Find a therapist in Manchester, NH — covered by insurance

Providing therapy to individuals for over 20 years, as a Clinical Psychologist currently licensed in New York, New Jersey, New Hampshire, and Virginia, I am also able to offer the convenience of telehealth services to individuals who work, attend school, and/or live in multiple states.

Life can look completely fine on the outside while feeling exhausting on the inside. I work with adults navigating anxiety, depression, BFRBs, ADHD, OCD, neurodivergence, self-worth, loneliness, relationship patterns, dating, or simply the feeling that something isn't quite right.

You don't have to be in crisis to benefit from therapy. Whether something has been weighing on you for years, you're feeling stuck, or you've just started noticing life feels harder than it used to, you deserve support. There doesn't have to be a "good enough" reason to reach out—if it's important to you, it's important.

Whether you're brand new to therapy or you've tried it before and walked away feeling unseen or misunderstood, you're welcome here. You don't need to have the right words or know exactly where to start—just showing up is enough.

I am Margaret Swanson, a Licensed Independent Social Worker (LICSW) in both Vermont and New Hampshire. I specialize in trauma - informed care and work with clients navigating anxiety, depression, Borderline Personality Disorder, bipolar disorder, substance abuse and relationship challenges. My approach draws heavily on Dialectic Behavior Therapy (DBT) and Cognitive Behavior Therapy (CBT) - approaches I believe are especially powerful when trauma has made it harder to trust others and move forward. I know how it feels to be stuck. With the right support, meaningful growth is possible. I offer telehealth sessions.

• Life Mastery
• Solution Focused
• Mind Body Spirit Connection and Healing
• Life Style Education
• Successful life transitions

I work with clients of all ages facing a wide range of emotional and psychological challenges, including anxiety, trauma-related symptoms, mood difficulties, chronic stress, and major life transitions. Many of my clients are high-functioning on the outside while quietly feeling exhausted, avoidant, or trapped by patterns they can’t seem to change. If something in your life isn’t working, therapy can help.

My approach is relational, client-centered, and trauma-informed, with with particular expertise in contemplative and somatic practices that I am happy to share with my clients in sessions. I am known for being warm, direct and affirming. I am a rostered CPP clinician, and I also have training and experience in CBT, CPT, DBT, EMDR, Exposure Therapy, MBSR, Seeking Safety, MI, SFT, TF-CBT, MATCH, Art Therapy and IFS.

If you’re ready to step out of survival mode and into a more intentional way of living, I’d be glad to work with you.

You're the one people call when things fall apart. You're good at it — steady, competent, the person who knows what to do. And somewhere along the way you stopped having anywhere to put your own stuff.

So you can run the meeting, hold the crisis, answer the phone at 2 a.m. — and still not be able to make yourself open the mail. Competence and collapse live together far more often than anyone admits out loud.

I work with adults carrying that particular load: substance use and recovery, emotions that arrive at full volume with no dimmer switch, thoughts of self-harm or not wanting to be here, and the specific erosion that comes from caring for other people for a living. Helpers, clinicians, parents, first responders — people whose exhaustion doesn't have an obvious place to go. I work with teenagers too, often the ones in families like these.

My style is direct, warm, and collaborative. I'm not going to nod quietly for fifty minutes. We'll find what's actually driving things, build skills you can use on a Tuesday afternoon when it counts, and I'll tell you honestly what I'm seeing. You set the pace. I'll bring the structure.

As a Licensed Marriage and Family Therapist & Licensed Drug and Alcohol Counselor, I see clients with a wide range of issues and complexities. I partner with clients to offer solution-focused and brief interventions with a side of humor.

Stimulants, Suboxone and Benzodiazepines are prescribed in this practice with DEA guidelines. Dr. Padilla is a Doctor of Nursing Practice from the New York tri-state area and has over 30 years of experience in healthcare. He treats children from 6 years old through adulthood, focusing on psychiatric medication management. He specializes in mental health and has extensive experience in the field of psychiatry. Dr. Padilla takes a “start low and go slow” approach to prescribing, paying special attention to medication potency and potential interactions with other medications prescribed by other providers. Dr. Padilla earned his Doctorate in Clinical Practice Nursing from Rutgers University–New Brunswick. He also holds bachelor’s degrees from Rutgers, The State University of New Jersey, and the University of Miami, as well as an associate’s degree from Bergen Community College.