Chet Lesniak

I use a blend of therapies based on your presenting problem and what works for you. That range runs from short-term, solution-focused therapies to longer-term, insight-oriented approaches. I also use motivational interviewing, cognitive reframing, communication skills, exploration of coping patterns, stress management, supportive reflection, and symptom management.

Mindfulness includes meditation and other practices to calm your mind. I integrate those practices into evidence-based treatment. I take a holistic approach: physical, emotional, and spiritual health are interconnected, and the stresses of work, family, relationships, and lifestyle are part of the picture. Where trauma is part of what you carry, I provide trauma-informed care. Contemplative psychotherapy blends Buddhist philosophy and practice with Western psychological theory. I use it when you are interested and willing to explore it. We identify your stressors and develop specific, personal tools to manage your anxiety and stress. We work toward your goals at a pace that feels right for you.

We can start with a brief consult, to see whether we can work together. When we begin, I work from an urgent care perspective. Together we explore what brought you to therapy, identify your goals, and develop a treatment plan. I then offer interventions and practices suited to you, your problems, and your goals. If you want to go further than stability, we can look at what affects your happiness, questions about your purpose, or how you want to live.

I work with adults, including people aged 65 and over, and with other health professionals. I work with people facing anxiety, stress, loneliness, fear, trauma, grief, and addiction. Chronic illness is one of my specialties. Some are living with the ongoing effects of adult ADHD, or with a sudden change or loss, personal or professional. I work with concerns specific to LGBTQ+ communities, including coming out, family and relationship dynamics, and discrimination. My focus includes intersex, transgender, and nonbinary people. A lot of this work is also about purpose, fulfillment, and what it means to live a good and meaningful life. I see people one to one.

In Buddhism that assumption is called your fundamental goodness. The approaches I have worked in include cognitive behavioral therapy, acceptance and commitment therapy, mindfulness-based stress reduction, and psychodynamic therapy.

I am a licensed psychologist in New Hampshire. I am registered to provide telehealth in Florida. I have practiced in anxiety, trauma, identity, life transitions, grief, work and relationship issues, chronic illness, and concerns specific to LGBTQ+ communities.