Scott Underwood , LCSW

Scott Underwood is a Licensed Clinical Social Worker (LCSW) with 23 years of experience who describes himself as an older, more conservative therapist. His career began in 1984 serving in the Army as a Behavioral Science Specialist, and since that start he has worked across community mental health, psychiatric hospitals, private practice, and most recently providing services primarily to active duty Air Force members at Nellis and Creech Air Force bases.

He is well trained in treating trauma, depression, and anxiety and offers practical support for problem solving, anger management, and other life challenges. Scott has experience helping people with very serious conditions as well as highly functional individuals who have run into a rough patch, adapting his approach to meet the needs of each person.

Scott believes counseling does not always have to be heavy or intimidating. When appropriate he uses humor to help release tension and to make difficult work more approachable. He encourages new clients to come with a sense of what they want from therapy - whether that is an assessment and recommendations, short-term skill building, long-term growth, or simply a chance to sample counseling.

He offers flexible approaches to meet those goals and asks clients to communicate their priorities. If a client’s needs change over time, Scott remains adaptable and will adjust the focus and structure of sessions accordingly. For those who value convenience, he has experience providing counseling via teleconference, phone, or chat, and is open to tailoring the length and number of sessions to match short-term or ongoing plans.

Trauma-Informed Approaches for Online Care

Scott Underwood commonly uses Cognitive Behavioral Therapy (CBT) to help clients identify and change unhelpful thought patterns and behaviors; CBT is often effective for anxiety, depression, stress, and many everyday difficulties. He also applies Eye Movement Desensitization and Reprocessing (EMDR) when trauma memories are impacting daily functioning - EMDR focuses on processing traumatic memories to reduce their emotional intensity. When trauma is a central concern, Trauma-Focused Therapy offers structured ways to attend to the effects of past events while building coping skills and safety.

Choosing the right approach is part of the therapeutic process. Scott works collaboratively with each person to determine which methods fit their needs, goals, and preferences and adjusts the plan as progress unfolds. He views therapy as a partnership in which options are explored and decisions are made together with the client and, when relevant, other licensed professionals or therapists.

Online sessions through video calls, phone sessions, live chat, or text-based messaging can make it easier to fit therapy into a busy life. These options provide flexibility in scheduling, allow people to receive care from a convenient location, and support ongoing work between sessions, helping clients maintain momentum while pursuing meaningful change.