About Desireah
Desireah Riley is a licensed counselor who uses a person-centered approach to help people facing addictions, relationship strain, grief, and low self-esteem. She holds LPC and LMHC credentials and practices in Texas. Her style is warm and straightforward, aimed at helping clients take practical steps forward.
She draws on client-centered methods to create a respectful space where people can name what matters most to them. Cognitive Behavioral Therapy (CBT) is used to identify unhelpful thinking and build new behavior patterns.
How Desireah works
Dialectical Behavior Therapy (DBT) skills are offered for emotion regulation and distress tolerance when feelings feel intense. Desireah has four years of clinical experience and focuses on issues such as attachment concerns, codependency, divorce and separation, and substance use. She also addresses blended family challenges, fertility-related stress, caregiver strain, and body image difficulties.
Her approach pairs short-term problem solving with work on longer patterns that keep people stuck. Sessions emphasize clear communication and concrete tools. Clients can expect practical exercises, small behavior changes, and time to process emotions.
The aim is steady progress rather than quick fixes. Therapy is offered through video calls, phone sessions, live chat, or text-based messaging. Language of service is English and international clients are not accepted.
Getting started involves a short matching questionnaire and scheduling through the site.
Desireah lists 6 ways of working on the entry:
What Desireah works with
The areas below are the ones Desireah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Addictions
- Relationship issues
- Family conflicts
Also listed
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Family problems
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- Intellectual disability
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Registers | LPC, LMHC |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approach-driven online therapy that fits your life
Client-centered therapy focuses on the client's perspective and goals. It involves listening without judgment and helping people make choices that match their values. This approach helps when someone needs space to clarify what they want and to build self-esteem.Cognitive Behavioral Therapy, or CBT, looks at how thoughts affect feelings and actions. It uses practical exercises and homework to change unhelpful thinking and create new habits. CBT is often used for anxiety, low mood, and behavior change related to addictions or relationship patterns.
Dialectical Behavior Therapy, DBT, teaches concrete skills for managing strong emotions and improving communication. It helps with mood swings, intense reactions, and patterns of conflict or impulsive behavior.
Choosing the right approach is a collaborative process. The therapist will talk through goals and needs, try methods that fit the situation, and adjust as progress is made. Clients have a say in which tools and strategies feel most useful.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video calls allow face-to-face conversation, phone can be easier when bandwidth is limited, live chat works for brief check-ins, and text messaging supports ongoing notes and reminders. These options make it simpler to fit therapy around work, caregiving, or daily life.
Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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