01 · Who Roxy works with

Roxy works with relationship issues, family conflicts and trauma and abuse

Roxy lists 13 specialisms and 22 further focus areas. Specialisms are the subjects Roxy chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Roxy's own words

What Roxy says about the work

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

I am licensed as a Professional Counselor and a School Psychologist in Wyoming with 30 years of professional work experience. I moved to Wyoming from where I was raised in the Midwest after completing undergraduate school, and and stayed after completing my graduate program from Central Missouri University. I specialize in working with victims of trauma and abuse. I have focused particularly on the issues of women who have suffered traumatic experiences and have problems coping with life's demands as a result. Those problems range from negative body image to failed interpersonal relationships, and everything else in between. For ten years I co-facilitated a male sex offender group, so my experience has included helping those men find out why they offended and work toward not repeating those behaviors. During that time, I had many clients that were sexual addicts, and worked with them on how to interrupt their cycles of acting out. I also have extensive experience in helping clients with relationship issues and family conflicts, including working with couples on bettering their relationships. Additionally, I have worked with many parents that have problems with getting along with their children, as well as coping with the grief that accompanies the loss of a child. As a School Psychologist, I have extensive training and experience in working with individuals with disabilities, specifically mental and learning disabilities, as well as children with emotional disabilities. Everyone deserves respect and compassion, and I bring that belief with me to my work. I will work with you on developing a treatment plan to meet your specific needs, then help you take action to meet your personalized goals. By taking this first step of exploring ways to learn to help yourself tells me that you are ready to do the work to make yourself happier and more fulfilled. I am here to support you in that process.

Roxy Hart, on the BetterHelp listing · read 7 Oct 2026

03 · How Roxy works

The 4 approaches Roxy lists, in plain English

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

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.

04 · What happens next

From this page to a first session

Roxy 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 Roxy'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 Roxy at this point.

2. Naming Roxy specifically

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

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 Roxy

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

LPC

Licensed in

Wyoming

Licence

WY LPC LPC-552

Licence number

LPC-552

Licence expires

6 Apr 2027

NPI

1538493598

Years in practice

30

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Roxy'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 Roxy. 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.

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