Tracy Grothe, LMHC, LIMHP

Tracy Grothe is a licensed mental health counselor who helps people facing relationship struggles, grief, career changes, and major life transitions. She works with concerns such as compassion fatigue, intimacy-related issues, eating and sleeping problems, parenting stress, anger, and depression. Tracy brings 25 years of experience and a straightforward, respectful approach to each session.

She believes each person is the expert on their own story and draws on those strengths to move forward. Sessions focus on clear goals and practical steps. Tracy uses evidence-informed methods to help people notice patterns, try new ways of coping, and build skills that fit daily life.

In therapy she combines client-centered listening with tools from cognitive behavioral therapy and mindfulness. She also uses motivational interviewing and solution-focused techniques to support change and keep work grounded in what matters most to the client. This mix aims to balance understanding with concrete strategies.

Tracy has worked across a range of concerns including abandonment, attachment issues, body image, chronic illness and pain, caregiver stress, communication problems, divorce, loneliness, life purpose, and first responder issues. Her background supports both short-term problem solving and longer-term personal growth.

Sessions are offered in English and are based in Nebraska. Tracy encourages people who are ready to begin to take that first step toward clearer goals and more manageable days.

How therapeutic approaches translate to online sessions

Client-centered therapy focuses on listening and building understanding. Online sessions using this approach let the therapist follow the client's lead, reflect concerns back, and help set priorities that feel most important to the person. Cognitive behavioral therapy, or CBT, helps people notice unhelpful thoughts and try different behaviors. In online work CBT often uses short exercises and homework that fit into daily routines and can be reviewed between sessions.

Finding the right approach is part of the process. The therapist collaborates with each person to choose methods that match their needs, goals, and preferences. Together they can try techniques and adjust the plan based on what helps most.

The practical benefit of online therapy is making sessions easier to fit into life. Confirm the current session options before booking so you know what formats are offered. Online work can make it simpler to schedule weekday check-ins, avoid travel time, or use shorter sessions for quick skill-building. Licensed professionals can often tailor pacing and exercises to the rhythm of a client's day, helping change feel manageable rather than overwhelming.