- Guilt and shame work
- Grief and loss
- Anxiety and panic
About Kirsten
Kirsten Guiliano is a Licensed Mental Health Counselor (LMHC) in Florida and a Licensed Clinical Professional Counselor (LCPC) in Illinois with 10 years of professional experience. She works with adults facing stress, anxiety, relationship difficulties, grief, low self-esteem, and depression. Her practice also addresses issues such as attachment concerns, communication problems, divorce and separation, forgiveness, guilt and shame, impulsivity, isolation, life purpose, narcissism-related patterns, panic attacks, self-love, and young adult issues.
Kirsten keeps conversations direct and practical. She helps people talk through what led to their feelings and what small steps might change day-to-day life. Sessions focus on clear goals, noticing patterns, and practicing different ways of responding outside of sessions. She adapts the pace to what a person needs in the moment.
Her background spans clinical settings where she supported people navigating loss, relationship change, and intense worry. That experience informs how she balances short-term problem solving with looking at longer-standing patterns. She encourages experimenting with new behaviors between sessions to see what helps in real life.
People working with guilt or shame can expect talk that’s straightforward and focused on understanding how those feelings affect choices and relationships. Kirsten guides people in naming painful thoughts, testing them, and building more usable coping strategies. The work aims to make difficult feelings more manageable rather than to promise quick fixes.
To begin, prospective clients complete a short matching questionnaire and schedule a first session. Sessions use a subscription model that can be canceled at any time, and costs vary by location.
Therapeutic approaches and online sessions
Evidence-based techniques often focus on changing patterns in thinking and behavior. One common approach works on identifying and testing unhelpful thoughts that fuel guilt and shame, then practicing new responses to those thoughts in real situations. This helps people see which beliefs hold them back and try small changes to daily behavior.Another approach concentrates on skills for managing strong emotions and panic symptoms. It teaches practical tools for calming the body, slowing racing thoughts, and stepping through difficult moments without acting on impulse. This approach is useful for anxiety, panic attacks, and impulsivity tied to shame or fear.
Choosing the right approach is a collaborative process. The therapist will help figure out which methods fit a person's goals, life demands, and comfort level, and will adjust the plan over time based on what helps most.
Confirm the specific session formats before booking, since the original profile does not list them. Online sessions can make it easier to fit counseling into a busy week, allow shorter check-ins when needed, and remove travel time. They can also make it simpler to keep regular appointments while juggling work, caregiving, or other commitments.
Areas of expertise
Primary focus
Additional focus areas
Experience
10+ years
Listed in
Florida, Illinois
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, relationship issues, grief, self-esteem, and depression, plus related areas like attachment, communication problems, and guilt and shame.
How would she approach feelings of shame or guilt?
She focuses on naming the thoughts and behaviors that keep those feelings active, testing unhelpful beliefs, and practicing different ways to respond in daily life.
What is her professional experience?
She has worked in the field for 10 years supporting people with loss, relationship change, anxiety, and mood concerns.
Which credentials and location are listed?
She holds LMHC and LCPC credentials and is licensed in Florida with ties to Illinois; her practice is based in Florida.
Can I have sessions in languages other than English?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted.
How are sessions paid for and what do they cost?
Sessions use a subscription that can be canceled at any time; specific costs vary with location.
How do I start working with her?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and then 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.