01 · Who Pam works with

Pam works with trauma and abuse, grief and parenting issues

Pam lists 13 specialisms. Specialisms are the subjects Pam chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Pam's own words

What Pam says about the work

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

Hello and Welcome! Seeking counseling and opening up to a total stranger takes courage and can be scary. Give yourself a pat on the back for coming here. My approach is client-centered, which means it’s all about you. I do not have a pre-conceived agenda or formula. I will listen to your concerns and ask you what your goals are, and we’ll start there. If you aren’t even sure about your goals, that’s ok too, we’ll work together to sort things out. My approach is warm, caring and genuine. I will not give pat answers or advice. You probably have already heard them all. Instead, I will work with you to look at what needs to change and provide support as you work on those changes. We will work together as you work on the issues that brought you here. I have experience with many areas of concern, such as depression, stress, family issues, coping with health issues, abuse and trauma, grief and loss. I have a vast background in child mental health and working/consulting with parents who seek help with parenting. I am also a Registered Nurse (although this is not a medical site). I mention I’m a nurse as the two careers have given me amazing opportunities to work with people in a wide variety of settings. The best part of my Nursing career was Hospice nursing, where I learned to be a great listener as I walked with families through some of their most difficult moments. I have a Masters in Social Work (MSW) from Wayne State University in Detroit Michigan, and I currently live in Michigan. You can message me anytime of the day/night through the BetterHelp site. I check messages 3-4 times a day Monday through Friday and will get back to you as soon as possible. Having said that, please let me know if my schedule does not fit your needs and I will try to work out a time that works for the both of us.

Pam Grzech, on the BetterHelp listing · read 7 Oct 2026

03 · How Pam works

The 5 approaches Pam lists, in plain English

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

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.

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.

04 · What happens next

From this page to a first session

Pam 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 Pam'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 Pam at this point.

2. Naming Pam specifically

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

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 Pam

Built from what Pam actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Pam's - Pam 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 30 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

LMSW

Licensed in

Michigan

Licence

MI LMSW 6801059704

Licence number

6801059704

Licence expires

29 Dec 2028

NPI

1144840752

Years in practice

30

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Pam'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 Pam. 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.