Julianne DeMedici, LCSW

Julianne DeMedici is a Licensed Clinical Social Worker (LCSW) practicing in Nevada who helps people facing midlife stress, career questions, relationship strain, and struggles with eating and self-esteem. She focuses on how recurring patterns affect daily life and on practical next steps people can try between sessions.

Julianne brings a background in social work, health and wellness psychology, and organizational communication to her work. That mix shapes a practice that pays attention to both personal life and professional demands. She believes the most important changes often happen where these areas intersect.

Much of her work looks at how long-standing ways of coping first developed and why they keep working even when they cause new problems. She talks with clients about patterns of control, avoidance, and self-judgment, and about behaviors that helped in the past but now get in the way. This includes exploring substance use, food and exercise habits, or secretive behaviors that can create distance in relationships.

When career pressures, caregiving, or achievement expectations start to damage well-being, she helps people untangle identity from performance. Conversations often cover communication problems, codependency, attachment concerns, and feelings of emptiness or shame. The goal is clearer understanding and concrete choices about change.

Her style is inquisitive, direct, and collaborative. She draws on psychodynamic and relational perspectives and combines elements of cognitive and behavioral approaches when useful. Clients work together with her to identify what to maintain, what to let go of, and what new ways of living might look like.

Approaches and how online therapy can fit your life

Julianne draws chiefly from psychodynamic and relational perspectives, which look at how early experiences and relationship patterns shape present behavior. These approaches help people notice repeating themes, understand their origins, and consider different ways of relating when old patterns no longer serve them.

She also integrates elements of cognitive behavioral therapy (CBT) and acceptance and commitment techniques when they suit the work. CBT offers tools to shift unhelpful thoughts and behaviors, while acceptance-based strategies help people clarify values and take steps toward them even when emotions are difficult.

Finding the right approach is part of the therapy process. She works collaboratively with each person to decide which methods match their needs, goals, and life circumstances, and she adjusts the plan as progress and new information emerge.

If you are considering online therapy, confirm the therapist's current session formats before booking since specific formats are not listed in the biography. Online work can make it easier to fit sessions into a busy day, reduce travel time, and allow for shorter check-ins when schedules require, while still letting clients and therapists focus on communication, core patterns, and practical changes.