01 · Who Janet works with

Janet works with stress, Anxiety, relationship issues and grief

Janet lists 12 specialisms and 34 further focus areas. Specialisms are the subjects Janet chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Janet's own words

What Janet says about the work

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

I was a nurse first. As I worked in various settings with the goal of helping people recover from illness I realized that those who were motivated by a support team who knew them and helped them do the work of healing were the survivors. I decided I wanted to go on to learn more about how to help the whole person. My graduate degree followed by a three year training in Gestalt therapy gave me the tools to provide this deeper level of emotional first aid. As a fellow traveler along the road of life I know we all have challenges but I also have gained the wisdom to see that we have choices. I guide people to become aware of their life themes with the goal of strengthening their sense of self. Getting a handle on one’s self is very centering and stabilizing. It doesn’t eliminate anxiety or hard times, but it usually changes the perception of catastrophe and the feeling of panic into more manageable perceptions of disappointment and feelings of pain or sadness. I challenge you to risk living fully, to learn and grow from the challenges that life presents. Only then can you experience real joy. I am honored to be witness to your process.

Janet Lengsfelder, on the BetterHelp listing · read 9 Oct 2026

03 · How Janet works

The 6 approaches Janet lists, in plain English

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

Attachment-Based Therapy

Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.

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”.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

The Gottman Method

A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.

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.

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

Janet 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 Janet'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 Janet at this point.

2. Naming Janet specifically

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

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 Janet

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

• “You list both The Gottman Method and Attachment-Based 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

LMFT

Licensed in

California

Licence

CA LMFT 36041

Licence number

36041

Licence expires

28 Feb 2027

NPI

1407470446

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

Janet'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 Janet. 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.