Becky Presthus , LMHP

Becky Presthus is a Nebraska-based Licensed Mental Health Practitioner (LMHP) with 25 years of experience supporting people through difficult emotional and life transitions. She combines a compassionate, collaborative style with practical strategies to address depression, anxiety, stress, trauma and abuse, anger, and self-esteem concerns. Her work emphasizes helping individuals gain clearer self-understanding, strengthen coping skills, and move toward more stable emotional functioning.

Becky draws on clinical approaches such as Cognitive Behavioral Therapy and Solution-Focused Therapy to tailor treatment to each person’s priorities. She works with a wide range of issues including relationship and attachment concerns, caregiver stress, body image, and the emotional impacts of divorce, adoption, or separation. Her practice also addresses complex presentations like dissociation, abandonment-related concerns, and disruptive mood patterns when appropriate.

In sessions Becky takes a respectful, nonjudgmental stance and partners with clients to set realistic goals and track progress. She supports adults navigating midlife shifts, young adult challenges, and those processing past experiences that still affect daily life. Becky aims to create an encouraging environment where people can build resilience, find clearer direction, and develop practical tools for long-term well-being.

Therapeutic Approaches and Online Care

Becky Presthus uses Cognitive Behavioral Therapy and Solution-Focused Therapy as primary tools in her work. Cognitive Behavioral Therapy (CBT) helps people identify and change unhelpful thinking and behavior patterns by teaching practical skills for managing symptoms like anxiety and depression. Solution-Focused Therapy emphasizes concrete goals and small, achievable steps toward change, making it helpful for clients who want targeted strategies to address stress, relationship issues, or day-to-day challenges.

Choosing the right approach is a collaborative process. Becky will work with each person to understand their goals, preferences, and life circumstances, then recommend or adapt techniques that fit their needs. Over time she monitors progress and adjusts the plan so therapy remains relevant and effective.

Online sessions offer flexible ways to work together, including video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit therapy into a busy schedule, support access for those in different parts of Nebraska, and allow therapy to continue during life transitions. Licensed professionals like Becky aim to make care accessible and practical while focusing on measurable steps toward the client’s goals.