About Tracy
Tracy Grothe is a licensed mental health counselor in Nebraska with 25 years of experience helping people through relationship struggles, grief, career challenges, and major life changes. She meets people where they are and focuses on practical steps to reduce overwhelm and build on strengths. Tracy encourages small, doable changes that fit into daily life and honors each person’s experience.
In sessions she listens first and then helps clients set clear goals.
Background and approach
She uses a mix of straightforward tools - exploring thoughts and behaviors, noticing patterns, and practicing new skills between meetings. The work is collaborative and paced to what each person can handle. Tracy draws on client-centered methods that prioritize the person's own goals and values.
She also uses cognitive behavioral techniques to identify unhelpful thinking and replace it with more balanced ways of reacting. Mindfulness practices are offered when calming the body and mind will help with stress or sleep issues. Her experience includes helping people facing intimacy-related concerns, parenting strain, compassion fatigue, chronic illness, and caregiver stress.
She also supports those dealing with body image, bereavement, anger, depression, isolation, and life purpose questions. Tracy aims to make sessions clear, practical, and respectful of each person’s pace. Clients can expect a steady, pragmatic approach that combines listening with action.
Tracy invites people to try strategies in everyday life and to bring feedback so the work stays useful and relevant.
How Tracy’s approaches work online
Client-centered work focuses on the person's goals and values. In this approach the therapist listens closely, reflects what she hears, and helps the client choose which changes matter most. It is useful for people who want a supportive space to sort priorities and make decisions.Cognitive behavioral therapy looks at how thoughts, feelings, and behaviors connect. The therapist helps identify unhelpful thinking patterns and then practices small behavior changes and new coping skills. This approach helps with anxiety, depression, sleep issues, and problems like low mood or anger.
Mindfulness practices teach simple ways to notice the body and mind in the moment. Short breathing exercises or awareness practices can reduce stress, improve sleep, and help with overwhelming feelings.
Finding the right mix of approaches is part of the work. The therapist will collaborate with the client to decide what fits best, based on needs, goals, and personal preferences. Clients can try a method and give feedback so the plan adjusts over time.
Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video is helpful when visual cues matter, phone calls work well when bandwidth is limited, live chat or text can fit quick check-ins or people who prefer typing, and the mix makes scheduling easier across busy days. These options aim to make therapy more flexible and accessible for different routines and needs.
Frequently asked questions
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Specialties and expertise
Top specialties
- Relationship issues
- Grief
- Career difficulties
Also works with
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family conflicts
- First responder issues
- Forgiveness
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Multicultural concerns
- Parenting issues
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Sleeping disorders
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Nebraska, Iowa
- Languages
- English