Nancy Buchanan

Nancy Buchanan is a Washington-based licensed mental health counselor with 29 years of clinical experience. She focuses on helping people who feel isolated, overwhelmed by stress or anxiety, or weighed down by grief and depression. Nancy aims to make the first steps into therapy feel manageable and respectful of each person’s pace.

She approaches work by treating the client as the expert in their own life. Conversations center on identifying strengths and practical steps to face current challenges. Sessions often include talking through relationship concerns, building self-esteem, and finding ways to cope with loss and life transitions.

Over nearly three decades Nancy has supported people dealing with issues such as abandonment, aging and geriatric concerns, cancer-related stress, and substance-related problems. She also helps with family of origin concerns, communication problems, guilt and shame, and social anxiety and phobia. Her background includes addressing both life-stage problems and situational crises.

Nancy emphasizes collaboration and realistic goals. She works to help people notice small changes that add up over time. The pace and topics are guided by the client’s needs and priorities.

If you are exploring therapy because loneliness or isolation feels heavy, Nancy can be a partner in finding ways to reconnect and build daily coping skills. The focus is practical, respectful, and tailored to what feels most useful for each person.

How therapeutic approaches translate to online work

Evidence-based therapeutic techniques focus on practical, research-informed methods to help with everyday struggles. One common approach emphasizes identifying unhelpful thinking patterns and testing new ways of thinking and behaving to reduce anxiety and improve mood. This method helps people practice different responses to stressful situations and build confidence over time.

Another useful approach centers on grief processing and coping skills. It involves naming losses, pacing oneself through emotions, and creating routines that support daily functioning. This can be helpful for people dealing with bereavement, life transitions, or illness-related stress.

Finding the right approach is a collaborative process. The therapist will work with the client to choose methods that match goals, needs, and personal preferences. Adjustments are made as progress and life circumstances change, with both short-term steps and longer-term aims discussed together.

Confirm current session delivery options before booking since formats were not specified in the biography. Online work can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins when schedules demand it. It also offers flexibility for people who need quieter times or lower-bandwidth options, and helps keep therapy consistent through life changes.