01 · Who Helene works with

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

Helene lists 13 specialisms and 37 further focus areas. Specialisms are the subjects Helene chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Helene's own words

What Helene says about the work

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

Hello, I am licensed in Colorado with over 20 years of professional work experience. I started out specializing in family and children. During my years of practice, my work has expanded. I have worked with young adults, adults and older adults as well. As I spent much of my career practicing in a diverse and populous state, I've worked with people of diverse ethnicities, faiths, nationalities and socio-economic status, gender and sexual orientation. Anxiety, depression, relationship issues, trauma and loss are among the issues that I have supported clients to address. I believe in the beauty and mystery of the human heart. If you share the process of your journey with me, I will respect the honor and offer compassion and regard. It takes courage to explore you feelings and thoughts, to take the first steps towards a change. I am here to support and empower you in that journey.

Helene Homer-Ishikawa, on the BetterHelp listing · read 8 Nov 2026

03 · How Helene works

The 1 approach Helene lists, in plain English

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

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

04 · What happens next

From this page to a first session

Helene 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 Helene'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 Helene at this point.

2. Naming Helene specifically

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

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

3 questions worth asking Helene

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

• “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 23 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

Colorado

Licence

CO LCSW CSW.09924236

Licence number

CSW.09924236

Licence expires

31 Aug 2027

NPI

1720510530

Years in practice

23

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Helene'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 8 Nov 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 Helene. 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.