About Roxsanna
Roxsanna Stenuis, LMSW, offers steady support for people dealing with anxiety, depression, addiction, grief, and stress. She writes and speaks in a calm, practical way and aims to help people find manageable steps forward. Her first priority is making space for what feels overwhelming and helping clients feel more in control of day-to-day life.
With 20 years of practice in Michigan, Roxsanna focuses on a broad range of concerns including trauma and abuse, bipolar mood challenges, ADHD, sleep and eating struggles, and compassion fatigue.
Background and approach
She also addresses problems connected to abandonment, attachment, caregiver stress, chronic illness, and substance use. Her work includes talking through triggers, building coping skills, and practicing new ways to respond to strong emotions. Roxsanna blends several approaches to match each person’s needs.
She uses acceptance and commitment ideas to clarify values and committed action. Cognitive behavioral tools help spot unhelpful thoughts and test new behaviors. She also draws on client-centered listening and emotion-focused work to deepen understanding of feelings and relationships.
Sessions are described in straightforward terms: notice what isn’t working, try small changes, and reflect on what helps. She aims to teach tools that people can use between appointments, such as grounding skills, behavioral experiments, and communication practice. Progress is discussed in concrete steps rather than vague goals.
Roxsanna offers therapy by video call, phone, live chat, and text-based messaging. All sessions are provided in English and are arranged from Michigan. To begin, a short matching questionnaire helps pair someone with her and scheduling follows the therapist’s availability.
Therapy approaches you can use online
Roxsanna commonly combines Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and client-centered listening when working with people online. Acceptance and Commitment Therapy (ACT) helps people get clear about what matters to them and commit to small actions that match those values. It is often useful for anxiety, stress, and situations where avoidance makes life smaller. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing different behaviors to change outcomes. CBT is practical for depression, anxiety, sleep problems, and many day-to-day struggles.Client-centered therapy emphasizes careful listening and reflection so people feel understood. That approach supports emotional processing and can make it easier to try skills learned in other methods. Roxsanna treats choosing an approach as a collaborative process; she will discuss options and adapt techniques based on each person’s goals, preferences, and what helps in early sessions.
Online sessions are offered by video call, phone, live chat, or text-based messaging to increase flexibility. Video calls are good for full conversation and teaching skills, phone sessions work well when bandwidth is limited, live chat can fit shorter check-ins during a busy day, and text messaging helps with quick support and ongoing reminders. These options make it easier to fit therapy into work, caregiving, or other routines and allow consistent contact without travel.
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- 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
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Michigan
- Languages
- English
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