Lia Bigelow

Lia Bigelow is a licensed mental health counselor who draws on 15 years of clinical experience to help people facing big life shifts. She is licensed as an LMHC in Florida and an LPC in Pennsylvania. Lia focuses on practical support for addictions, LGBT issues, anger, coping with life changes, and executive coaching.

She approaches therapy with respect, sensitivity, and compassion. Sessions are shaped around each person's needs, so conversations and plans are built to fit real life. Lia aims to make the first step feel manageable and to support steady progress rather than promise quick fixes.

Lia uses a mix of approaches when it helps: client-centered work to center the client's voice, cognitive behavioral tools to change unhelpful patterns, and elements from dialectical behavior therapy for emotion regulation. She also draws on motivational interviewing to support change and psychodynamic ideas to look at repeating themes.

Common issues she addresses include substance and alcohol concerns, codependency, communication problems, caregiver stress, identity and gender dysphoria matters, feelings of isolation, and concerns about money or life purpose. She also helps with body image, guilt, shame, and relationship patterns that come from family of origin experiences.

Lia keeps sessions practical and conversational. She works with people who want to set goals, learn new coping skills, and make decisions that fit their values. The focus is on collaborating to find workable steps forward.

How Lia's Approaches Guide Online Work

Client-centered therapy focuses on listening and building the session around the person's priorities. It helps people feel heard and get clearer about what they want to change. Cognitive behavioral therapy, or CBT, looks at patterns of thought and behavior and teaches concrete tools to shift those patterns for problems like anxiety, anger, or addictive behavior. Dialectical behavior therapy, or DBT, offers skills for managing strong emotions and improving interpersonal effectiveness in stressful situations.

Finding the right approach is part of the process. Lia will work collaboratively to decide which methods fit the client's goals and preferences. Together they will try strategies, review what helps, and adjust the plan so it matches real life needs.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy schedule, shorten travel time, and allow for quicker check-ins between longer sessions. It can also allow someone to use video or audio depending on comfort and bandwidth, and to shape session length around work or caregiving demands rather than fixed office hours.