LGBT therapists in North Miami Beach, FL

Refined Beginnings Counseling takes the focus off of issues and highlights solutions. Refined Beginnings Counseling LLC supports an environment that is least restrictive, provides for confidentiality, and convenience by offering tele-mental health services in Florida and both tele-mental health and office visits to clients in Georgia.

With more than fifteen years of experience in behavioral health, my work is shaped by a deep commitment to helping individuals feel understood, supported, and empowered. My education and early training focused on counseling, addiction treatment, and behavioral health assessment, and I spent many years providing individual, group, and family therapy across detox, residential, and outpatient settings. I’ve worked closely with adults navigating substance use, trauma, anxiety, depression, anger or impulse concerns, ADHD, bipolar disorder, and relationship or family challenges. I’ve also supported LGBTQ+ clients, justice‐involved individuals, and those managing chronic mental illness or complex psychosocial stressors.

In addition to my clinical work, I’ve spent more than a decade in behavioral health utilization management, leading teams that ensure clients receive appropriate, timely, and effective care. This blend of direct therapeutic experience and system‐level leadership gives me a unique perspective: I understand both the personal and structural challenges people face when seeking help. Clients can expect a grounded, compassionate, and collaborative approach—one that honors their story, builds on their strengths, and supports meaningful, sustainable growth.

I specialize in working with adults experiencing a variety of anxiety disorders, including panic attacks, generalized anxiety, and phobias, as well as adults with ADHD. I also support clients who have difficulty regulating emotions and navigating the impact these patterns can have on relationships. Many of my clients are thoughtful, insightful, and self-aware, yet feel stuck in exhausting cycles of fear, reassurance-seeking, self-doubt, and overstimulation. You may feel like you know better, but anxiety continues to run the show. I aim to create a space where you feel understood, safe, and able to show up exactly as you are.

I’m a board-certified Family Psychiatric Nurse Practitioner and former Navy Corpsman with over 20 years of medical experience. My background spans oncology, ICU, and community mental health, which allows me to care for clients across the lifespan—from children to older adults—with a well-rounded, compassionate perspective.

I take a holistic, patient-centered approach, focusing on truly understanding your unique needs and goals. In addition to treating conditions like anxiety, depression, ADHD, trauma, and mood disorders, I offer advanced treatment options such as Medication Assisted Treatment (MAT), hormone therapy, and ketamine infusion therapy for those who haven’t found relief with traditional approaches.

Maybe the anxiety hums under everything you do, or motherhood looks nothing like the version you pictured. Maybe you are carrying a loss other people have stopped asking about. Whatever brought you here, you deserve a place to say it out loud without softening it first. I work with women through pregnancy, postpartum, and the identity shifts that come with becoming a parent, and with adults facing anxiety, depression, grief, and stress that has stopped feeling temporary. Much of my career has been spent beside people in their hardest seasons, and what looks like falling apart is often the start of something honest.

Whether you are feeling down, depleted, or in pain; if you’re wondering whether you are good enough, or having difficulties finding the motivation to start your day, psychotherapy is an effective way of rediscovering yourself. It allows you to get to the root of your symptoms and find the answers you are looking for in order to create a more fulfilling sense of self. As individuals, we all experience depression, anxiety, trauma in our lives, often more than once. You do not have to go through these issues alone.

Whether you are experiencing difficulties as an individual, with friends, family members, or your partner, Cecilia Bichara, LCSW uses a combination of psychodynamic practices that are individually tailored to meet your needs. She provides individual, couple, and family therapy in a safe nonjudgmental space and can help you in this very personal journey.

Todos pasamos por momentos difíciles de depresión, ansiedad, trauma y más de una vez, los cuales causan angustias, baja autoestima, y afecta nuestra percepción del mundo, de los demás, y de nosotros mismos. Con mi experiencia en terapia individual,de pareja y familiar en un ambiente de aceptación y confidencialidad, puedo ayudarlo/a en este proceso personal.

My practice style is open minded, solution focused, and direct to the point. I love to help any individual from a humanistic point of view. I am extremely empathetic, love to be honest and being honest with my patients is key in my every day practice.

Work with adults, adolescents and children with anxiety and depression. Help in transitional phases of life (work, divorce, sexuality and gender, school etc)

My name is Caleb Hoover and I am a licensed mental health counselor in the state of Florida with over six years of experience in the field of mental health. I was awarded my masters in counseling at UCF in 2022. Since then, I have worked in community mental health specializing in working with individuals and families no matter where they are in life.

I am an LPC in Virginia and LMHC-S in Florida my background in practice consists of treating adolescents, families, children in at risk populations and treating adults with depression and anxiety. I take a holistic approach to counseling and meet the client where they are at. I include CBT and solution-focused techniques in order to assist clients dealing with a variety of issues. I also have a background in TF-CBT informed therapy and utilize this as needed.