- Cognitive Behavioral Therapy
- Guilt and shame work
- LGBTQ+ ally
About Troy
Troy Clayton is a Nebraska licensed mental health practitioner (LMHP) with 10 years of professional experience. He works with stress, anxiety, relationship and intimacy-related concerns, and other issues such as grief, depression, and family difficulties. Troy also lists guilt and shame among his focus areas and offers support around self-esteem and coping with life changes.
He uses Cognitive Behavioral Therapy (CBT) to help people look at unhelpful thoughts and try different behaviors. Sessions tend to be practical and focused on skills you can use between meetings. Conversations cover what led to the current problem and what changes matter to the client now.
Troy notes experience with communication problems, family of origin issues, and forgiveness work. He has completed Safe Zone training and identifies as an LGBTQ+ ally, which informs how he talks about sexuality and identity in sessions. He frames clients as the experts on their own story and aims to build on existing strengths.
In practice he listens for where guilt or shame show up and then helps people name those patterns. He works on clearer thinking, manageable actions, and rebuilding self-regard through small, steady steps. Sessions are straightforward and grounded in everyday concerns like relationships, work stress, and social anxiety.
People considering therapy are invited to describe the issue they want to focus on and the goals they hope to reach. Troy prefers a collaborative approach that sets practical goals and checks progress over time.
How Troy uses CBT online and what to expect
CBT focuses on spotting the thoughts and behaviors that keep problems going. In simple terms it helps you notice automatic negative thoughts, test whether they are true, and try small behavior changes to see if things shift. This approach is often used for anxiety, depression, social phobia, and patterns tied to guilt and shame.Sessions can also include practical communication work around relationships and intimacy. That work tends to include role-play, clearer language choices, and setting small experiments to try between meetings. These techniques aim to make everyday interactions less loaded and more manageable.
Choosing the right approach is a collaborative process. The therapist will talk with you about your goals, try different techniques, and adjust what you do together based on what helps. You and the therapist decide which methods fit your needs and preferences as you go.
The exact session formats for this therapist are not specified here, so confirm current options before booking. Online work can make it easier to fit sessions into a busy life by reducing travel, allowing shorter check-ins, or making scheduling more flexible. Many people find those practical benefits helpful when juggling work, family, or other commitments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Nebraska
Languages
English
Frequently asked questions
What kinds of problems does he help with?
He works with stress, anxiety, relationship and intimacy issues, trauma and abuse, grief, depression, self-esteem, and coping with life changes.
How does he approach feelings of guilt and shame?
He uses practical steps from Cognitive Behavioral Therapy to identify unhelpful thoughts and test different responses, while also addressing patterns that keep guilt or shame active.
How much clinical experience does he have?
He has 10 years of professional work experience supporting people with a range of emotional and relational concerns.
What credential does he hold and where is he based?
He is an LMHP licensed in Nebraska and conducts work based in that state.
In which language are sessions offered?
Sessions are offered in English.
Can people from other countries work with him?
He does not accept international clients at this time.
How are sessions billed and what does it cost?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Use the See online therapy options button, complete the 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.