About Lesa
Lesa Leiden is a licensed counselor who helps people handle relationship and family struggles, parenting stress, intimacy concerns, anxiety, depression, grief, trauma, and life changes. She holds a Licensed Professional Counselor credential and is also a Licensed Mental Health Counselor, bringing 21 years of practice to her work. Her style is warm and straightforward.
Sessions focus on practical conversation, clearer communication, and skills people can use between meetings. She listens first, then helps set small goals that fit daily life.
Background and approach
Lesa draws on client-centered methods to keep the client's values and pace at the center of therapy. She also uses cognitive behavioral techniques to identify unhelpful thoughts and try new behaviors that reduce distress. Mindfulness tools help people manage anxiety and cope with chronic stress.
For relationship concerns she incorporates Gottman-informed ideas to improve communication and manage conflict. She also brings a Jungian perspective when exploring deeper patterns, life purpose, and personal meaning. Lesa has worked with a wide range of concerns including ADHD, caregiver stress, chronic illness, fertility and midlife transition issues.
She also supports people navigating non-traditional relationship structures and alternative sexual cultures, such as polyamory and kink, with respect and curiosity. She practices from Oregon and works with people in English. Her approach is collaborative and paced to each person’s needs, aiming to help them feel more able to cope, connect, and move forward.
How therapy approaches translate to online care
Client-centered therapy focuses on listening and following the client's concerns. The therapist creates space for people to tell their story and helps them set goals that fit their life. This approach is useful for exploring relationships, parenting stress, and life transitions.Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors affect feelings. Online CBT sessions often include short exercises, thought records, and concrete homework to try between meetings to reduce anxiety and depression symptoms.
The Gottman Method offers specific tools for improving conversation and reducing conflict in relationships. When used online, sessions can teach practical communication skills and structured exercises that partners can practice at home to strengthen trust and understanding.
Finding the right approach is part of the work. The therapist collaborates with each person to decide which methods best match their needs, goals, and preferences. That plan can change over time as goals shift and progress is reviewed.
Online therapy gives practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions use less bandwidth and can be a simpler check-in. Live chat or text-based messaging support brief check-ins, skill reminders, or ongoing reflection between longer sessions. These options help people fit therapy into busy schedules and manage care from different locations.
Frequently asked questions
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Specialties and expertise
Top specialties
- Relationship issues
- Family conflicts
- Intimacy-related issues
Also works with
- ADHD
- BDSM, kink, and alternative sex culture
- Blended family issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Commitment issues
- Communication problems
- Coping with life changes
- Depression
- Divorce and separation
- Family problems
- Fertility issues
- Grief
- Infidelity
- Jealousy
- Life purpose
- Midlife crisis
- Parenting issues
- Polyamory / non-monogamous relationships
- Postpartum depression
- Pregnancy and childbirth
- Self esteem
- Self-love
- Stress, Anxiety
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
Therapeutic approaches
- Experience
- 21 years
- Licensed
- Oregon, Florida
- Languages
- English