Noreen Loftus-Spilman , LISW

Noreen Loftus-Spilman is a Licensed Independent Social Worker (LISW) based in Ohio with 13 years of professional experience. She has supported people through stress and anxiety, coping with addictions, trauma and abuse, and grief and loss, drawing on a range of clinical skills to address varied needs.

She approaches each person with respect, sensitivity, and compassion, and she adapts conversation and treatment plans to the specific concerns and goals of the individual. Noreen emphasizes a collaborative process that honors each person's pace and priorities. She recognizes that beginning therapy takes courage and affirms the decision to get started as an important step toward change.

Approaches that translate well to online therapy

Noreen uses client-centered therapy to create a supportive environment that centers the client's perspective and strengths. This approach helps people who are working through stress, relationship concerns, grief, and life transitions by prioritizing empathy and collaboration.

She also incorporates mindfulness therapy to help clients build present-moment awareness and manage intense emotions. Mindfulness techniques can be useful for anxiety, depression, and coping with trauma-related symptoms by teaching practical tools for grounding and self-regulation.

Motivational interviewing is another approach she uses to explore readiness for change and support movement toward personal goals, especially when addressing addictions or ambivalence about behavior change. The therapist works with clients to elicit their own motivations and plan realistic steps forward.

Finding the right combination of approaches is part of the therapeutic process, and Noreen collaborates with each person to determine what fits best based on their needs, goals, and preferences. She adapts methods over time as goals evolve.

Online therapy offers flexibility in scheduling and access, with options for video calls, phone sessions, live chat, and text-based messaging. These formats make it easier to connect from different settings and to continue work between sessions, supporting continuity of care and responsiveness to practical life demands.