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Tracy Grothe

LMHC, LIMHP

Compassionate counselor for life’s transitions

  • Relationship support
  • Grief and loss
  • Eating and body image

About Tracy

Tracy Grothe is a licensed mental health counselor who helps people facing relationship strain, grief and loss, career stress, and major life changes. She brings 25 years of experience and a calm, respectful presence to each session. Tracy emphasizes that clients know their own stories and already have strengths to draw on. She encourages the first step toward help and acknowledges that starting therapy takes real courage.

Tracy works in a straightforward, conversational way. She listens first, then partners with clients to set clear, practical goals. Sessions focus on what matters most right now, such as managing emotions, improving communication, or finding direction after a loss or career shift.

Her approach draws from client-centered methods that prioritize a person’s perspective, cognitive behavioral strategies to notice and change unhelpful thinking and behavior, and mindfulness practices to build moment-to-moment coping skills. Motivational interviewing and solution-focused ideas are used when clients want to clarify goals and take small steps forward.

Tracy has supported people dealing with compassion fatigue, body image and eating concerns, parenting strain, chronic illness, and caregiver stress, among other challenges. She also addresses intimacy-related issues, anger, depression, and feelings of isolation.

Located in Nebraska, Tracy holds the credential LMHC and the LIMHP designation, and she provides care in English. To begin, visitors follow the Start Therapy process and complete a short matching questionnaire before scheduling.

How Tracy Uses Talk Therapy Methods Online

Tracy uses client-centered work to make sessions focused on the person's own goals and perspective. That means the therapist listens carefully, reflects what she hears, and helps people decide what matters most to address. She also uses cognitive behavioral therapy to spot common thinking patterns and try new behaviors that reduce distress. CBT techniques can help with mood, anger, and eating or sleeping difficulties.

Mindfulness practices are offered as simple, practical skills to calm the mind and return attention to the present moment. These exercises can be brief and work well alongside goal-focused techniques when stress, grief, or chronic pain make everyday life harder. Tracy typically blends these approaches rather than following a single model, and she will collaborate with each person to find the best fit based on needs and preferences.

Online therapy can help sessions fit into busy lives by removing travel time and making it easier to schedule short check-ins or regular weekly appointments. Because session formats are not specified in this profile, confirm the available options before booking. Many people find that virtual work makes it easier to maintain momentum between sessions and apply new skills in real life without disrupting daily routines.

License and NPI

LIMHP Nebraska · No. 2246
LMHC Iowa · No. 121407
NPI1275054553

As shown on the therapist's profile. You can check a license with the state board and an NPI with the national registry.

Areas of expertise

Primary focus

Relationship issuesGriefCareer difficultiesCoping with life changesCompassion fatigue

Also works with

Family conflictsIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementDepressionCoaching

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsDivorce and separationEmptinessFirst responder issuesForgivenessGuilt and shameIsolation / lonelinessLife purposeMidlife crisisVeteran and Armed Forces IssuesMulticultural concernsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Credentials

Nebraska, Iowa

Languages

English

Frequently asked questions

What concerns does Tracy commonly address?

She helps people with relationship issues, grief, career changes, coping with life transitions, and compassion fatigue, among other areas.

What is her therapeutic style like?

Her style is conversational and practical. She listens first, then works with clients to set small, achievable goals.

How much experience does she have?

She has 25 years of professional experience working with people facing emotional and life challenges.

What credentials and location are listed for this therapist?

She holds the LMHC credential and the LIMHP designation and practices in Nebraska.

Which languages are available for sessions?

Sessions are offered in English.

Can international clients work with this therapist?

International clients are not currently accepted.

How are session costs handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

What do I need to do to get started?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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