01 · Who Andrea works with

Andrea works with stress, Anxiety, family conflicts and trauma and abuse

Andrea lists 12 specialisms and 20 further focus areas. Specialisms are the subjects Andrea chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Andrea's own words

What Andrea says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hi! My name is Andrea Joyce. I am a Licensed Independent Mental Health Practitioner in the state of Nebraska, a Licensed Mental Health Clinician in the state of Iowa, and a Licensed Clinical Professional Counselor in the state of Kansas. I have been in practice for 16 years. I work with diverse populations and have certifications in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Adoption Competency (TAC), and Parent Child Interactive Therapy (PCIT). I specialize in treating trauma and am certified in Trauma Focused Cognitive Behavioral Therapy (TF-CBT), I also treat depression, anxiety, grief, and PTSD, in addition to other mental health concerns. I have worked in an agency setting, a university setting and with Law Enforcement. I also work very closely with foster care and juvenile court in my face to face practice.

I believe to heal we have to focus forward and honor ourselves and our expereinces that have made us who we are. I believe therapy is a process that is best facilitated by taking a person centered approach and creating a safe space to begin the process of healing. By meeting the person where they are at in life, they learn to understand the path that has led them to seek growth and to work to acquire the skills needed to be successful and strong. Focus should be strength based. Just because a person is struggling, doesn’t mean they are failing. Focus on what is working and how that can be strengthened to bridge them through those struggles and get to the other side, where they can feel the success to keep moving, and thus, focusing forward.

I am so grateful to be able to take this journey with you.

Andrea Joyce MS,LIMHP,LMHC,LCPC,NCC,CBPC

Andrea Joyce, on the BetterHelp listing · read 9 Oct 2026

03 · How Andrea works

The 6 approaches Andrea lists, in plain English

These are the clinical methods Andrea lists. The descriptions are Maker Therapy's, not Andrea's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Andrea runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Andrea practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Andrea's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Andrea at this point.

2. Naming Andrea specifically

   BetterHelp matches algorithmically by default, so asking for Andrea is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Andrea.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Andrea

Built from what Andrea actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Andrea's - Andrea has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 24 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Nebraska

Licence

IA LMHC 077374, NE LIMHP 1431

Licence number

1431

Licence expires

1 Sep 2028

NPI

1922121268

Years in practice

24

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Andrea's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Andrea. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.