- ACT and CBT
- Emotion-focused work
- Guilt and shame focus
About Adam
Adam MacKenzie is an ID Psychologist (ID Psychologist 1171360) and ND Psychologist (ND Psychologist 642) licensed in North Dakota with six years of psychotherapy training experience and one year of licensed practice. He works with stress, anxiety, grief, self-esteem, and coping with life changes. He also notes additional focus on attachment, commitment and control issues, forgiveness, guilt and shame, loneliness, life purpose, men’s issues, veteran and armed forces concerns, personality disorders, self-love, and social anxiety.
Adam uses clear, practical conversation to help people talk through what feels heavy. Sessions tend to focus on noticing patterns in thoughts and behavior, trying small changes, and testing what helps in day-to-day life. He aims to build a straightforward working relationship so clients can name what they are struggling with and pick a next step.
His approach blends evidence-informed methods such as Acceptance and Commitment Therapy and Cognitive Behavioral Therapy with emotion-focused work and existential questions about values and meaning. Motivational Interviewing is used when someone wants help finding the drive to change. Internal systems ideas are sometimes brought in to map different parts of a person’s experience.
Adam describes grief and loss, as well as guilt and shame, as common threads he sees alongside anxiety and life transitions. He encourages focused work on those feelings rather than bypassing them. Practical skills and short experiments are used alongside conversations about values and priorities.
Sessions are carried out in English and Adam accepts international clients. Cost varies by location and sessions use a subscription that can be canceled at any time. To begin, a short matching questionnaire is completed and a first session is scheduled.
How Adam uses evidence-based approaches online
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values while learning to tolerate difficult thoughts and feelings. It is often used for anxiety, guilt, or when life changes make choices feel unclear.Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to change emotional responses. It is practical and problem-focused, and can be useful for anxiety, low self-esteem, and social fears.
Emotionally-Focused Therapy (EFT) looks directly at feelings and attachment patterns to help people understand how emotions shape relationships and self-view. This can be relevant when guilt, shame, or attachment issues keep repeating.
Finding the right approach is part of the work. The therapist will collaborate with each person to pick methods that match their needs, goals, and preferences, and may combine techniques over time. Clients and the therapist reassess what helps as sessions progress.
Confirm the current session options before booking to know which formats are offered. Practical benefits of online work include fitting sessions into a busy week and avoiding travel time, choosing a quieter setting for focused conversation, or picking a shorter check-in when time is limited. These practical choices can make it easier to keep therapy as part of everyday life.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
North Dakota, Idaho
Languages
English
Frequently asked questions
What kinds of concerns does he help with?
He works with stress, anxiety, grief, self-esteem, and coping with life changes, and lists additional focuses such as attachment, commitment issues, forgiveness, and guilt and shame.
How would he approach feelings of guilt or shame?
He uses practical conversation and emotion-focused work alongside ACT and CBT techniques to name those feelings, understand how they show up, and try out small changes that reduce their hold.
What is his clinical background and experience?
He has six years of psychotherapy training experience and one year of licensed practice in addition to the credentials listed in his profile.
What credentials and location are listed?
He is listed as ID Psychologist 1171360 and ND Psychologist 642 and practices in North Dakota.
Can people who speak other languages work with him?
Sessions are offered in English.
Does he accept clients outside his country?
He accepts international clients.
How are sessions priced?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.