01 · Who Marihelena works with

Marihelena works with stress, Anxiety, relationship issues and intimacy-related issues

Marihelena lists 8 specialisms and 10 further focus areas. Specialisms are the subjects Marihelena chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Marihelena's own words

What Marihelena says about the work

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

My name is Marihelena and I am a Licensed Mental Health Counselor, who specializes in treating anxiety, depression and I offer relationship counseling as well. I have had the pleasure of working with different populations across various settings while providing therapeutic services at the highest standards. My number one priority is you, and to provide you with a safe and comfortable online environment to work on any goals that you may have.

I sincerely love what I do, and I will do my very best to provide you with all the support that you may need. I use a variety of approaches tailored to your specific needs. Mostly, I work with Acceptance and Commitment Therapy, which utilizes acceptance and mindfulness strategies mixed in different ways with commitment and behavior-change strategies, to increase psychological flexibility. Additionally, I use Cognitive Behavioral Interventions and Gestalt therapy.

Marihelena Noguera, on the BetterHelp listing · read 9 Oct 2026

03 · How Marihelena works

The 4 approaches Marihelena lists, in plain English

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

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

Marihelena 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 Marihelena'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 Marihelena at this point.

2. Naming Marihelena specifically

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

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 Marihelena

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

• “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.

• “You offer sessions in English and Spanish. Does the work change depending on which we use?”

  People often reach different material in a first language than in a second. Worth naming before you choose.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Florida

Licence

FL LMHC MH20595, WA LMHC LH61334835

Licence number

MH20595

Licence expires

31 Mar 2027

NPI

1215524467

Years in practice

4

Gender

Female

Languages

English, Spanish

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Marihelena'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 Marihelena. 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.