About Prisca
Prisca Okeahialam-swaray is a licensed independent clinical social worker (LICSW) practicing in Minnesota with 13 years of professional experience. She focuses on helping people manage stress, anxiety, depression, grief, trauma and abuse, and relationship difficulties. Prisca believes clients bring strengths and insight to therapy and aims to support those strengths as change begins.
Her approach centers on listening closely and following each person's lead. Sessions are grounded in real-life problems and practical steps rather than abstract theory.
How Prisca works
She encourages small, achievable changes that build confidence over time. Painful events such as loss, abuse, or major life shifts often leave people stuck. Prisca helps them make sense of those experiences, reduce overwhelming symptoms, and find ways to cope day to day.
She also works with mood dysregulation, bipolar concerns, and attention-related difficulties like ADHD. Communication problems, family strain, and parenting stress are common topics Prisca addresses. She offers straightforward tools for anger, low self-esteem, shame, and isolation.
When safety or domestic violence issues arise she focuses on immediate planning and connecting people with needed supports. Her toolkit draws on client-centered therapy, cognitive behavioral techniques, dialectical behavior strategies, motivational interviewing, and narrative methods. Prisca aims for a collaborative relationship where the person sets the goals and they decide the path together.
Prisca lists 7 ways of working on the entry:
What Prisca works with
The areas below are the ones Prisca selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Communication problems
- Coping with life changes
- Depression
- Domestic violence
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
Training and background
| Register | LICSW |
|---|---|
| Years in practice | 13 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Minnesota |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Practical approaches for online therapy
Client-Centered Therapy focuses on listening and following the person's own goals. The therapist offers empathy, mirrors what she hears, and helps people use their strengths to move forward. This approach can help with feelings of emptiness, low self-esteem, and finding direction.Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact. It teaches simple, concrete skills to reduce anxiety, manage mood, and change patterns that keep problems going. CBT is useful for panic, obsessive thoughts, and managing depressive symptoms.
Dialectical Behavior Therapy, DBT, emphasizes skills for emotional regulation and handling intense feelings. It teaches practical tools for distress tolerance, mindfulness, and better interpersonal communication, which can help with anger, impulsivity, and relationship strain.
Finding the right approach is part of the work. The therapist will talk with the client about goals and try methods that fit their needs and preferences. Together they adjust the plan as progress is made so the approach stays relevant and usable.
Online therapy here is offered by licensed professionals using video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face interaction, phone sessions can be easier when bandwidth is limited, and chat or text formats suit quick check-ins or people who prefer typing. These options make it easier to fit therapy into work, family routines, or busy days.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
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Common questions
What kinds of concerns does she help with?
What is her therapy style like?
How much experience does she have?
What are her credentials and where is she based?
Which languages are offered for sessions?
What formats are available for sessions?
How are sessions paid for and what does it cost?
How do I begin working with her?
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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