About Elsbeth
Elsbeth Riemer is a licensed mental health counselor and licensed marriage and family therapist. She helps people facing anxiety, stress, relationship struggles, ADHD, trauma, depression, and issues tied to parenting or caregiving. Her style is direct and warm, and she often uses humor to ease difficult conversations.
She begins from a foundation of acceptance while keeping an eye on family dynamics. Sessions look at the individual and the roles they play in their relationships.
Background and approach
That approach helps when dealing with family conflict, blended household challenges, or adoption and foster care questions. Her work draws on how the body and brain interact. She brings practical skills from cognitive behavioral therapy to address patterns that keep people stuck.
She also uses elements of dialectical behavior therapy to teach emotional regulation and distress tolerance skills. Elsbeth uses attachment-based ideas and emotionally-focused methods to repair connection and improve communication. This can be useful for intimacy issues, trust problems, and rebuilding after loss or separation.
She also supports people struggling with impulsivity, addiction, grief, and life transitions. With two decades of clinical experience, Elsbeth focuses on concrete change. Sessions aim to build strategies that fit day-to-day life and reduce overwhelm.
People come away with clearer choices and tools to manage symptoms and relationships.
How her approaches translate to online therapy
Attachment-based work focuses on how relationships shape feelings and behavior. Online sessions use talk and targeted exercises to rebuild trust and improve connection, which can help with intimacy and communication struggles.Cognitive behavioral therapy (CBT) breaks down difficult thoughts and patterns into manageable steps. In remote sessions CBT involves setting small goals, practicing skills between meetings, and reviewing what works to reduce anxiety, impulsivity, or depressive symptoms.
Elsbeth treats choosing a method as a collaboration. She will discuss the options, try approaches that match goals, and adjust plans based on what the client notices is helpful. That shared decision-making helps tailor work for ADHD, trauma, relationship strain, or life transitions.
Online therapy offers flexibility for people with busy schedules or limited travel time. Video calls allow face-to-face interaction for role play and communication work, phone sessions are useful for check-ins or when bandwidth is limited, and live chat or text messaging supports brief check-ins, skill reminders, or ongoing coaching between sessions. These formats make it easier to fit therapy into everyday life and maintain continuity of care.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Massachusetts
- Languages
- English
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