Roxsanna Stenuis , LMSW

Roxsanna Stenuis is a licensed therapist in Michigan with 20 years of clinical experience supporting people through complex emotional and life challenges. She holds an LMSW - Licensed Master Social Worker - credential, and she brings a compassionate, individualized approach to work with clients facing depression, anxiety, trauma, grief, and addiction.

Roxsanna has a particular interest in working with older adults and addressing concerns such as life purpose, social anxiety, workplace stress, and interpersonal dynamics. Her practice emphasizes collaboration and respect, creating a space where clients can safely explore difficult emotions, build healthier coping skills, and increase self-understanding.

Drawing from evidence-based methods, Roxsanna helps clients strengthen resilience, improve communication, and move toward meaningful change. Whether addressing mood disorders, relationship issues, chronic pain, or transitions related to aging and caregiving, she aims to support each person with empathy and professional expertise as they pursue a more balanced and fulfilling life.

Therapeutic Approaches for Online Care

Roxsanna commonly uses Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and client-centered techniques in her work. Acceptance and Commitment Therapy (ACT) involves learning to notice and accept difficult thoughts and feelings while identifying personal values to guide action - this can be helpful for anxiety, depression, chronic pain, and navigating life changes. Cognitive Behavioral Therapy (CBT) focuses on recognizing unhelpful thought and behavior patterns and developing practical strategies to change them - it is often used for anxiety, mood concerns, sleep and eating difficulties, and addictive behaviors. Client-centered Therapy emphasizes empathetic listening and collaborative support, creating space for clients to explore identity, relationships, self-esteem, and grief.

Finding the right approach is part of the therapeutic process, and Roxsanna works collaboratively with people to determine which methods fit their goals, needs, and preferences. Licensed professionals can adapt techniques over time so therapy remains aligned with what the client finds most helpful.

Online therapy offers practical flexibility - sessions can occur by video call or phone, and shorter check-ins or ongoing dialogue can take place through live chat or text-based messaging. These options help make therapy more accessible around work, caregiving, or mobility constraints while maintaining continuity of care with a trusted therapist.