Teresa Horldt , LMHC

Teresa Horldt is a Licensed Mental Health Counselor (LMHC) with 17 years of clinical experience working across a range of settings. She began her career supporting survivors of domestic violence, moved into crisis intervention in a busy emergency room, and has extensive experience in both inpatient and outpatient programs for substance use and mental health disorders. Over the past 15 years her work has focused on substance use and addiction as well as mood and personality disorders, trauma, grief, anxiety, depression, and bipolar conditions.

Currently she serves as a Program Manager for a community based mental health program that reaches individuals with schizophrenia, schizoaffective disorder, bipolar disorder, and co-occurring diagnoses. Teresa uses an eclectic, person-centered approach that adapts to each client’s needs. She applies Dialectical Behavior Therapy (DBT) for interpersonal effectiveness, crisis management, emotional regulation, and mindfulness skills. She also uses Motivational Interviewing and recovery-oriented methods such as 12-step, Refuge Recovery, and Celebrate Recovery to support people working on addiction challenges. Cognitive Behavioral Therapy (CBT) and solution-focused strategies inform her work with mood disorders, and mindfulness practices are a core tool for stress reduction and trauma recovery.

Teresa engages clients with respect, dignity, empathy, and unconditional regard, emphasizing acceptance rather than judgment. She views therapy as a collaborative partnership aimed at helping people meet their goals and regain a greater sense of fulfillment and well-being.

Therapeutic Approaches and Online Care

Teresa commonly draws on Dialectical Behavior Therapy, Motivational Interviewing, and mindfulness practices in her work. DBT focuses on teaching practical skills for emotional regulation, interpersonal effectiveness, and handling crises, which can be especially helpful for people with personality disorders and intense emotion-related challenges. Motivational Interviewing is a collaborative, goal-oriented style that helps people explore their motivation for change and build commitment to recovery, making it useful for substance use and behavior change. Mindfulness involves simple attention and awareness techniques that reduce stress and support trauma recovery by helping clients relate differently to difficult thoughts and feelings.

Finding the right therapeutic approach is part of the process, and Teresa works collaboratively with each person to identify the best fit based on their needs, goals, and preferences. She adapts methods over time so therapy stays relevant and practical for the client’s life.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options allow clients and licensed professionals to connect from different locations, schedule sessions around busy lives, and choose the communication style that feels most comfortable, while maintaining a focus on effective therapeutic work.