About Mary
Mary "Elizabeth" Guinea helps people who are dealing with stress, anxiety, trauma or abuse, anger, low self-esteem, and big life changes. She is a licensed mental health counselor with 15 years of experience and practices in Florida. Her approach aims to make starting therapy feel manageable and straightforward for worried parents and busy adults.
She creates a calm, nonjudgmental space where clients can talk about what’s on their mind. Sessions focus on practical steps that fit each person's life.
How Mary works
Mary encourages small, doable changes that build confidence over time. Her work often addresses attachment issues, codependency, communication problems, and control issues. She also supports people affected by natural or human-caused disasters, divorce and separation, and family of origin concerns.
Additional areas she helps with include guilt, shame, infidelity, isolation, and questions about life purpose or midlife transitions. Mary has particular experience with veteran and armed forces issues and with navigating non-monogamous relationship dynamics such as polyamory. Her background gives her familiarity with the stressors those situations can bring, and she uses that knowledge to tailor practical support.
Sessions are guided by evidence-based therapeutic techniques selected for each person’s needs. Mary works collaboratively to set goals and track progress. The focus is on clear steps, honest conversation, and developing tools clients can use outside of sessions.
What Mary works with
The areas below are the ones Mary selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- Attachment issues
- Codependency
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Divorce and separation
- Family of origin issues
- Family problems
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 15 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online sessions
Mary uses evidence-based therapeutic techniques that focus on practical change. One approach centers on identifying unhelpful patterns in thoughts and behaviors and practicing alternative responses in daily life; this helps with anxiety, low mood, and anger. Another approach emphasizes understanding attachment and relationship dynamics so people can improve communication and reduce codependent patterns; this is useful for relationship stress and family of origin issues.Finding the right approach is part of therapy. Mary will talk with each person about goals and preferences, and then choose techniques that fit those needs. She treats this as a collaborative process and adjusts methods over time based on what works for the client.
Online therapy offers flexible ways to meet. Video calls allow full conversation and visual cues. Phone sessions can be a simpler option when bandwidth is limited or when a shorter check-in is needed. Live chat and text-based messaging work well for quick reflections, ongoing support between sessions, or when writing helps someone clarify thoughts. Together these formats make it easier to fit therapy into a busy life and keep progress moving forward.
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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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