About Kristi
Dr. Kristi Hottenstein is a licensed professional counselor with twenty years of experience. She holds a doctorate in higher education administration, a master’s in Counseling, and a bachelor’s in Sociology.
Dr. Hottenstein practices in Michigan and offers a practical, person-focused approach to therapy. She works with people facing anxiety, depression, stress, and relationship or intimacy concerns.
She also helps with grief, trauma, addiction, ADHD, body image, sleep and eating issues, and career or life transitions.
Background and approach
Her practice includes support for LGBT concerns and compassion fatigue. Her style is straightforward and collaborative. She treats each client as an individual and adapts methods to match the person’s needs.
Sessions focus on building self-awareness and practical skills that can be used outside the session. Dr. Hottenstein uses techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and Existential Therapy.
She blends these to help clients notice patterns, try new behaviors, and clarify values. She offers therapy by video calls, phone sessions, live chat, or text-based messaging. Sessions are scheduled through a subscription model that can be canceled at any time.
To begin, a short matching questionnaire is completed and appointments are scheduled based on therapist availability.
How therapy approaches translate to online care
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without being driven by them, then choose actions that match their values; it can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking patterns and trying different behaviors to reduce symptoms like worry, low mood, or sleep problems. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the therapist listens carefully and supports the client in finding their own answers.Choosing the right approach is part of the work. The therapist will help clients explore what feels most useful based on goals and preferences. That decision is collaborative and can change as progress is made.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions work well when bandwidth is limited or a shorter check-in is needed, and live chat or text-based messaging supports brief reflections and ongoing support between sessions. These options make it easier to fit therapy into a busy life and to use the methods discussed in session in real time.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Michigan, Texas, Arizona, California, New Jersey, Virginia
- Languages
- English
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