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BP Portrait of Becky Presthus

Becky Presthus

Compassionate, practical care for emotional recovery

LMHP Nebraska

Experience
25 years in practice
Focus areas
Stress, Anxiety, Trauma and abuse, Anger
Approaches
Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy
Languages
English

About Becky

Becky Presthus brings 25 years of clinical experience to her Nebraska practice, working with people facing stress, anxiety, depression, trauma and abuse, anger, and self-esteem concerns. Her work emphasizes practical strategies that help clients manage symptoms and regain a sense of control during difficult life changes.

Background and approach

Becky uses evidence-informed methods to support healing and day-to-day coping while remaining attentive to each person’s unique history and circumstances. Her practice also addresses a broad range of related issues, including attachment challenges, abandonment, adoption and foster care concerns, domestic violence, dissociation, communication and control problems, and caregiver stress.

Becky draws on Cognitive Behavioral Therapy to identify unhelpful thoughts and patterns, and Solution-Focused Therapy to set concrete goals and build small, achievable steps toward change. She aims for a collaborative, respectful relationship in which clients develop clearer self-understanding and practical tools for resilience.

Becky holds the LMHP credential and sees clients in Nebraska. She conducts sessions in English and offers a variety of online formats to accommodate different schedules and preferences.

Practical Approaches for Online Healing



Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors that contribute to emotional distress. In online sessions this can translate into concrete exercises, thought records, and behavioral experiments tailored to issues like anxiety, depression, anger, and stress.

Solution-Focused Therapy centers on setting specific, achievable goals and building on strengths and past successes. This approach is useful for clients who want targeted, short-term progress and prefer actionable steps they can apply between sessions.

Deciding which approach to emphasize is a collaborative process. The therapist will work with each client to explore needs, goals, and preferences, adjusting methods over time to find the best fit. Clients can expect to try techniques, review progress, and refine strategies together.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to schedule appointments around busy lives, maintain continuity during transitions, and access care from home or work. Licensed professionals can use these formats to deliver structured CBT exercises, goal-focused plans, and ongoing support in ways that fit individual routines and comfort levels.

Frequently asked questions

What concerns does Becky commonly address?
She works with stress, anxiety, depression, trauma and abuse, anger, and self-esteem challenges, along with related issues like attachment, abandonment, caregiver stress, and domestic violence.
What therapeutic style can I expect in sessions?
Her approach blends Cognitive Behavioral Therapy and Solution-Focused Therapy to combine thought‑focused work with goal-oriented, practical steps.
How much clinical experience does she have?
Becky has 25 years of experience working with a wide range of emotional and relational issues.
What are her credentials and where is she located?
She holds the LMHP credential with license number NE LMHP 3368 and practices in Nebraska.
Does she offer services in other languages or to international clients?
Sessions are provided in English, and she is not currently accepting international clients.
Which session formats are available for online work?
Becky offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.
How is cost handled for therapy with her?
Fees vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to the therapist's availability.

Areas of expertise

Additional focus areas

AbandonmentAdoption and foster careAntisocial personalityAttachment issuesBlended family issuesBody imageCaregiver issues and stressCommitment issuesCommunication problemsControl issuesDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily problemsForgivenessGuilt and shameHoardingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Solution-Focused Therapy

Experience

25+ years

Licensed

Nebraska

Languages

English