01 · Who Dr. works with

Dr. works with stress, Anxiety, self esteem and career difficulties

Dr. lists 15 specialisms and 30 further focus areas. Specialisms are the subjects Dr. chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Dr.'s own words

What Dr. says about the work

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

I am an open-minded individual with a belief that everyone deals with things differently and that is what makes us – us. As a Licensed Mental Health Counselor, Certified Rehabilitation Counselor and Certified Disability Management Specialist, with more than 25 years’ experience working with chronic pain, depression, anxiety, and vocational issues. I utilize Choice Theory, education, and a mix of mindfulness, and other evidence-based practices to help people manage their pain, stress, anxiety, and depression. I work closely with clients to help them identify and fulfill their needs. I am trained in EMDR (Eye-Movement Desensitization and Reprocessing) which is a top-tier trauma intervention. We will work as a team to identify coping strategies that work for you. I will be thrilled to be there with you through this process of learning to become more adaptive, healthier, and happier.

Licensed in Washington and currently live in Kentucky. I am experienced in working with individuals ranging in age from 16 – 85 years old. I have worked with clients struggling with chronic pain, medical conditions, depression, anxiety, bipolar disorder, relationship difficulties, abuse and trauma (sexual, verbal, physical, and emotional), PTSD, teen issues, school/work stress.

My "Office Hours" are Monday, Tuesday, and Wednesday, from 8 am to 4 pm. This means I respond to messages on these days and between these hours. I am also available for live video, phone, and chat sessions though hours vary depending on the day.

Dr. Nanesha Courtney, on the BetterHelp listing · read 7 Oct 2026

03 · How Dr. works

The 6 approaches Dr. lists, in plain English

These are the clinical methods Dr. lists. The descriptions are Maker Therapy's, not Dr.'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 Dr. 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.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

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.

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.

Also listed

• Somatic Therapy

04 · What happens next

From this page to a first session

Dr. 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 Dr.'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 Dr. at this point.

2. Naming Dr. specifically

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

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 Dr.

Built from what Dr. actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Dr.'s - Dr. 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 25 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

Washington

Licence

WA LMHC LH61009346

Licence number

LH61009346

Licence expires

16 Jun 2027

NPI

1407482458

Years in practice

25

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Dr.'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 7 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 Dr.. 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.