Erica Otto, M.S., LMHC

If you struggle with anxiety, self-esteem, relationship issues or depression you are in the right place! I know that it is hard to find couples counseling in St. Augustine... I also know what a difficulty it can be to get a therapy office to call you back these days if you are struggling with anxiety, depression or stress. I will make sure that you are not left hanging in your time of difficulty!

Are you one of the many individuals who struggles with self-defeating thoughts, depressive thinking patterns or low self-esteem? Do you find yourself turning down opportunities to thrive due to fear of failure? Are you struggling with a major life change such as a move, a loss of a loved one or a career change? Do you find yourself wondering what happened to your marriage? Have you ever struggled with intense worry or fear? I deal with all of these topics including anxiety, self-esteem, and depression. Couples counseling has become a growing and thriving passion in my practice as I have been fortunate enough to treat and be a part of the growth journey that takes place as couples commit to each other again and to changing their relationships. 

These two domains are the primary focus of my clinical practice, although I treat a range of other issues. I utilize many diverse treatment options depending upon the client because I believe that each person is unique and as their needs will differ I strive to adjust treatment planning accordingly. Counseling inspires clients to take a leading role of responsibility for their lives, happiness, and relationships, which allows them to break free of misleading and faulty thoughts that prevent positive change. I empower my clients to embrace the reality that goals are achievable.

As a Registered Mental Health Counselor I have been fortunate enough to work with many senior counselors who have provided me with a wealth of experience and education. I have worked in a dual-diagnosis inpatient treatment environment as well as a collaborative private practice which has given me access to a wide range of treatment issues. 

I have worked with trauma, substance abuse, depression, anxiety, eating disorders, complicated grief, and personality disorders. I have worked with individuals, couples, and families between the ages of 12-76 although I work mostly with adult populations. 

Treatment Modalities:

- Cognitive Behavior Therapy

- Mindfulness Based Theories

- Reality Therapy

- Dialectical Behavior Therapy

- Rational Emotive Behavior Therapy 

- Group Therapy

- Family and Systems Therapy

*Email me at eottowellspring@gmail.com to get scheduled today!

*Note: At this time Mrs. Otto is not accepting insurance, she is currently working with clients on a self-pay basis.