01 · Who Rose works with

Rose works with stress, Anxiety, trauma and abuse and parenting issues

Rose lists 17 specialisms and 51 further focus areas. Specialisms are the subjects Rose chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Rose's own words

What Rose says about the work

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

When you join me in a therapeutic relationship you will find an open-minded, curious, and accepting clinician. I am a counselor who seeks to empower you, as you address the series of adjustments that is life. I am a licensed mental health counselor in the state of Florida with over 8 years of experience working as a therapist. I also have over 15 years of experience as a life and career coach. I have worked with clients with a wide range of challenges including depression, anxiety, relationship issues, parenting problems, career challenges, life transitions, OCD and ADHD. I also work to help my clients learn how to live with and thrive despite experiences of trauma, emotional or physical abuse, or diagnoses of complex/serious mental health illnesses. My therapy style is warm and interactive, I believe in treating each person with respect, sensitivity, and compassion. I don't believe in stigmatizing labels; my goal is always to share space with you as we both work together to achieve a sense of well-being. My approach combines an eclectic style that combines elements of cognitive-behavioral therapy, DBT, Parts Therapy, Emotionally Focused Therapy, Motivational Interviewing, Gestalt, Psychodynamic, mindfulness, REBT therapy, Somatic/Body Based, EMDR, and Brainspotting. Please allow me to share space with you as you begin this very brave journey of casting aside your pain and discomfort to seek a life of intentionality. I am here to support and empower you as you embark on your journey. I will tailor our dialogue and treatment plan to meet your unique and specific needs. Welcome, I look forward to working with you!

Rose Topal, on the BetterHelp listing · read 10 Oct 2026

03 · How Rose works

The 12 approaches Rose lists, in plain English

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

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”.

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.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

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.

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.

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.

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.

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

Rose 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 Rose'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 Rose at this point.

2. Naming Rose specifically

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

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 Rose

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

• “You list both Cognitive Behavioural Therapy 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.

• “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

LMHC

Licensed in

Florida

Licence

FL LMHC MH18944

Licence number

MH18944

Licence expires

31 Mar 2027

NPI

1629491022

Years in practice

8

Gender

Female

Languages

English

International clients

Accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Rose'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 10 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 Rose. 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.