About Keith
Keith Nelson is a Licensed Clinical Social Worker (LCSW) practicing in California. He brings 18 years of experience helping people navigate stress, anxiety, addiction, grief, and relationship challenges. He emphasizes practical steps and clear communication so clients know what to expect in sessions.
Keith centers work on the whole person and the life around them. He pays attention to how family, work, and health shape feelings and behavior. Sessions focus on building on strengths and learning skills that fit each person's daily life.
Background and approach
His approach draws from several evidence-based methods, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. He uses these tools to reduce distress, improve coping, and change patterns that get in the way of goals. The emphasis is on learning useful habits rather than exchanging abstract ideas.
Keith has long experience with substance use, emotional trauma, and co-occurring concerns like ADHD and mood disorders. He also helps people with intimacy, body image, sleeping problems, career stress, and caregiver strain. He tailors plans to a person’s situation instead of applying one fixed method.
In sessions he aims for collaboration and clear steps. Clients and the therapist set goals together, try strategies, and adjust based on what works. Keith values each person’s choices and strengths while offering direct coaching and practical tools to move forward.
How therapy approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without being driven by them, then move toward chosen values. It is useful for anxiety, depression, and stress that get in the way of living a valued life. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with small behavioral experiments to reduce symptoms like panic, insomnia, or compulsive patterns. CBT is practical and skill-based, often with homework between sessions. Dialectical Behavior Therapy (DBT) teaches concrete skills for emotion regulation, distress tolerance, and better interpersonal communication, which can help with overwhelming emotions and relationship problems.Choosing the right approach is part of the work. The therapist will talk with each person about their goals, preferences, and what has worked before. Together they pick methods to try, review progress, and change the plan if needed so the work stays useful and grounded in day-to-day life.
Online therapy offers flexibility across formats: video calls for face-to-face conversation, phone sessions when bandwidth or screen time is limited, and live chat or text-based messaging for short check-ins or busy schedules. These options let people fit sessions into work breaks, evenings, or times when a shorter touchpoint is more helpful. Licensed professionals can use these formats to teach skills, coach through difficult moments, and follow up on exercises between meetings.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Fatherhood issues
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- California
- Languages
- English
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