Teresa Horldt , LMHC

Teresa Horldt is a Licensed Mental Health Counselor (LMHC) with 17 years of clinical experience supporting people through addiction, mood disorders, trauma, grief, and relationship challenges. She began her career working with victims of domestic violence and expanded her practice to crisis intervention in a busy emergency room, then to both inpatient and outpatient treatment settings focused on substance use and mental health care. Over the past 15 years she has concentrated on substance use and addiction, depression, anxiety, bipolar mood disorders, personality disorders, trauma, and grief and loss, and she currently serves as a Program Manager in a community mental health program that reaches people living with schizophrenia, schizoaffective disorder, bipolar disorders, and dual diagnoses.

Her approach is intentionally eclectic, shaped to fit each person rather than applying a single model to everyone. She draws on Dialectical Behavior Therapy - useful for interpersonal effectiveness, crisis management, emotional regulation, and mindfulness skills - alongside Cognitive Behavioral Therapy and solution-focused strategies for mood-related concerns. For people addressing addiction she uses Motivational Interviewing and recovery-oriented methods such as 12-step programs, Refuge Recovery, and Celebrate Recovery. Mindfulness practices are a favored tool for stress reduction and trauma care. As an LMHC - a state-licensed counselor trained to provide mental health services - she emphasizes unconditional regard, respect, dignity, and empathy, and approaches therapy as a collaborative partnership aimed at helping people reach their goals and greater life satisfaction.

Approaches that guide online therapy

Teresa integrates evidence-informed methods into online care to help people address a range of concerns. Dialectical Behavior Therapy, or DBT, focuses on building skills for emotional regulation, interpersonal effectiveness, distress tolerance, and mindfulness - it is often helpful for people struggling with intense emotions and interpersonal conflict. Motivational Interviewing is a collaborative, goal-oriented method that helps people explore and strengthen their motivation to change - it is commonly used with substance use and other behavior change goals. Mindfulness Therapy teaches attention and present-moment awareness techniques that support stress reduction, improved coping, and trauma processing.

Finding the best approach is part of the therapeutic work. Teresa collaborates with each person to tailor interventions to their needs, goals, and preferences, adjusting methods as progress is made and new priorities emerge.

Online therapy with Teresa is available by video call, phone session, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care, access timely support during life transitions, and engage in therapy in the ways that fit daily life and personal needs.