Mental health counseling for adults

Therapy that fits real life.

Life doesn't always fall apart all at once. Sometimes it's a slow shift. You keep showing up for work, for family, and for everyone else, but somewhere along the way, you stop feeling like yourself. Therapy can help you understand what's changed and find a way forward.

Book a free 15-minute consultation

Online only, available in Massachusetts, Texas, Florida, and Washington. Sessions in English and Portuguese.

Maybe you've been feeling like this...

"Everyone thinks I'm doing fine. I'm the one people come to."

"I'm tired in a way that sleeping doesn't fix."

"I can handle the big things. It's the ordinary days that overwhelm me."

"I keep waiting to feel like myself again, and I'm not sure when I stopped."

"I know my patterns. Knowing hasn't been enough to change them."

"Something changed. A job, a move, a relationship, a loss. I still don't feel like I've found my footing."

If any of this feels familiar, therapy can help. Together, we'll work to understand what's been keeping you stuck, make sense of the patterns that no longer serve you, and find practical ways to move forward. My goal is to create a space where you feel understood, challenged when it's helpful, and supported as you make meaningful changes in your life.

What we work on

Most of what comes into this room falls into one of these.

Adult ADHD and executive functioning

Knowing exactly what you need to do and being unable to start. Time that disappears, systems that work for two weeks, and the exhaustion of compensating for it all day.

Anxiety and overwhelm

Worry that runs constantly in the background, difficulty switching off, a body that stays braced even when nothing is wrong.

Burnout and depletion

Exhaustion that rest doesn't resolve, resentment toward things you used to care about, and the sense of running on obligation.

Depression and low mood

Heaviness that doesn't lift, losing interest in things that used to matter, and days that take more effort than they should. Sometimes it looks like sadness. Often it just looks like going through the motions.

Grief and loss

Loss of a person, a relationship, a version of your life, or a future you had assumed. Grief that doesn't follow the timeline people expect.

Life after an abusive relationship

Recovery from domestic violence, coercive control, or emotional abuse, including the parts that don't end when the relationship does. Rebuilding trust in your own judgment, and deciding at your own pace what comes next.

Relationships and boundaries

Patterns that repeat across relationships, difficulty saying no, and the cost of being the person who holds things together.

Self-criticism

A standard you'd never hold anyone else to, and the exhaustion of never quite meeting it.

Transitions and change

A new role, a move, a relationship shift, becoming a parent, or an ending you didn't choose. The ground moved and you're still finding footing.

What therapy with me looks like

01

A short conversation first

Fifteen minutes by phone or video, at no cost. You tell me what is going on, I tell you honestly whether I'm the right person for it, and if I'm not, I'll say so and point you somewhere better.

02

The first full session

A longer appointment where we go through your history, what you're dealing with now, and what you want to be different. We finish with a clear sense of where to begin.

03

Ongoing sessions

Usually weekly to start. We work on understanding what is happening and on what to do about it, in the same hour. You should leave most sessions with something to think about and something to try.

04

Checking that it's working

We revisit goals periodically and adjust. If therapy isn't helping, I would rather name that early than let it drift.

When I'm not the right fit

Saying this plainly saves you time and money.

  • You need psychiatric medication management. I don't prescribe, though I can coordinate with a prescriber.
  • You're in acute crisis or need a higher level of care than weekly outpatient therapy.
  • You're looking primarily for couples or family therapy.
  • You need documentation or a letter without an ongoing treatment relationship.
  • You live outside Massachusetts, Texas, Florida, or Washington. Licensure follows where you are, not where I am.

Start with a conversation

Fifteen minutes, no cost, no pressure. We talk about what is going on and decide together whether this is the right place for it.

Book a consultation
This website is not to be used for emergency situations. If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately. For mental health crisis support, call or text 988.

Email: leonice@talkwithleo.com

© 2026 Leonice Ferreira, LMHC, OTR/L. Counseling licensed in Massachusetts, Texas, Florida, and Washington. Occupational therapy licensed in Massachusetts, Texas, and Florida.