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Tracy Grothe

Tracy Grothe, LMHC, LIMHP

Nebraska

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Licensed counselor - relationships and life changes

  • Relationships
  • Grief and loss
  • CBT and mindfulness

About Tracy

Tracy Grothe is a Licensed Mental Health Counselor (LMHC) and a Licensed Independent Mental Health Practitioner (LIMHP) in Nebraska with 25 years of professional experience. She works with adults who struggle with relationship strain, grief and loss, career stress, and the hard changes life brings. Tracy also helps people facing anger, depression, parenting stress, intimacy concerns, and compassion fatigue.

She approaches work from the standpoint that the client knows their story best. That means sessions focus on strengths the person already has, and on practical steps they can try between meetings. Tracy uses straightforward conversation and active listening to help people make sense of what's happening and decide what to try next.

Her methods draw from client-centered work, cognitive behavioral techniques, mindfulness, motivational interviewing, and solution-focused practices. Those tools are used to address things like communication problems, sleep and eating concerns, chronic illness or pain, and feelings of isolation or emptiness. The mix depends on each person's goals and needs.

In session Tracy will help someone notice patterns, test new behaviors, and set small achievable goals. She also supports people dealing with caregiver stress, first responder issues, aging and geriatric questions, and life purpose concerns. Her style aims to be practical and direct, with an emphasis on usable strategies.

People who start here are asked to identify what matters most to them and what they want to try changing. The early meetings focus on clarifying goals and picking simple steps to practice between sessions. Over time those steps build into clearer choices and better ways of coping.

How her approaches translate to online work

Client-Centered Therapy focuses on listening and reflecting the client's experience so they can make their own decisions. Online sessions let that conversation continue by helping the therapist and client clarify goals and priorities together. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and uses practical exercises to change unhelpful patterns; online meetings can be used to review exercises, set homework, and troubleshoot what did or didn’t work. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and increase awareness, which can be practiced during brief online check-ins or between sessions.

Finding the right mix of approaches is part of the process. The therapist will work collaboratively to identify which methods fit a client's needs, goals, and preferences and then adapt them for remote sessions where appropriate. Clients help set priorities and decide what practical steps to try next.

The exact session formats for this therapist are not listed here, so confirm current options before booking. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and reduce travel time. It also supports following up on behavioral homework, reviewing worksheets, and using guided mindfulness practices without requiring extra hours out of a day.

Areas of expertise

Primary focus

Relationship issuesGriefCareer difficultiesCoping with life changesCompassion fatigue

Also works with

Family conflictsIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementDepressionCoaching

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsDivorce and separationEmptinessFirst responder issuesForgivenessGuilt and shameIsolation / lonelinessLife purposeMidlife crisisVeteran and Armed Forces IssuesMulticultural concernsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Listed in

Nebraska, Iowa

Languages

English

Frequently asked questions

What concerns does she help with?

She helps with relationship issues, grief, career difficulties, coping with life changes, anger, depression, parenting stress, and compassion fatigue.

What is her therapeutic style like?

Her style is client-centered and practical. She focuses on strengths, clear goals, and steps clients can try between sessions.

How much experience does she have?

She has 25 years of professional experience working with adults on a wide range of concerns.

What are her credentials and where is she based?

She is an LMHC and a LIMHP licensed in Nebraska.

Which languages are supported?

Sessions are offered in English.

Does she work with international clients?

She does not accept international clients at this time.

How are sessions scheduled and paid for?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

How do I start a first session?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

See online therapy options

Online talk therapy is not emergency care. If anyone is in danger, or you are afraid of someone at home, contact emergency services. Emergency and domestic abuse numbers

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Tracy GrotheLMHC, LIMHP

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