01 · Who Kelli works with

Kelli works with addictions, trauma and abuse and self esteem

Kelli lists 13 specialisms and 35 further focus areas. Specialisms are the subjects Kelli chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Kelli's own words

What Kelli says about the work

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

Hello and welcome! My name is Kelli Means and my pronouns are she/her/hers. I am a licensed independent mental health practitioner (LIMHP) and licensed alcohol and drug counselor (LADC) in the state of Nebraska and a licensed professional counselor (LPC) in the state of South Dakota. In 2019 I earned certification as a Certified Clinical Trauma Therapist and have maintained this certification with ongoing education in the trauma field. I earned my Bachelor of Science in Psychology from Nebraska Wesleyan University in 2011 and my Masters of Science from Wayne State College in Community Mental Health Counseling in 2015. I have worked in the mental health field for 10 years and the past 6 years have been as a mental health and addictions therapist at non-profit agencies that work with state funding and/or sliding fee scales.

I have worked in a variety of settings, including an inpatient psychiatric unit while attending my master’s program, outpatient therapy, school-based therapy, and residential drug and alcohol treatment. I have found that my heart is truly in working with patients who have limited resources to meet their needs. While I have experience with children and adolescents, most of my experience has been working with adults. As a provider, I have worked with patients with a range of diagnoses and stressors, including (but not limited to): depression, anxiety, panic/panic attacks, schizophrenia (including first psychotic episodes), bipolar disorder, personality disorders, PTSD and trauma, LGBT+, grief/loss, relationships, sex trafficking, self-esteem, domestic violence, alcohol and other drug addictions, and dissociations.

My counseling style is welcoming and conversational. I am known for being upfront and honest always and blunt when needed, though I tailor my approach to meet each individual’s needs. My therapeutic approach combines Person-Centered, Reality Therapy, Solution-Focused therapist, Motivational Interviewing, Cognitive-Behavioral, Dialectical Behavioral, and Somatic therapy depending on what you want or need.

My job will never be to fix you or change you. I believe all my clients are people first and more than the sum of their symptoms or their diagnosis. My most significant job as a therapist is to understand who you are and build trust with you; if you don’t trust your therapist, you aren’t likely to tell them much, and if you don’t tell them much, you won’t get much work done. My hope is to teach you to cope on your own and learn to be assertive with what you want or need in life. You are in control of your life and ability to make changes, I am merely a guide to help you when you are lost or uncertain.

I look forward to meeting you and starting this journey with you!

Kelli Means, on the BetterHelp listing · read 8 Nov 2026

03 · How Kelli works

The 5 approaches Kelli lists, in plain English

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

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.

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.

Also listed

• Somatic Therapy

04 · What happens next

From this page to a first session

Kelli 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 Kelli'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 Kelli at this point.

2. Naming Kelli specifically

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

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 Kelli

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

• “You list both Solution-Focused Brief 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.

• “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

LIMHP

Licensed in

Nebraska

Licence

NE LIMHP 1990, LA LPC 10086

Licence number

1990

Licence expires

1 Sep 2028

NPI

1386020162

Years in practice

9

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Kelli'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 Kelli. 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.