Only)
I know how difficult it is to reach out. Congratulations on your first step. If you are struggling with issues of anxiety, depression, feeling stressed or overwhelmed please reach out. You do not need to navigate these feelings alone. My ideal client is someone who is motivated to make changes in their life. I enjoy working with individuals of all ages including, children, adolescents, and adults. I work diligently to make sure that I treat others with dignity and respect at all times. I will do my best to ensure that you and your family feel comfortable by establishing a therapeutic rapport early during your time in therapy.
I know how difficult it is to reach out. Congratulations on your first step. If you are struggling with issues of anxiety, depression, feeling stressed or overwhelmed please reach out. You do not need to navigate these feelings alone. My ideal client is someone who is motivated to make changes in their life. I enjoy working with individuals of all ages including, children, adolescents, and adults. I work diligently to make sure that I treat others with dignity and respect at all times. I will do my best to ensure that you and your family feel comfortable by establishing a therapeutic rapport early during your time in therapy.
(734) 789-3509 View (734) 789-3509
Photo of Elizabeth Seils, Clinical Social Work/Therapist in Luna Pier, MI
Elizabeth Seils
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Monroe, MI 48162
Accepting new clients! I am passionate about creating a safe and collaborative space in counseling in which individuals can explore their thoughts, emotions, and behaviors, without judgement, so that we can work together to help identify your inner strengths, learn coping strategies, and cultivate the life you want to live. I also am passionate about working with individuals who may be questioning their identity or navigating intersecting identities and wanting to live more authentically. I am committed to providing diversity-affirming care while also utilizing research-supported treatments like (CBT)cognitive behavioral therapy.
Accepting new clients! I am passionate about creating a safe and collaborative space in counseling in which individuals can explore their thoughts, emotions, and behaviors, without judgement, so that we can work together to help identify your inner strengths, learn coping strategies, and cultivate the life you want to live. I also am passionate about working with individuals who may be questioning their identity or navigating intersecting identities and wanting to live more authentically. I am committed to providing diversity-affirming care while also utilizing research-supported treatments like (CBT)cognitive behavioral therapy.
(734) 336-1794 View (734) 336-1794

Online Therapists

Photo of Nicole Cotton Takla, Clinical Social Work/Therapist in Luna Pier, MI
Nicole Cotton Takla
Clinical Social Work/Therapist, LMSW-C, C-DBT, CCATP
Verified Verified
Novi, MI 48375
Nicole uses an integrative approach to therapy, blending styles in a way that accommodates the unique needs of each individual. She is a certified Child and Adolescent Anxiety Treatment Professional and also certified in Dialectical Behavior Therapy, and enjoys encorporating its modalities into therapy when appropriate (mindfulness, emotional regulation, distress tolerance and interpersonal effectiveness). Nicole has a deep understanding of school issues, special education, behavior analysis and interventions, self-concept, parent-coaching, girl-issues, ADHD, ASD and improving overall social, emotional and behavioral functioning.
Nicole uses an integrative approach to therapy, blending styles in a way that accommodates the unique needs of each individual. She is a certified Child and Adolescent Anxiety Treatment Professional and also certified in Dialectical Behavior Therapy, and enjoys encorporating its modalities into therapy when appropriate (mindfulness, emotional regulation, distress tolerance and interpersonal effectiveness). Nicole has a deep understanding of school issues, special education, behavior analysis and interventions, self-concept, parent-coaching, girl-issues, ADHD, ASD and improving overall social, emotional and behavioral functioning.
(248) 985-8271 View (248) 985-8271
Photo of Anna Grantner, Pre-Licensed Professional in Luna Pier, MI
Anna Grantner
Pre-Licensed Professional, LLMSW, CCA-MSC, CLC, CPC, CEIC
Verified Verified
Ann Arbor, MI 48104  (Online Only)
I am a Limted Licensed MSW & certified Life Coach specializing in interpersonal coaching plus pre and post bariatric support. As a coach, I can help you find clarity and choose a path that works for you so that you can stop going down dead-end roads leading to nowhere and get back on a positive road that leads you to YOUR desired destination in life, be it significant weight loss and lifestyle changes, a new career path or establishing healthy boundaries and communication styles to improve your relationships. This is a partnership between you and me in which YOU are in in the driver seat and I’m your fabulous passenger.
I am a Limted Licensed MSW & certified Life Coach specializing in interpersonal coaching plus pre and post bariatric support. As a coach, I can help you find clarity and choose a path that works for you so that you can stop going down dead-end roads leading to nowhere and get back on a positive road that leads you to YOUR desired destination in life, be it significant weight loss and lifestyle changes, a new career path or establishing healthy boundaries and communication styles to improve your relationships. This is a partnership between you and me in which YOU are in in the driver seat and I’m your fabulous passenger.
(210) 796-6796 View (210) 796-6796
Photo of April Pocalujka, Licensed Professional Counselor in Luna Pier, MI
April Pocalujka
Licensed Professional Counselor, PhD-AB, MA, LPC, CAADC
Verified Verified
1 Endorsed
Okemos, MI 48864
Now accepting new clients! I am a fully licensed mental health counselor with over 15 years of counseling experience. My current practice focuses on a variety of concerns such as occupation & higher education, life transitions & relationships. I understand the obstacles faced by those who are gifted, talented, creative, and struggling with anxiety. I also treat stress related issues, trauma, grievance, neurodevelopment & neurodivergent disorders, bipolar & related disorders, depressive disorders, and substance use. Life coaching is also available.
Now accepting new clients! I am a fully licensed mental health counselor with over 15 years of counseling experience. My current practice focuses on a variety of concerns such as occupation & higher education, life transitions & relationships. I understand the obstacles faced by those who are gifted, talented, creative, and struggling with anxiety. I also treat stress related issues, trauma, grievance, neurodevelopment & neurodivergent disorders, bipolar & related disorders, depressive disorders, and substance use. Life coaching is also available.
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Photo of Gail M. Singer, Counselor in Luna Pier, MI
Gail M. Singer
Counselor, MA, LPC, ATR
Verified Verified
1 Endorsed
West Bloomfield, MI 48323
If you are looking to make changes in your life, I provide a supportive environment where you will be heard. I have many years of experience working with anxiety, depression, trauma, ADHD, imposter syndrome, grief and loss, low self-esteem, the LGBTQ+ community, and establishing and maintaining healthier relationships with those around you. Together, we will explore what brings you to therapy at this time, set attainable goals, and agree on an approach that’s tailored to suit your needs – whether through traditional talk therapy, art therapy, or life coaching.
If you are looking to make changes in your life, I provide a supportive environment where you will be heard. I have many years of experience working with anxiety, depression, trauma, ADHD, imposter syndrome, grief and loss, low self-esteem, the LGBTQ+ community, and establishing and maintaining healthier relationships with those around you. Together, we will explore what brings you to therapy at this time, set attainable goals, and agree on an approach that’s tailored to suit your needs – whether through traditional talk therapy, art therapy, or life coaching.
(248) 534-1150 View (248) 534-1150
Photo of Yashica Maxwell, Clinical Social Work/Therapist in Luna Pier, MI
Yashica Maxwell
Clinical Social Work/Therapist, MA, LLMSW
Verified Verified
East Lansing, MI 48823  (Online Only)
In addition, through life coaching, YaShica can help with life transitions, goal setting, success planning, and journaling.
YaShica is a life coach and licensed mental health therapist. She has master’s degrees in theology and social work. Therapy should be a safe place to heal and work through life’s issues. She is a compassionate individual with a heart for people. Her natural empathy and welcoming personality create a safe and non-judgmental environment. YaShica’s wide variety of careers helps her see things from a different viewpoint than most people. In addition, her prior careers have given her a valuable set of skills to help others heal. She focuses on a strength-based therapeutic approach to help clients heal.
In addition, through life coaching, YaShica can help with life transitions, goal setting, success planning, and journaling.
YaShica is a life coach and licensed mental health therapist. She has master’s degrees in theology and social work. Therapy should be a safe place to heal and work through life’s issues. She is a compassionate individual with a heart for people. Her natural empathy and welcoming personality create a safe and non-judgmental environment. YaShica’s wide variety of careers helps her see things from a different viewpoint than most people. In addition, her prior careers have given her a valuable set of skills to help others heal. She focuses on a strength-based therapeutic approach to help clients heal.
(248) 965-5957 View (248) 965-5957
Photo of House of Self, LLC, Licensed Professional Counselor in Luna Pier, MI
House of Self, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Grand Blanc, MI 48439  (Online Only)
Welcome! My name is Morgan Overstreet. I am a licensed counselor that's been in private practice for 7 years. At my practice I offer both life coaching and therapy services! I've been supporting people who struggle with anxiety, depression, and stress due to life transitions, identity, parenting and/or relationship concerns. The human experience is complicated - I see myself as someone who is here to help others get to a healthier place with themselves, so that they can feel empowered and resilient in this world.
Welcome! My name is Morgan Overstreet. I am a licensed counselor that's been in private practice for 7 years. At my practice I offer both life coaching and therapy services! I've been supporting people who struggle with anxiety, depression, and stress due to life transitions, identity, parenting and/or relationship concerns. The human experience is complicated - I see myself as someone who is here to help others get to a healthier place with themselves, so that they can feel empowered and resilient in this world.
(810) 498-1985 View (810) 498-1985
Photo of Denise Tyus, Licensed Professional Counselor in Luna Pier, MI
Denise Tyus
Licensed Professional Counselor, MA, LPC, GCDF, BSW
Verified Verified
Southfield, MI 48034
At Heart & Soul Counseling and Life Coaching Services you will meet with a counselor who understands that there is a direct connection between the mind, heart and soul.
One of the most difficult times in a person's life is time of uncertainty. Are you confused as to the direction your life is headed? Do you have questions that you need help sorting out the answers to? Do you lack motivation and passion about your future? Do you have a vision with no focus? If you can answer yes to any of these questions then we need to have a conversation. Together we can work to analyze what would help add direction, zest, and vitality to your life. Who knows better than you what would make your life meaningful. My job is to assist you on the journey.
At Heart & Soul Counseling and Life Coaching Services you will meet with a counselor who understands that there is a direct connection between the mind, heart and soul.
One of the most difficult times in a person's life is time of uncertainty. Are you confused as to the direction your life is headed? Do you have questions that you need help sorting out the answers to? Do you lack motivation and passion about your future? Do you have a vision with no focus? If you can answer yes to any of these questions then we need to have a conversation. Together we can work to analyze what would help add direction, zest, and vitality to your life. Who knows better than you what would make your life meaningful. My job is to assist you on the journey.
(947) 207-3638 View (947) 207-3638
Photo of Tobi Omoyele, Clinical Social Work/Therapist in Luna Pier, MI
Tobi Omoyele
Clinical Social Work/Therapist
Verified Verified
South Lyon, MI 48178  (Online Only)
Tobi is committed to providing an evidence-based, person-centered, strengths-based approach. As a therapist, her primary goal is to empower you and support you on your journey to a better well-being. Navigating through mental and physical challenges can be difficult but with the right approach, support, and resources, milestones can be reached one step at a time. She utilizes a variety of modalities including but not limited to Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Mindfulness, and Coaching. She has a master’s degree in social work and she is excited to meet you and collaborate on revealing the best you
Tobi is committed to providing an evidence-based, person-centered, strengths-based approach. As a therapist, her primary goal is to empower you and support you on your journey to a better well-being. Navigating through mental and physical challenges can be difficult but with the right approach, support, and resources, milestones can be reached one step at a time. She utilizes a variety of modalities including but not limited to Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Mindfulness, and Coaching. She has a master’s degree in social work and she is excited to meet you and collaborate on revealing the best you
(947) 219-1749 View (947) 219-1749
Photo of Arliss Logan, Psychologist in Luna Pier, MI
Arliss Logan
Psychologist, PsyD
Verified Verified
Ann Arbor, MI 48103  (Online Only)
I provide psychotherapy, parent guidance, testing services, and executive function coaching.
I believe the goal of therapy is to build awareness, understanding, and new skills. In our work together, I incorporate a strength-based, relationship focused perspectives into your treatment. I believe a positive working alliance can lead to increased awareness, compassion, and acceptance toward yourself and others. I am comfortable providing services to clients from diverse populations, social economic groups, and education levels. Together, we can explore ways to increase coping skills, provide mental clarity, and explore workable strategies leading to positive change.
I provide psychotherapy, parent guidance, testing services, and executive function coaching.
I believe the goal of therapy is to build awareness, understanding, and new skills. In our work together, I incorporate a strength-based, relationship focused perspectives into your treatment. I believe a positive working alliance can lead to increased awareness, compassion, and acceptance toward yourself and others. I am comfortable providing services to clients from diverse populations, social economic groups, and education levels. Together, we can explore ways to increase coping skills, provide mental clarity, and explore workable strategies leading to positive change.
(734) 822-9194 View (734) 822-9194
Photo of Scott Michael Steenbergh, Drug & Alcohol Counselor in Luna Pier, MI
Scott Michael Steenbergh
Drug & Alcohol Counselor, LMSW, CAADC
Verified Verified
1 Endorsed
Shelby Township, MI 48316
Additionally, I offer lifestyle, health, and sobriety coaching to help encourage overall wellness.
I have faith in the idea that people can, and do change. In my experience, change is not always a linear process. Often, when trying to change a situation or behavior, people fall short or stumble. Being able to truly evaluate an individual's strengths and building upon those, allows for the needed empowerment to overcome our barriers. I am passionate about helping individuals to overcome various behavioral health concerns. Whether you are facing addiction, anxiety, anger issues, grief, stress, depression or trauma, I use a strengths based approach, coupled with Cognitive Behavioral Therapy to build upon your inherit resiliency to affect change.
Additionally, I offer lifestyle, health, and sobriety coaching to help encourage overall wellness.
I have faith in the idea that people can, and do change. In my experience, change is not always a linear process. Often, when trying to change a situation or behavior, people fall short or stumble. Being able to truly evaluate an individual's strengths and building upon those, allows for the needed empowerment to overcome our barriers. I am passionate about helping individuals to overcome various behavioral health concerns. Whether you are facing addiction, anxiety, anger issues, grief, stress, depression or trauma, I use a strengths based approach, coupled with Cognitive Behavioral Therapy to build upon your inherit resiliency to affect change.
(586) 215-6534 View (586) 215-6534
Photo of Stephanie Hrit, Clinical Social Work/Therapist in Luna Pier, MI
Stephanie Hrit
Clinical Social Work/Therapist, LMSW
Verified Verified
8 Endorsed
Bloomfield Hills, MI 48304  (Online Only)
Stephanie has additional training in Dialectical Behavioral Therapy (DBT) and DBT skills coaching.
Stephanie has -immediate- telehealth openings for families, couples, children ages 10+, and adults! Stephanie has significant experience working with families, adolescents, adults, and couples. Her approach in working with clients is person-centered & solution-focused while creating a safe and supportive environment. Stephanie has extensive experience working with individuals diagnosed with personality disorders such as borderline personality disorder (BPD) as well as individuals with disordered eating.
Stephanie has additional training in Dialectical Behavioral Therapy (DBT) and DBT skills coaching.
Stephanie has -immediate- telehealth openings for families, couples, children ages 10+, and adults! Stephanie has significant experience working with families, adolescents, adults, and couples. Her approach in working with clients is person-centered & solution-focused while creating a safe and supportive environment. Stephanie has extensive experience working with individuals diagnosed with personality disorders such as borderline personality disorder (BPD) as well as individuals with disordered eating.
(313) 251-8130 View (313) 251-8130
Photo of Dr. Kimberly Winston-Matthews in Luna Pier, MI
Dr. Kimberly Winston-Matthews
MD
Verified Verified
West Bloomfield, MI 48322  (Online Only)
I also provide coaching worldwide for ADHD and Professional Burnout.
Welcome to a safe space for black women, indigenous women, women of color and our allies. It is important to recognize that cultural factors can impact how conditions are experienced and treated. For example, research has shown that individuals from BIPOC racial and ethnic backgrounds may be less likely to seek mental health treatment due to cultural stigma, lack of access to care, or mistrust of healthcare providers. As a black doctor with cultural understanding, I am uniquely positioned to address these barriers and provide culturally sensitive care for women with ADHD, Anxiety, Obesity and Professional Burnout.
I also provide coaching worldwide for ADHD and Professional Burnout.
Welcome to a safe space for black women, indigenous women, women of color and our allies. It is important to recognize that cultural factors can impact how conditions are experienced and treated. For example, research has shown that individuals from BIPOC racial and ethnic backgrounds may be less likely to seek mental health treatment due to cultural stigma, lack of access to care, or mistrust of healthcare providers. As a black doctor with cultural understanding, I am uniquely positioned to address these barriers and provide culturally sensitive care for women with ADHD, Anxiety, Obesity and Professional Burnout.
(248) 720-6375 View (248) 720-6375
Photo of Beth A McWhorter, Counselor in Luna Pier, MI
Beth A McWhorter
Counselor, MA, LPC
Verified Verified
East Lansing, MI 48823  (Online Only)
Communications coaching, assessment, diagnosis, depression, anxiety, Relationship issues.
(Primarily, practice hours are Mon-Thur afternoons). Life challenges us all. One in four adults experience a mental health issue over the course of life. With my considerable experience, I excel at assessment and diagnosis of mental health and substance abuse issues and challenges. My short-term therapy approach will help you start where you want to start and guide you in a nonjudgmental way toward your healthy self and finding your true and unique voice. Referrals as needed. I am very accepting and compassionate, but direct when necessary. Together we will move you toward wellness and wholeness.
Communications coaching, assessment, diagnosis, depression, anxiety, Relationship issues.
(Primarily, practice hours are Mon-Thur afternoons). Life challenges us all. One in four adults experience a mental health issue over the course of life. With my considerable experience, I excel at assessment and diagnosis of mental health and substance abuse issues and challenges. My short-term therapy approach will help you start where you want to start and guide you in a nonjudgmental way toward your healthy self and finding your true and unique voice. Referrals as needed. I am very accepting and compassionate, but direct when necessary. Together we will move you toward wellness and wholeness.
(517) 536-1112 View (517) 536-1112
Photo of Erica Glidden, Clinical Social Work/Therapist in Luna Pier, MI
Erica Glidden
Clinical Social Work/Therapist, LMSW, PMH-C
Verified Verified
3 Endorsed
Milford, MI 48381
Feeling stuck? Seeking guidance, coping tools, and goals to create change? I'm Erica, owner of North Star Psychological Services. My mission is to treat each person with compassion, kindness and respect. I know that therapy is not a “one size fits all” process, which is why my treatment style is integrative, eclectic, dynamic, and heavily goal/coaching focused. I work to meet each client where they are in their journey while helping to motivate and encourage positive change and personal growth. I specialize in women's issues, perinatal mental health, young adults (18+), anxiety, life transitions, polyamory, and couples work.
Feeling stuck? Seeking guidance, coping tools, and goals to create change? I'm Erica, owner of North Star Psychological Services. My mission is to treat each person with compassion, kindness and respect. I know that therapy is not a “one size fits all” process, which is why my treatment style is integrative, eclectic, dynamic, and heavily goal/coaching focused. I work to meet each client where they are in their journey while helping to motivate and encourage positive change and personal growth. I specialize in women's issues, perinatal mental health, young adults (18+), anxiety, life transitions, polyamory, and couples work.
(248) 218-9492 View (248) 218-9492
Photo of Chrissie Bingham, Counselor in Luna Pier, MI
Chrissie Bingham
Counselor, MA, LLPC
Verified Verified
Milan, MI 48160
I provide coaching with Omni Temple & counseling with Restorative Health.
Being human is difficult! I don’t claim to know all the answers, but I can offer tools for you to discover them for yourself. My goal is to help you create meaning & magic in your life. Together, we work to recognize maladaptive thought patterns & behaviors. From this awareness, you can choose the path that leads to a new, more joyful reality. Within my practice, I use psychological techniques such as CBT & EMDR alongside transpersonal tools such as mindfulness, meditation, movement & creative expression to help you work through life’s obstacles.
I provide coaching with Omni Temple & counseling with Restorative Health.
Being human is difficult! I don’t claim to know all the answers, but I can offer tools for you to discover them for yourself. My goal is to help you create meaning & magic in your life. Together, we work to recognize maladaptive thought patterns & behaviors. From this awareness, you can choose the path that leads to a new, more joyful reality. Within my practice, I use psychological techniques such as CBT & EMDR alongside transpersonal tools such as mindfulness, meditation, movement & creative expression to help you work through life’s obstacles.
(734) 526-1413 View (734) 526-1413
Photo of Mallory Godin Restore Renew Counseling, Licensed Professional Counselor in Luna Pier, MI
Mallory Godin Restore Renew Counseling
Licensed Professional Counselor, CRC, LPC
Verified Verified
2 Endorsed
Brighton, MI 48116  (Online Only)
Welcome! Here at Restore & Renew Counseling, we value a holistic approach to counseling. Counseling is an investment in oneself and you are worth it! I have years of extensive training working with athletes, college students, and maternal health. Specifically, I work with infertility, pregnancy, and postpartum related concerns, anxiety, depression, ADHD, chronic pain, relationship conflicts, parenting, work-life balance, career coaching issues and more. I use an integrated and holistic approach to counseling - Christian Counseling, Talk Therapy, CBT, DBT, ACT, IFS, and Gottman Method.
Welcome! Here at Restore & Renew Counseling, we value a holistic approach to counseling. Counseling is an investment in oneself and you are worth it! I have years of extensive training working with athletes, college students, and maternal health. Specifically, I work with infertility, pregnancy, and postpartum related concerns, anxiety, depression, ADHD, chronic pain, relationship conflicts, parenting, work-life balance, career coaching issues and more. I use an integrated and holistic approach to counseling - Christian Counseling, Talk Therapy, CBT, DBT, ACT, IFS, and Gottman Method.
(563) 204-2326 View (563) 204-2326
Photo of Jamie Laramore, Clinical Social Work/Therapist in Luna Pier, MI
Jamie Laramore
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Dexter, MI 48130
I work collaboratively with my clients often coaching them on how to set and maintain boundaries.
My ideal client is a woman who is feeling overwhelmed, exhausted, and anxious/depressed. She is really good at taking care of her loved ones but sometimes struggles with how to really take care of herself. She knows that she deserves to feel joy and peace but isn’t sure how to achieve it. My therapeutic approach is action based, present/future focused, typically short term (3-6 months), and goal centered. I’ve been practicing as a therapist for about 15 years and specialize in working with women who are feeling burnt out, overwhelmed, and stressed. My clients tend to be high achieving, dependable women who others often rely on.
I work collaboratively with my clients often coaching them on how to set and maintain boundaries.
My ideal client is a woman who is feeling overwhelmed, exhausted, and anxious/depressed. She is really good at taking care of her loved ones but sometimes struggles with how to really take care of herself. She knows that she deserves to feel joy and peace but isn’t sure how to achieve it. My therapeutic approach is action based, present/future focused, typically short term (3-6 months), and goal centered. I’ve been practicing as a therapist for about 15 years and specialize in working with women who are feeling burnt out, overwhelmed, and stressed. My clients tend to be high achieving, dependable women who others often rely on.
(269) 280-0712 View (269) 280-0712
Photo of John Robert Kenner, Clinical Social Work/Therapist in Luna Pier, MI
John Robert Kenner
Clinical Social Work/Therapist, LMSW, LMFT, DCSW
Verified Verified
Plymouth, MI 48170
Hello I am John Kenner, I am a therapist and clinical social worker. I provide active behavioral counseling and therapy. My practice consists of direct clinical service including family, individual, couples, youth, adolescents , adult and elderly therapy. I use evidence based interventions, client centered therapy and life coaching. I also provide interpersonal and relationship building tools skills and techniques.
Hello I am John Kenner, I am a therapist and clinical social worker. I provide active behavioral counseling and therapy. My practice consists of direct clinical service including family, individual, couples, youth, adolescents , adult and elderly therapy. I use evidence based interventions, client centered therapy and life coaching. I also provide interpersonal and relationship building tools skills and techniques.
(734) 404-7597 View (734) 404-7597
Coaching Therapists
Life coaching is an increasingly popular profession that has no specific licensing or academic requirements. Though psychologists also often consider themselves life coaches, these therapists don't focus on treating mental illness. Instead, they help individuals realise their goals in work and in life.