Couples therapists in Saint Augustine, FL

I know that seeking therapy can feel overwhelming — especially if you’re carrying a lot on your own. I believe deeply in the strength, warmth, and resilience that come from our cultura, and I bring that understanding into every session.

I work with clients who want support navigating anxiety, trauma, stress, and life transitions, particularly when cultural identity and family dynamics play an important role. My goal is to create a space where you feel seen, respected, and understood, while also using research-backed tools that truly help you move forward.

Mindfully focused to connect your presenting concern to your system, my style is to meet you where you are whether you need me to explain what we’re doing, or simply direct you. My approach is practical, direct, and occasionally humorous — I believe real progress happens when you feel are both, supported and challenged, not just listened to.

Over 30 years I've worked with individuals, couples, and families through some of the hardest seasons of life: chronic illness, painful grief, relationship breakdowns, severe ADHD, life hindering eating disorders, destructive anger, and major life transitions.

I singly raised my three children, and came to realize clinical training doesn’t compare to life experience... theory helps it’s just not enough to capture the big picture.

I've also spent significant time working with military families and first responders, rich in life experience. They seem to prefer my steady, no-nonsense mindset at times.

Also, a well trained 15 year-old Australian Shepherd occasionally joins sessions — let me know if you'd prefer this.

Diana Lankenau has a Master of Science in Nursing from Florida State University and Chamberlain University. She has a Bachelor's in nursing from University of Miami. BA in Psychology from Florida International University. She is Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC).

Mental health is rarely just one thing. Anxiety and substance use. Bipolar and relationships. Trauma and the body. I work with the full picture, not just the label.

I am Cathy, a Licensed Mental Health Counselor with 16 years of experience working with adults across a wide range of emotional and behavioral health challenges. I bring a depth of specialized training that most providers do not carry including Biofeedback, Art Therapy, the Unified Protocol for emotional disorders, and evidence-based approaches for bipolar, eating disorders, infertility, and end of life. I am LGBTQ+ affirming and transgender inclusive, and I meet every client exactly where they are.

I’m a Licensed Mental Health Counselor who believes you shouldn’t have to have everything figured out before coming to therapy. I work with adults and couples navigating anxiety, PTSD and trauma, emotional regulation difficulties, toxic or unhealthy relationships, narcissistic abuse, major life transitions, stress, overwhelm, and the sometimes-messy transition into adulthood. I also specialize in helping clients build healthier boundaries, become more confident and assertive in their relationships, recognize unhealthy patterns, and learn to advocate for their needs without losing themselves in the process.

I earned my master’s degree in Clinical Mental Health Counseling from Keiser University and bring a warm, genuine, down-to-earth presence to my work. My space is neurodivergent-friendly and very much “come as you are”—and when the moment allows, there’s room for lighthearted humor and laughter, too.

I am licensed in Florida with 4+ years of professional work experience. My experience has a wide range including helping clients with depression, stress and anxiety, life changes, relationship issues, and many other areas. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.I will always prioritize a therapeutic relationship with you and lead you towards positive change.

I am an LCSW with 5+ years of experience supporting individuals navigating anxiety, depression, trauma, PTSD, relationship challenges, and women's issues. I work with adults across the lifespan, including those managing ADD/ADHD, family conflict, and identity transitions. My approach centers on creating insight, challenging unhelpful thought patterns, and building the practical skills you need to live the life you choose. I earned my MSW from Florida State University and have experience working with youth, adults, and families in outpatient and community mental health settings. I bring warmth, curiosity, and a genuine investment in your growth to every session.

I have been practicing for over 17 years providing Individual and family therapy. My focus is to facilitate strategies and interventions that will bring you hope and transformation.

I have over two decades of Social Work experience. I have worked in high school settings for over 20 years with a variety of students to include: LGBTQ+, anxiety, depression, PTSD/trauma, ADHD, and teen parenting. Prior to working in the school setting, I worked with homeless families as well as domestic violence victims.

Are you feeling overwhelmed by anxiety, depression, stress, or relationship challenges? Many individuals find themselves stuck despite wanting meaningful change, especially when emotional distress begins to interfere with daily functioning and overall well-being. Therapy offers a structured and supportive space to better understand these challenges and develop effective coping strategies. Seeking professional support is an important first step, and meaningful change occurs through intentional work both in and outside the therapy setting.

My name is Mick Desrameaux, LMHC, and I am a Licensed Mental Health Counselor with extensive experience treating anxiety disorders, depression, trauma-related symptoms, substance use concerns, and co-occurring mental health conditions. I work collaboratively with clients to increase self-awareness, emotional regulation, and insight into patterns that affect relationships and personal growth. My therapeutic approach is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness, and motivational interviewing.

I provide a safe, confidential, and nonjudgmental therapy environment where clients feel respected and supported. My goal is to help individuals feel empowered, build healthier relationships, and develop practical skills for long-term emotional stability. I am committed to delivering client-centered, ethical, and culturally responsive mental health counseling, supporting clients as they move toward greater balance, resilience, and overall mental wellness.