- Addiction and recovery
- Anxiety and stress
- Client-centered methods
About Diana
Diana Elstad is a Licensed Mental Health Counselor (LMHC) in Washington with 35 years of experience. She has worked in community clinics, treatment centers, hospitals and private practice. Her stated focus includes addiction and recovery, depression, anxiety, trauma and abuse, relationship concerns, grief, and stress management.
She has helped many people face substance use and recovery issues. She also supports those coping with family and relationship difficulties, codependency, self-esteem struggles, and major life changes. Her practice includes work with grief, trauma-related concerns, and mood disorders such as depression and bipolar challenges.
Diana’s approach blends several therapeutic styles. She uses client-centered work to listen closely and follow the person's lead. She also draws on cognitive behavioral therapy to look at thoughts and patterns that keep problems going. Dialectical behavior therapy skills are used when emotion regulation and distress tolerance are needed.
She incorporates motivational interviewing to support change and narrative therapy to help people reframe stories that feel stuck. Over decades of practice she has seen many situations and adapts methods to what the person brings to sessions. Sessions emphasize clear, practical steps alongside reflective listening.
Her background includes a long record of clinical roles across settings and a stated specialty in geriatric mental health. She works in English and locates practice in Washington. To begin, prospective clients are asked to follow the site intake flow to match and schedule an initial session.
How therapeutic approaches and online sessions work together
Client-centered therapy focuses on listening and following the person's concerns, helping them feel heard and guiding what comes next. Cognitive behavioral therapy (CBT) looks at thoughts and behaviors that keep problems going and teaches practical skills to change them. Dialectical behavior therapy (DBT) offers concrete skills for emotion regulation and tolerating distress when feelings feel overwhelming.Finding the right approach is part of the early work. Diana will collaborate with the person to decide which methods fit best based on their goals and what has or hasn't helped before. That matching can change over time as needs evolve and progress is reviewed together.
Session formats are not specified in the biography, so confirm current online options before booking. Many people find online sessions help fit therapy into busy days, allow shorter check-ins when schedules demand it, and remove travel time. Others choose longer sessions to work through complex material. Discussing these preferences when scheduling makes it easier to pick a format that fits everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of concerns does she address?
Diana works with addiction and recovery, depression, anxiety, trauma and abuse, relationship issues, grief, and related areas listed on her profile.
What is her therapeutic style like?
She uses an eclectic style that emphasizes client-centered listening and practical techniques from cognitive behavioral therapy and dialectical behavior therapy.
How much experience does she have?
She has 35 years of clinical experience in community clinics, treatment centers, hospitals and private practice.
What are her credentials and where does she practice?
She is an LMHC practicing in the state of Washington.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the US work with her?
She does not accept international clients at this time.
How are sessions paid for and what do they cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.