About Constance
Constance Guthrie, LMSW, helps people facing anxiety, depression, grief, and the daily strain of parenting and life changes. She also supports those coping with ADHD, anger, low self-esteem, and the fallout from trauma or chronic illness. Her voice is straightforward and steady, aimed at parents and young adults who feel overwhelmed by competing demands and strong emotions.
Constance keeps sessions practical. She listens first, then helps clients set small, manageable goals.
Background and approach
Conversations focus on skills to reduce panic, manage impulsivity, and build routines that fit each person’s life. She uses mindfulness and breathing practices alongside problem-solving tools. Her background includes a Master of Social Work from Michigan State University and a Bachelor of Social Work from Oakland University.
Constance holds the LMSW credential, which reflects her clinical social work training and seven years of practice experience in Michigan. In sessions she blends client-centered work with cognitive behavioral techniques and elements of dialectical behavior therapy. That means clients can expect a warm, accepting tone plus practical homework and skill practice between meetings.
Motivational interviewing and solution-focused strategies are used when people want clear steps for change. Constance offers video calls, phone sessions, live chat, and text-based messaging to fit busy schedules. She describes the therapy process as collaborative - checking in on goals and changing course as needed.
Getting started involves a short matching questionnaire and scheduling based on the therapist’s availability.
Therapeutic approaches that translate to online care
Constance often uses client-centered therapy and cognitive behavioral therapy in session. Client-centered work means the conversation starts with your concerns and priorities, with the therapist reflecting and asking questions to help you find your own solutions. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing small behavior changes to reduce anxiety, depression, and panic symptoms.She also draws on dialectical behavior therapy skills for emotional regulation and distress tolerance. Those DBT-informed tools teach practical steps for handling intense feelings and impulsivity, which can be useful for people with ADHD, anger, or panic. The therapist works together with clients to choose which approaches fit their needs and goals, adjusting methods as progress is made.
Online formats include video calls, phone sessions, live chat, and text-based messaging to match different needs. Video calls are good for face-to-face conversation and skill teaching. Phone sessions can be a simpler way to check in when bandwidth is limited. Live chat and text messaging allow short check-ins, homework support, or brief coaching during busy days. These options make it easier to fit therapy into a workday, parenting schedule, or other routines while keeping the focus on practical change.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Grief
- Anger management
Also listed
- ADHD
- Adoption and foster care
- Blended family issues
- Chronic pain, illness, and disability
- Communication problems
- Coping with life changes
- Depression
- Forgiveness
- Impulsivity
- Isolation / loneliness
- Money and financial issues
- Panic disorder and panic attacks
- Parenting issues
- Pregnancy and childbirth
- Self esteem
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Michigan
- Languages
- English
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