About Mary
Mary "Elizabeth" Guinea helps people who are feeling overwhelmed by stress, anxiety, trauma, anger, low self-esteem, and big life changes. She is a licensed mental health counselor, holding a Florida Licensed Mental Health Counselor (LMHC) credential and bringing 15 years of experience to her work. Her approach is straightforward and focused on practical steps people can use between sessions.
She aims to create an open space where clients can talk about thoughts and feelings without fear of judgment.
Background and approach
Conversations are direct but compassionate, and sessions focus on identifying what is getting in the way and what can be tried next. She supports people as they set small, reachable goals and build skills to manage strong emotions. Elizabeth also helps with attachment concerns, codependency, communication problems, and struggles around control.
She addresses issues tied to family of origin, divorce and separation, infidelity, guilt, shame, and isolation. She has worked with people affected by disasters and those with veteran and armed forces issues, as well as people navigating non-monogamous relationships. Her style is collaborative - she listens first and then offers tools aligned with each person’s needs.
Sessions are practical and grounded in approaches that have been shown to help with stress, coping, and emotional regulation. Elizabeth supports clients through change and toward clearer next steps. People who choose her can expect a calm, nonjudgmental presence and a focus on actionable strategies that fit everyday life.
Evidence-based approaches for online care
Mary Elizabeth focuses on practical, evidence-based techniques that help people manage strong emotions and rebuild routines. One common approach she uses involves grounding and emotion-regulation strategies that teach simple skills for calming anxiety, reducing anger, and handling flashbacks after trauma. These techniques help people feel steadier in the moment and more able to make clear choices.Another component centers on communication and relationship skills. This includes learning how to express needs, set boundaries, and reduce codependent patterns. Practicing these skills in sessions makes it easier to try them out in everyday interactions and notice what changes.
Choosing the right approach is a shared process. She listens to each person’s history, current goals, and how they prefer to work, then suggests methods to try. Clients and therapist review progress together and adjust methods as needed so work stays relevant and practical.
Online therapy offers flexibility for people with busy schedules or limited travel options. Video calls let therapists and clients maintain face-to-face connection, phone sessions require less bandwidth, live chat provides a shorter check-in option, and text-based messaging supports ongoing reflection between appointments. These formats make it easier to keep therapy consistent and to use skills where they matter most.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also works with
- Attachment issues
- Codependency
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Divorce and separation
- Family of origin issues
- Family problems
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Experience
- 15 years
- Licensed
- Florida
- Languages
- English