Tracy Grothe, LMHC, LIMHP

Tracy Grothe is a licensed mental health counselor who helps people facing relationship strain, grief and loss, career challenges, and major life changes. She encourages clients to notice their strengths and use those strengths to move through hard moments. Tracy recognizes that starting therapy takes courage and she affirms that first step.

With 25 years of experience, Tracy draws on straightforward, practical methods. She listens first and follows the lead of the person in front of her. Sessions focus on clear goals, small steps, and building coping skills that fit everyday life.

Her work often centers on intimacy-related concerns, communication problems, and the emotional impact of illness and caregiving. She also supports people dealing with anger, depression, eating and sleeping struggles, and feelings of emptiness or isolation. Aging and geriatric issues are listed among her additional focus areas.

Tracy uses approaches such as client-centered work, cognitive behavioral techniques, mindfulness, motivational interviewing, and solution-focused strategies. These methods are used to help people change unhelpful patterns, manage difficult emotions, and make concrete plans for next steps.

She practices in Nebraska as an LMHC and LIMHP. Tracy aims to keep sessions simple and practical, helping people make steady progress without jargon or a lot of complicated steps.

Approaches that translate to online work

Client-centered therapy prioritizes the person's own goals and perspective, so sessions focus on listening, validation, and helping people use their strengths to solve problems. This approach can help with grief, life transitions, and relationship concerns. Cognitive behavioral therapy (CBT) looks at patterns of thought and behavior and teaches concrete strategies to change them, which is useful for depression, anxiety, sleep problems, and anger. Mindfulness therapy introduces simple awareness practices to reduce reactivity and improve emotional balance, supporting stress, caregiver strain, and chronic illness coping.

Finding the best approach is a shared process. The therapist will talk with the person about their needs and preferences and adapt methods that fit their goals. Together they choose what to try first and review progress, adjusting plans if something isn’t working.

Many people find online work easier to fit into busy days, for shorter check-ins or longer sessions without travel time. If you are considering online therapy, confirm which session formats are currently offered before booking so you know how sessions will be scheduled. The focus is on making therapy practical and usable in everyday life.