Scott Underwood , LCSW

Scott Underwood is an experienced Licensed Clinical Social Worker (LCSW). He identifies as an older, more conservative therapist and brings a long history of clinical work to his practice. He began his career in 1984 as a Behavioral Science Specialist in the Army and has since worked across community mental health programs, psychiatric hospitals, private practice, and most recently with active duty Air Force personnel at Nellis and Creech Air Force bases.

With 23 years in the field, Scott is well trained in treating trauma, depression, and anxiety. He also offers practical help with problem solving, anger management, relationship and family issues, grief, parenting, career concerns, and a range of mood and stress-related challenges. He has experience treating people with very serious conditions as well as highly functional individuals who have encountered a difficult stretch.

Scott believes counseling does not have to be heavy or intimidating. When appropriate, he welcomes moments of humor to ease tension and create space for progress. He values clarity about goals and encourages new clients to have an idea of what they want from therapy so expectations are more likely to be met.

Teletherapy, phone, and chat are familiar modalities for him, and he adapts his approach to match each person’s needs. He is open to short-term focused work, longer-term growth, or simply sampling therapy to see how it fits. If a client’s goals change, he remains flexible and willing to adjust the plan.

Approaches That Inform Online Care

Scott Underwood integrates evidence-based methods into virtual work to address symptoms and build coping skills. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and replacing them with more effective strategies - it is often used for anxiety, depression, and stress-related concerns. Eye Movement Desensitization and Reprocessing (EMDR) helps people process distressing memories and reduce their emotional intensity - it is commonly applied to trauma and post-traumatic stress. Trauma-Focused Therapy centers on understanding trauma’s impact and developing skills to manage triggers and rebuild functioning.

Finding the right approach is part of the therapeutic process. Scott works collaboratively with each person to determine which methods best fit their needs, goals, and preferences, and he adjusts the plan as progress is made. Clients can expect an open conversation about treatment choices and what to expect from sessions.

Online therapy offers practical flexibility - sessions can occur by video call, phone, live chat, or text-based messaging to suit different schedules and comfort levels. These options make it easier to access consistent care whether someone is local, serving in the military, traveling, or living abroad, while allowing therapy to fit into everyday life.