About Nancy
Nancy Lefler-Panela is a licensed clinical social worker practicing in Tennessee. She holds LCSW credentials and brings three years of direct clinical experience to her work. Nancy focuses on practical support for people facing stress, anxiety, grief, addiction, and life changes.
She helps people talk through difficult family dynamics and parenting challenges. She also supports those dealing with trauma, abuse, and attachment or abandonment concerns. Nancy addresses substance concerns, codependency, and problems tied to family of origin in clear, down-to-earth sessions.
How Nancy works
Nancy takes a strengths-based stance, treating the person as the expert on their own life. She helps clients identify what is already working and builds on those skills. Sessions aim to be concrete and goal-focused so progress feels visible.
Her background includes experience across multicultural settings and work related to pregnancy and childbirth issues, career questions, and life purpose. Nancy also works with people coping with natural or human-caused disasters, isolation, and complicated grief. She offers a supportive, collaborative approach that combines practical coping strategies with emotional processing.
The goal is to empower people to make changes that fit their values and daily life. Sessions are paced to the individual and shaped by each person’s goals and preferences.
What Nancy works with
The areas below are the ones Nancy selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- Adoption and foster care
- Anger management
- Attachment issues
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Multicultural concerns
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Self esteem
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 3 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Tennessee |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches and how online therapy fits your life
Two common evidence-based approaches she uses include trauma-focused work and skills-based coping strategies. Trauma-focused work helps people process painful events and reduce their ongoing impact by naming what happened and working through reactions. Skills-based coping teaches concrete tools for managing anxiety, anger, cravings, or intense emotions so daily life feels more manageable.Another approach emphasizes attachment and family-of-origin patterns to understand how past relationships affect present behavior. This helps people notice repeating patterns and try new ways of relating to others and themselves. These approaches are explained and chosen together so treatment matches each person’s needs and goals.
Nancy collaborates with clients to figure out which methods fit best, adjusting as progress and goals evolve. She sees the selection of technique as part of the therapeutic relationship rather than a one-size-fits-all prescription.
Online therapy offers practical flexibility. Video calls let people work face-to-face when convenient, phone sessions are useful when bandwidth is limited, live chat supports quick check-ins, and text messaging allows ongoing brief support. These formats make it easier to fit therapy into work, parenting, or busy schedules while keeping focus on meaningful change.
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Common questions
What kinds of concerns can Nancy help with?
How would she describe her therapy style?
What is her professional background?
Where is Nancy licensed to practice?
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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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