- Stress and anxiety
- Addictions support
- Social anxiety help
About James
James Tresh is a Licensed Mental Health Counselor (LMHC) based in Florida with 40 years of clinical experience. He works with people coping with stress, anxiety, addictions, relationship issues, low self-esteem, and depression. He also lists additional focuses such as communication problems, guilt and shame, loneliness, life purpose, self-love, and social anxiety and phobia.
James offers straightforward, practical help for day-to-day difficulties. He listens to what is happening now and helps people sort out next steps. Sessions are meant to address problems like feeling stuck, losing motivation, or struggling to speak up in social situations.
His background includes long experience supporting people through loss, separation, and the effects of substance dependence. He aims to help people rebuild confidence and repair relationships where possible. He works with individuals, couples, and families to address these concerns.
In conversation he focuses on clear goal-setting and gradual change. He talks through coping skills, communication strategies, and ways to reduce anxiety symptoms that interfere with daily life. He also supports people who want to improve self-esteem and clarify life purpose.
James uses his decades of practice to adapt to each person's needs. He encourages small steps and recognizes that starting therapy takes courage. To begin, he asks people to complete a short matching questionnaire and schedule a first session.
How therapeutic approaches translate to online work
Evidence-based therapeutic techniques often used to address anxiety and low self-esteem include cognitive-behavioral methods, which focus on spotting unhelpful thoughts and practicing alternative ways of thinking and behaving to reduce distress. These methods can help with fear of social situations and repetitive anxious thinking. Another common approach is skills-based work that teaches practical strategies for managing stress, improving communication, and coping with urges related to addictions. This usually involves short exercises and practice between sessions.Choosing an approach is a collaborative process. The therapist will work with the client to identify which methods suit their goals, preferences, and the problems they want to address. That choice can be adjusted over time based on what helps most in real life.
Confirm the exact session formats before booking, as the biography does not specify formats. In general, online sessions can make it easier to fit therapy into a busy schedule, allow shorter or more frequent check-ins when needed, and remove travel time. They can also let someone use phone-only options if video is difficult or choose a quieter setup that requires less bandwidth. Discuss format options during the matching and scheduling steps to find what fits daily life best.
Areas of expertise
Primary focus
Additional focus areas
Experience
40+ years
Listed in
Florida
Languages
English, American Sign Language
Frequently asked questions
What kinds of concerns does he address?
He works with stress, anxiety, addictions, relationship problems, self-esteem issues, and depression, and lists social anxiety and phobia among his focus areas.
What is his therapeutic style like?
Sessions focus on practical steps, clear goals, and talking through coping skills and communication strategies.
How long has he been practicing?
He has 40 years of clinical experience supporting people with anxiety, mood concerns, and addiction-related issues.
What credential does he hold and where is he based?
He is an LMHC and practices in Florida.
Which languages are supported?
Sessions are offered in English and American Sign Language.
Can international clients work with him?
He accepts international clients; confirm any location-based details before booking.
How are sessions billed?
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.