Roxsanna Stenuis , LMSW

Roxsanna Stenuis is a Michigan-based licensed social worker with 20 years of clinical experience who supports people navigating complex emotional and life challenges. As an LMSW (Licensed Master Social Worker), she works with individuals facing depression, anxiety, trauma and abuse, grief, and addictions, and brings particular experience addressing issues common to older adults such as life purpose, social anxiety, and workplace stress.

Her practice emphasizes a compassionate, individualized approach that helps people explore difficult emotions, strengthen coping skills, and build greater self-understanding. She draws from multiple evidence-based methods to tailor care to each person, whether the focus is mood disorders, relationship struggles, chronic pain and illness, or personal growth obstacles.

Roxsanna also attends to a wide range of related concerns including stress, sleep and eating difficulties, anger, self-esteem, ADHD, and caregiver fatigue. She supports clients through transitions and loss, and offers focused help for issues such as attachment and abandonment, communication problems, substance use, and domestic violence.

Committed to walking alongside clients with empathy and clinical expertise, Roxsanna aims to help people increase resilience, improve communication, and make meaningful, sustainable changes that support a more balanced and fulfilling life.

Therapeutic Approaches and Online Care

Roxsanna integrates several evidence-based approaches into online work to meet each person where they are. Acceptance and Commitment Therapy (ACT) helps clients clarify their values and develop willingness to experience difficult thoughts and feelings while taking actions that matter, which can be useful for anxiety, depression, and chronic stress. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought and behavior patterns to reduce symptoms and improve coping for conditions like mood disorders and anxiety. Client-Centered Therapy emphasizes empathy, active listening, and a collaborative relationship to foster self-exploration and personal growth, making it well suited for work on self-esteem, relationship issues, and life transitions.

Choosing the right approach is part of the therapeutic process. Roxsanna works collaboratively with each person to assess needs, goals, and preferences and to adjust methods over time so the care fits the individual rather than forcing a single model.

Online therapy with Roxsanna is offered via video calls, phone sessions, live chat, and text-based messaging to provide flexible access to licensed professionals. These options allow therapy to fit into varied schedules and life circumstances, making it easier to maintain consistent care and work steadily toward meaningful change.