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DR Portrait of Desireah Riley

Desireah Riley

Hopeful, practical therapy for life challenges

LPC, LMHC Texas

Experience
4 years in practice
Focus areas
Addictions, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Desireah

About Desireah

Desireah Riley is a licensed therapist who combines practical, evidence-based methods with a person-centered stance to help clients address life challenges. She draws on Cognitive Behavioral Therapy (CBT) alongside client-centered and solution-focused techniques to support work on addictions, relationship struggles, grief, family conflicts, and self-esteem.

Background and approach

Desireah frames therapeutic work around clear goals and real-world strategies while maintaining an empathic, respectful presence. With four years of clinical experience, Desireah addresses a broad range of concerns including attachment and blended family issues, communication and control problems, dissociation, and substance-related struggles.

Her practice also covers fertility-related stress, caregiver strain, forgiveness work, and mood-related concerns such as Disruptive Mood Dysregulation Disorder (DMDD). She tailors interventions to each person’s situation, integrating DBT and the Gottman Method where appropriate to strengthen coping skills and relationship patterns.

Based in Texas and credentialed as LPC and LMHC, Desireah works with clients in English and offers multiple online session formats to fit different needs. Her approach emphasizes collaboration, practical tools, and steady progress toward meaningful change.

Evidence-Informed Approaches for Online Care



Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and replacing them with practical, skills-based strategies; it is often used for issues like anxiety, depression, and managing addictive behaviors. Client-Centered Therapy emphasizes empathic listening and collaboration, creating a space where a person's own goals guide progress and self-understanding is prioritized. Dialectical Behavior Therapy (DBT) teaches concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be helpful for intense emotions and relationship challenges.

Finding the right therapeutic approach is treated as a collaborative process. Desireah will work with each client to explore which methods match their goals and preferences, adapting techniques over time so treatment stays aligned with evolving needs. This collaborative stance helps shape a tailored plan rather than applying a single method universally.

Online therapy with Desireah is offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and practice skills between meetings while staying connected with a licensed professional.

Frequently asked questions

What concerns does Desireah commonly address?
She works with people facing addictions, relationship difficulties, family problems, grief, and issues with self-esteem, among other related areas.
What is her therapeutic style like?
The approach blends client-centered listening with evidence-based strategies such as CBT and DBT, emphasizing collaboration and practical tools to address current problems.
How much clinical experience does she have?
She has four years of experience providing mental health support and integrating several therapeutic methods to meet client needs.
What credentials and location apply to her practice?
She holds LPC and LMHC credentials and practices from Texas with license details TX LPC 84713 and WA LMHC LH61506169.
Can sessions be conducted in other languages or internationally?
Sessions are offered in English, and she is not accepting international clients at this time.
What session formats are available?
Clients may choose video calls, phone sessions, live chat, or text-based messaging depending on what fits their needs.
How are costs and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
How does someone begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.

Areas of expertise

Primary focus

AddictionsRelationship issuesFamily conflictsGriefSelf esteem

Additional focus areas

Attachment issuesBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDrug and alcohol addictionFamily problemsFertility issuesForgivenessGuilt and shameIntellectual disabilityLife purposeMidlife crisisMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Gottman MethodSolution-Focused TherapyTrauma-Focused Therapy

Experience

4+ years

Licensed

Texas, Washington

Languages

English