01 · Who Christina works with

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

Christina lists 11 specialisms and 37 further focus areas. Specialisms are the subjects Christina chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Christina's own words

What Christina says about the work

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

Whether you are an adult or child, life can present with challenges and trials. You may feel overwhelmed or lost. Illness, divorce, death, new jobs, and change are times when we could use extra help. Adjusting to these challenges and figuring out how to cope can leave you stuck sometimes. You may be trying to find yourself again, or facing difficult decisions. Talking to a therapist can help you process your thoughts and feelings, moving you forward in this phase of your life.

I have been a licensed clinical social worker more than 20 years. My therapeutic approach is client-centered and solution-focused, utilizing Cognitive Behavioral Techniques as well as relevant psychology theories. I believe we are each unique, even with shared experiences, and therapy should be tailored to the need of an individual.

I approach therapy as a partnership, where we work together toward a goal. That goal can be reducing distress related to anxiety, depression, and grief or addressing difficult life decisions or general coping. I am ready to ready to be a part of your journey and look forward to meeting you.

Christina Macnamara, on the BetterHelp listing · read 9 Oct 2026

03 · How Christina works

The 5 approaches Christina lists, in plain English

These are the clinical methods Christina lists. The descriptions are Maker Therapy's, not Christina'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 Christina runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

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.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

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.

04 · What happens next

From this page to a first session

Christina 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 Christina'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 Christina at this point.

2. Naming Christina specifically

   BetterHelp matches algorithmically by default, so asking for Christina 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 Christina.

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 Christina

Built from what Christina actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Christina's - Christina 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 29 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

LCSW

Licensed in

Florida

Licence

FL LCSW SW13068

Licence number

SW13068

Licence expires

31 Mar 2027

NPI

1750422036

Years in practice

29

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Christina'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 Christina. 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.