Juanita Gamache, LCMHC, LPC

Juanita Gamache is a licensed counselor who helps people facing midlife transitions and related concerns. She welcomes people dealing with stress, anxiety, depression, grief, addictions, relationship and intimacy problems, and career or parenting challenges. Juanita emphasizes a nonjudgmental space where clients can talk through difficult feelings and get practical options for next steps.

She frames the first sessions around what matters most to each person. Conversations focus on what’s causing the most pain now and on small, manageable changes that can feel doable between meetings. Juanita uses a blend of techniques to help people notice unhelpful patterns and try new ways of responding.

Her clinical approach includes practical skills training and values-based work to help people set grounded goals. She also pays attention to attachment patterns and how early relationships shape current reactions. Sessions tend to be direct and collaborative, with an emphasis on clear tools and steady support.

Juanita holds the Licensed Clinical Mental Health Counselor credential and is also a Licensed Professional Counselor. She has 22 years of experience working with people from a range of backgrounds and life stages in Tennessee. Conversations often include faith when clients want to bring that in, along with strategies for coping, communication, and relapse prevention where relevant.

People who are thinking about change often come for help sorting options and moving forward. Juanita invites clients to take the first step and meet to see if the fit feels right.

Therapeutic approaches and online care

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters most and take small steps that match those values. It’s often useful for people feeling stuck during midlife changes or coping with depression and anxiety. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like worry or low mood. It is practical and skill-focused, which can help with stress, addictions, and relationship patterns.

Choosing an approach is part of the work together. The therapist will discuss which methods fit the client’s goals and preferences, and they will adjust the plan as needed. The process is collaborative so clients can weigh what feels most helpful and realistic.

Session formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit appointments into a busy day, cut travel time, and maintain consistency during life transitions. It can also allow shorter check-ins when schedules are tight, or keep conversations going after an in-person series. Licensed professionals can adapt ACT and CBT exercises for remote sessions so clients keep practicing skills between meetings.