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- Grief and loss
- Self esteem
- Relationship issues
About Nancy
LMHC Nancy Buchanan has 29 years of clinical experience and is licensed in Washington. She helps people who are dealing with stress, anxiety, relationship concerns, grief and loss, low self-esteem, and depression. Her work also touches on issues such as abandonment, aging and geriatric concerns, cancer-related challenges, communication problems, addiction, family of origin issues, guilt and shame, isolation, self-love, and social anxiety.
Nancy begins by listening to each person’s story and recognising the strengths they already bring. She approaches sessions as a collaborative process, working with clients to set manageable goals and try practical strategies. Sessions focus on clear, concrete steps people can use between meetings to manage symptoms and difficult moments.
Her practice emphasises evidence-based therapeutic techniques applied in everyday language. Nancy helps people talk through what is happening, build skills for coping, and practice new ways of relating to themselves and others. She encourages small experiments and real-world practice rather than long theoretical discussions.
Over nearly three decades, Nancy has worked with adults facing both life transitions and longstanding difficulties. She aims to make the first appointments straightforward: orienting to immediate concerns, clarifying goals, and planning the next practical steps. The approach is steady, direct, and focused on what will help in daily life.
To begin, prospective clients are invited to use the site matching process and schedule an initial session. The subscription model for sessions can be canceled at any time, and location-specific pricing applies.
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How evidence-based approaches translate to online work
Two useful strands of evidence-based work she uses are skill-focused behavioral strategies and problem-focused conversation. Behavioral strategies involve identifying specific actions to change patterns, like building routines to reduce anxiety or practicing small exposures for social fears. These approaches help with symptoms such as panic, avoidance, low mood, and daily stressors.Problem-focused conversation means breaking larger issues into manageable parts and testing new ways of responding. That might look like mapping communication patterns in a relationship concern or identifying steps to cope with grief. The aim is concrete change through short experiments rather than long reflection alone.
Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. Together they review what feels helpful, adjust techniques, and pick practical next steps for life outside sessions.
Confirm the current session formats before booking, since the biography does not list specific delivery methods. In general, online sessions can make it easier to fit appointments into a busy schedule, reduce travel time, and allow shorter check-ins when needed. Discuss format options during the matching and scheduling process so sessions can be planned to fit day-to-day life.
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Areas of expertise
Primary focus
Additional focus areas
Experience
29+ years
Listed in
Washington
Languages
English
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Frequently asked questions
What concerns does she address?
Nancy works with stress, anxiety, relationship concerns, grief and loss, self-esteem issues, and depression. She also focuses on related areas such as abandonment, communication problems, addiction, and isolation.
What kind of approach does she use?
She uses evidence-based therapeutic techniques and favors practical, skill-focused work. Sessions emphasize clear steps and exercises people can use between meetings.
How much clinical experience is there?
The therapist has 29 years of professional experience. That span reflects work with adults facing both short-term and longer-term challenges.
What are her credentials and where is she based?
She is a Licensed Mental Health Counselor, LMHC, licensed in Washington. Her practice is based in Washington state.
Which languages are supported?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
Please confirm current session options before booking, as the biography does not list specific formats. The site matching process will show available session types.
How are sessions priced?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing is provided during the sign-up process.
How do I start working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session. That process sets up the initial appointment and next steps.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.