- Guilt and shame
- Communication skills
- Self-esteem work
About Heather
Heather Gesino is a Licensed Clinical Social Worker (LCSW) practicing in Texas with four years of clinical experience. She works with adults dealing with stress, anxiety, depression, relationship issues, family concerns, and struggles with self-esteem. Heather also focuses on communication problems, forgiveness, guilt and shame, and building self-love.
Heather helps people get clearer about what they are feeling and why it keeps showing up. She uses straightforward, evidence-based techniques to break down problems into manageable steps. Sessions tend to center on practical skills for managing strong emotions and improving how people relate to others.
Her approach emphasizes developing self-understanding and emotional resilience. That can mean learning new ways to talk about hard things, testing different responses in everyday situations, and practicing kinder internal messages. Heather encourages small changes that add up over time and help reduce the weight of guilt and shame.
She pays attention to how family roles and past expectations shape current feelings. Work may include improving communication patterns and sorting through where blame or regret lives now. Forgiveness and self-love are described as skills to practice rather than single events.
Heather frames therapy as a collaborative process focused on concrete steps. She supports clients in identifying priorities, practicing new skills between sessions, and noticing gradual shifts in mood and relationships. Her practice is based in Texas and sessions are conducted in English.
How evidence-based techniques translate to online sessions
Heather draws from evidence-based therapeutic techniques to guide work on emotion regulation and relationships. One common approach focuses on identifying and testing unhelpful thoughts, helping people notice patterns that keep guilt and shame active and try out alternative ways of thinking. Another approach teaches practical skills for handling intense feelings and improving communication, such as short behavioral experiments and structured conversation practice.Choosing the right approach is part of the work. Heather collaborates with each person to match techniques to their needs, goals, and what feels manageable. That means trying methods, checking how they land, and adjusting plans together rather than following a fixed script.
The original biography does not list specific session formats, so confirm the available online options before booking. Online sessions can make it easier to fit therapy into a busy week, allow for shorter check-ins when needed, and reduce travel time. They can also let people practice communication skills in real-life contexts between meetings. Licensed professionals aim to help clients integrate small changes into ordinary days, with the practical goal of making new habits easier to sustain.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
Heather works with stress, anxiety, depression, relationship issues, family concerns, and self-esteem challenges. She also focuses on communication problems, forgiveness, guilt and shame, and self-love.
How would she approach guilt or shame in sessions?
She uses evidence-based techniques to help clients understand where guilt and shame come from and practice different responses. Sessions often include skill-building and real-life practice to reduce their impact.
What is her clinical experience?
She has four years of professional experience working as a clinician in Texas. That experience includes supporting people with mood and relationship concerns.
What credentials and location does she have?
She is a Licensed Clinical Social Worker (LCSW) licensed in Texas and conducts practice from that state.
Does she work in other languages or with international clients?
Sessions are offered in English. She is not currently accepting international clients.
What session formats are offered?
The original biography does not list specific session formats. Please confirm current session options before booking.
How are sessions paid for and what does cost look like?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on your location within Texas.
How do I begin if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to get started.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.