Family therapy and counseling in Kissimmee, FL

~Meliorism- the belief that the world gets better; the belief that humans can improve the world. --This is not only the name of my practice, Meliorism Counseling LLC, but it's a core value I truly believe in. Using a focus on relationships, I work with individuals, couples, and families to obtain a sense of overall well-being and balance. As a Licensed Mental Health Counselor and Qualified Supervisor in the State of Florida I have had the privilege to work in the dependency system, child advocacy setting, not-for-profit sector and private agencies. Services are available in office or through teletherapy.

I love to utilize EMDR, psychoeducation along with other methods to help resolve the distress.

Carmen Arrufat Ives is a board-certified Psychiatric Mental Health Nurse Practitioner who brings both heart and expertise to her work. She’s passionate about trauma-informed, developmentally thoughtful care—blending psychotherapy, medication management, and holistic strategies to help patients heal, grow, and truly thrive.

She completed advanced clinical training with the U.S. Department of Veterans Affairs, where she specialized in treating PTSD, military sexual trauma, and complex psychiatric conditions. Carmen is also a graduate of The REACH Institute’s Evidence-Based Treatment for Pediatric Primary Care program, giving her specialized expertise in working with children and adolescents navigating anxiety, ADHD, mood, and behavioral challenges.

With advanced training in cognitive behavioral therapy (CBT), trauma-focused CBT, and EMDR, Carmen integrates neuroscience, preventive mental health, and whole-person care to support individuals and families across every stage of life.

Outside of work, Carmen enjoys spending quality time with her family, friends, and her beloved “furry family,” recharging through connection, laughter, and everyday moments that matter most.

Hi there! I am a bilingual (Spanish/English) Licensed Mental Health Counselor with 6 years of experience in the field. In my experience, I have worked with children, teens and adults healing from trauma, abuse, attachment injuries, and neglect. I also support parents who want to strengthen parent-child relationships, understand how early experiences shape their parenting and build healthier family dynamics.

I specialize in working with couples that want a stronger relationship, kids hurting from divorce, angry teens, frustrated parents and individuals looking to find purpose in life. Also, for those whose work schedules may interfere with their availability, I do offer evenings and weekend sessions.

As a licensed therapist with over two decades of experience, I specialize in supporting individuals through life's complex emotional landscapes. My practice centers on empowering individuals, particularly those navigating midlife transitions, multicultural experiences, and healing from challenging personal histories.

A Florida and Polk County native, Mirtha is a graduate of Frostproof High School. She is board certified as both a Psychiatric Mental Health Nurse Practitioner and an Autonomous Primary Care Nurse Practitioner. She earned a Bachelor's of Nursing from Polk State and a Master's of Nursing from USF. In 2023 Mirtha earned a Post Master's Certification in Psychiatry from Florida Atlantic University. However, her journey as a mental health provider began in 2020 when she became certified through the Academy of Christian Counseling, as a mental health coach. Then in January of 2025 she became an active member of the Order of Saint Luke (OSL) a healing ministry.

Mirtha has nearly 20 years of experience in healthcare. Her passion is caring for individuals struggling with mental health issues. She has been volunteering with the youth in her community for over 7 years and also has experience working in a domestic violence shelter with victims of trauma.