- Guilt and shame work
- Trauma and PTSD
- Stress and coping
About Elizabeth
Elizabeth Kostura is a Licensed Professional Counselor (LPC) in Pennsylvania with 22 years of clinical experience. She works with adults facing stress, anxiety, depression, trauma, addiction, and the emotional fallout from major life changes. Elizabeth also helps people carrying guilt and shame related to family, faith, relationships, or past actions.
She focuses on practical, evidence-based approaches. In sessions she listens to what matters most, helps people name the problem, and tries out ways to reduce overwhelming feelings so daily life becomes easier to manage. Conversations include coping strategies, thinking through choices, and building routines that make distress less consuming.
Her background includes long-term work with first responders and people recovering from sexual assault, as well as those dealing with PTSD, panic, and grief. She also sees people struggling with eating and body image issues, addiction and relapse, and financial or relationship stress. Older adults and those facing aging or geriatric challenges are also within her practice areas.
Elizabeth describes her work as collaborative. She helps clients weigh options and sets small, realistic steps toward change. Sessions attend to how past family dynamics, gender identity questions, or major life events feed current feelings of guilt or shame.
She offers services in English and accepts international clients. Costs vary by location and sessions use a subscription that can be canceled at any time. To begin, people complete a short matching questionnaire and schedule a first session.
Approaches you might use in online sessions
Elizabeth draws on evidence-based therapeutic techniques that focus on changing unhelpful thinking and building practical skills. Cognitive-focused work helps identify patterns of thought that keep guilt or shame active and teaches ways to test and reframe those thoughts. Behavioral techniques emphasize small, doable actions that reduce avoidance, rebuild routines, and show whether feared outcomes actually occur.She also uses trauma-informed practices when past events continue to cause intense reactions. These methods help people track triggers, learn grounding and regulation skills, and gradually face difficult memories or situations at a pace that feels manageable. Each approach aims to make day-to-day distress smaller and more manageable rather than promising quick fixes.
Finding the right mix of approaches is part of the work together. The therapist will collaborate with each person to set goals, try methods that match their needs, and adjust based on what helps. That process is practical and iterative rather than one-size-fits-all.
The original profile does not specify which online formats are offered. Please confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, allow shorter check-ins when needed, and offer alternatives if in-person visits are difficult. Therapists licensed in your area can explain which session types they support and how they recommend structuring appointments.
Areas of expertise
Additional focus areas
Experience
22+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, depression, trauma and abuse, addictions, and coping with life changes. Additional focuses include body image, family of origin issues, gender dysphoria, and guilt and shame.
How would she approach feelings of persistent guilt or shame?
She uses evidence-based techniques to help people name and reduce overwhelming feelings, develop coping strategies, and test small changes in daily life. Work often includes examining family history and current patterns that maintain guilt or shame.
How much clinical experience does she have?
Elizabeth has 22 years of experience working with adults across a range of concerns, including PTSD, panic, grief, and substance-related problems.
What are her credentials and where is she based?
She is a Licensed Professional Counselor (LPC) in Pennsylvania and practices with a focus on adult mental health concerns.
Does she work in languages other than English or with international clients?
Sessions are offered in English, and she does accept international clients.
What session formats does she offer?
The original profile does not list specific session formats. Please confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I start working with her?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.