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Steffannie Roache

Steffannie Roache, LMHC

LMHC - Anxiety and Self-Esteem

Washington

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Credentials
LMHC
License
LMHC, Washington / LH61657096
NPI
1740535863
Experience
10 years
Languages
English
Location
Washington
  • Stress and anxiety
  • Self-esteem work
  • Social anxiety support

About Steffannie

Steffannie Roache is a Washington-licensed mental health counselor (LMHC) with 10 years of professional experience. She works with people who are dealing with stress, anxiety, motivation struggles, and self-esteem concerns. She also focuses on confidence, attachment issues, caregiver stress, forgiveness, life purpose, self-love, and social anxiety and phobia.

She aims for clear, straightforward conversations rather than jargon. Sessions focus on practical steps people can use between meetings. She listens for patterns that keep problems repeating and helps clients try different ways of responding to those patterns.

In the therapy room Steffannie uses evidence-based therapeutic techniques to break down worries into manageable parts. She helps people practice small behavioral changes and builds on what already works in daily life. The work often includes noticing unhelpful thoughts, testing them in real situations, and learning new coping routines.

She pays attention to relationship patterns that can affect how people feel about themselves. That can include attachment issues and stresses tied to caregiving roles. Conversations may include boundaries, realistic expectations, and ways to increase self-respect.

Steffannie explains options, checks in on progress, and adjusts plans if something is not working. She asks clients to try short, achievable exercises between sessions. This approach helps people see whether new strategies fit their day-to-day life.

How therapeutic approaches guide online sessions

Steffannie uses evidence-based therapeutic techniques that focus on changing unhelpful thoughts and behaviors. Cognitive-style methods help people notice anxious or self-critical thoughts, test whether they are accurate, and practice more balanced thinking in everyday situations. These methods are useful for stress, general anxiety, social anxiety, and self-esteem concerns.

She also incorporates behavioral strategies that emphasize gradual, doable practice. That can mean tiny experiments in social situations or short, repeated exercises to build confidence and reduce avoidance. These steps are aimed at helping clients try new responses and observe what changes in real life.

Choosing the right approach is a shared process. The therapist and client review goals, try techniques, and adjust based on what fits the client's needs and preferences. This collaborative method keeps the work practical and focused on things the client can use between sessions.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy routine, reduce travel time, and allow shorter check-ins when needed. Licensed professionals can adapt exercises so they work in everyday settings and help clients build skills that carry over into real situations.

Areas of expertise

Additional focus areas

Attachment issuesCaregiver issues and stressForgivenessLife purposeSelf-loveSocial anxiety and phobia

Experience

10+ years

Listed in

Washington

Languages

English

Frequently asked questions

What concerns does she address?

She works with stress, anxiety, motivation, and self-esteem issues, and also focuses on attachment, caregiver stress, forgiveness, life purpose, self-love, and social anxiety and phobia.

What is her therapy style like?

She favors plain, practical conversation and uses evidence-based techniques to break down problems and try small, actionable changes between sessions.

How much experience does she have?

She has 10 years of professional work experience as a mental health counselor.

What credentials and location are listed?

She is an LMHC licensed in Washington and practices from that state.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How do sessions and cost work?

Cost varies with location and sessions use a subscription that can be canceled at any time.

What are the first steps to start?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Steffannie RoacheLMHC

See online therapy options