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Roxanna Padilla, MS

Registered Mental Health Counselor Intern

Starting therapy can feel intimidating, but I believe it should feel like a space where you can be yourself. My goal is to create a safe, supportive, judgment-free environment where you feel comfortable being honest, exploring challenges, and working toward meaningful change.

I am a direct, understanding, and down-to-earth therapist who values genuine connection. I
believe therapy works best when clients feel seen and accepted for who they are. My sessions often include a balance of meaningful conversations, reflection, practical tools, and even moments of laughter, while still focusing on the work needed to help you grow.

I work collaboratively with adults (18+), couples, first responders, and members of the Hispanic community. As a bilingual therapist fluent in English and Spanish, I am passionate about providing culturally responsive care while creating a space where Spanish-speaking clients feel understood. I recognize that culture, family expectations, immigration experiences, and first-generation experiences can influence how we view ourselves, our relationships, as well as our mental health.

I support clients navigating anxiety, OCD, depression, trauma, relationship concerns, life
transitions, perfectionism, stress, substance use concerns, self-esteem challenges, and grief. I also provide support for individuals experiencing pet loss, recognizing that losing an animal companion can bring a significant and deeply meaningful sense of loss.

My approach is integrative and tailored to each client. I draw from Cognitive Behavioral Therapy (CBT), Emotion-Focused Therapy, Reality Therapy, and trauma-informed approaches. For clients experiencing OCD, I incorporate Exposure and Response Prevention (ERP) when appropriate.

My goal is for therapy to feel like a place where you can show up as yourself, feel understood, and leave with greater clarity, confidence, and tools to navigate life's challenges.

Specializations:

Credentials & Experience:

  • Adults (18+)

  • Couples & Relationship Concerns

  • First Responders

  • Hispanic & Spanish-Speaking Community

  • Obsessive-Compulsive Disorder (OCD)

  • Anxiety

  • Depression

  • Trauma & PTSD

  • Grief & Pet Loss

  • Life Transitions

  • Perfectionism

  • Stress & Burnout

  • Self-Esteem & Self-Worth

  • Substance Use Concerns

  • Bachelor of Science in Criminology

  •  Master of Science in Clinical Mental Health Counseling

  • Experience providing substance use counseling

  • Trained in crisis intervention

  • Experience as a Prevention of Sexual Abuse Coordinator supporting unaccompanied minors

  • Former first responder with firsthand understanding of the challenges associated with high-stress professions

  • Experience facilitating an OCD-focused group

Roxanna sees clients ages 18+

Specializations:

  • Depression: I am trained to help individuals understand and manage symptoms of depression, including feelings of sadness, hopelessness, and changes in appetite or sleep patterns. I use evidence-based techniques, such as Cognitive-Behavioral Therapy (CBT), to help clients identify and challenge negative thought patterns and develop coping strategies
     

  • Substance Use: I am trained in treating substance use disorders and help clients develop strategies for recovery, including coping skills, relapse prevention, and support systems.
     

  • Life Transitions: I understand that significant life changes, such as moving, job changes, or relationship transitions, can be challenging. I am here to support individuals as they navigate these transitions and develop coping strategies to manage stress and uncertainty.
     

  • Relationship Difficulties: I assists individuals and couples in navigating relationship challenges, fostering healthier communication, and developing stronger connections.
     

  • Stress: I understand that stress is a common experience for many individuals. I work with clients to identify sources of stress and develop coping strategies, such as time management and boundary setting, to manage stress and improve overall well-being.**
     

  • First Responders: Roxanna specializes in supporting first responders who experiencework-related stress, trauma, and general mental health challenges.
     

  • Self-Esteem: Building self-esteem is essential for overall mental health and well-being. I help clients develop a positive and compassionate relationship with themselves, challenge negative self-talk, and cultivate a sense of self-worth and confidence.
     

  • Obsessive-Compulsive Disorder (OCD): I help individuals manage OCD by developing practical coping strategies, reducing anxiety, and building confidence in navigating intrusive thoughts and compulsive behaviors.
     

  • Grief & Pet Loss: I provide a compassionate space to process grief, including the unique and often overlooked experience of losing a beloved pet, while supporting healing at your own pace.
     

  • Trauma & PTSD: I help clients heal from trauma by creating a safe, supportive environment where they can process difficult experiences, build resilience, and regain a sense of control and peace.

Modalities:

I believe therapy should be personalized to each individual's experiences, needs, and goals. There is no one-size-fits-all approach to healing, which is why I integrate different therapeutic modalities to create a treatment experience that feels authentic, collaborative, and effective.
 

  • Cognitive Behavioral Therapy (CBT):

I utilize CBT to help clients explore the connection between thoughts, emotions, and behaviors. Together, we work on identifying unhelpful patterns, challenging negative beliefs, and developing healthier coping strategies.
 

  • Emotion-Focused Therapy (EFT):

I incorporate EFT to help clients better understand and process their emotions, identify underlying needs, developing a stronger connection with themselves and others. This approach can be especially helpful when exploring relationships, self-worth, and emotional patterns.
 

  • Reality Therapy:

I use Reality Therapy to help clients explore their choices, identify areas within their control, and develop practical steps toward creating the changes they want in their lives. This approach supports accountability while maintaining compassion and understanding.
 

  • Exposure & Response Prevention (ERP):

When appropriate, I incorporate Exposure and Response Prevention (ERP), an evidence-based approach commonly used in the treatment of OCD, to help clients face fears, tolerate uncertainty, and reduce the impact of compulsive behaviors.
 

  • Trauma-Informed Care:

I provide trauma-informed care by recognizing the impact difficult experiences can have on a person's emotions, relationships, and sense of self. I strive to create a supportive environment where clients feel safe, understood, and empowered throughout their therapeutic journey.

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