Online Therapy for Adults in Floria
Personalized Therapy for Anxiety, Depression, ADHD, Trauma, Grief, Relationships & Life Transitions
Live Now Psychiatry provides online therapy for adults located throughout Florida through secure telehealth with Rebecca Sommer, MSN, APRN, PMHNP-BC, FNP-C.
You don't have to be in crisis to benefit from therapy.
Anxiety, depression, ADHD, trauma-related symptoms, grief, relationship difficulties, chronic illness, burnout, and major life changes can affect how you feel, think, work, sleep, communicate, and manage everyday life.
Live Now Psychiatry provides personalized online therapy for adults throughout Florida through secure telehealth. Therapy is tailored to your individual needs, experiences, strengths, and goals.
Depending on your needs and clinical assessment, therapy may incorporate evidence-informed approaches including CBT-informed therapy, Acceptance and Commitment Therapy (ACT), supportive psychotherapy, Behavioral Activation, Solution-Focused Brief Therapy, Problem-Solving Therapy, Motivational Interviewing, mindfulness-based strategies, grief-focused approaches, relationship-focused strategies, and DBT-informed coping skills.
Adults 18+ • Florida Only • Secure Telehealth • Self-Pay • Personalized Care
Online Therapy for Self-Esteem, Relationships, and Life Transitions
At Live Now Psychiatry, we provide online therapy for adults throughout Florida who are struggling with low self-esteem, rejection sensitivity, negative self-talk, relationship stress, and difficulty establishing healthy boundaries. These challenges can affect emotional well-being, confidence, communication, and everyday relationships. Whether you are navigating a difficult relationship, experiencing a major life transition, struggling with self-doubt, or learning to prioritize your own needs, therapy offers a supportive environment to explore your experiences and develop healthier coping strategies. Through personalized approaches, including cognitive behavioral therapy (CBT), supportive psychotherapy, and acceptance and commitment therapy (ACT), we work together to strengthen self-confidence, improve communication, establish healthy boundaries, and build emotional resilience.
Personalized Online Therapy in Florida
Therapy should not feel like the same treatment plan is being used for everyone.
Your care is based on what you are experiencing now, what has been affecting your quality of life, and what you would like to change.
Therapy may help adults experiencing:
Anxiety and excessive worry
Depression and low motivation
ADHD-related difficulties
Low self-esteem
Negative self-talk
Stress and burnout
PTSD and trauma-related symptoms
Grief and loss
Chronic illness
Cancer-related emotional stress
Major medical diagnoses
Relationship difficulties
Communication problems
Divorce or separation
Dating and relationship transitions
Difficulty setting boundaries
Major life transitions
Career changes
Caregiver stress
Emotional overwhelm
Procrastination
Difficulty following through
Feeling stuck
Difficulty adjusting to changes in health or circumstances
Interpersonal patterns that repeatedly create distress
The goal of therapy is not simply to discuss problems.
Treatment can help you understand patterns in your thoughts, emotions, behaviors, and relationships while developing practical strategies to improve daily functioning and emotional well-being.
Cognitive Behavioral Therapy (CBT) Approach
Cognitive Behavioral Therapy, commonly known as CBT, focuses on the relationship between thoughts, emotions, and behaviors.
The way we interpret a situation can affect how we feel about it and how we respond.
CBT-based techniques may help you recognize unhelpful thought patterns, examine whether those thoughts are accurate or useful, develop healthier ways of responding, and change behaviors that may be contributing to distress.
CBT approaches may be incorporated when working with concerns such as:
Anxiety
Depression
Low self-esteem
Negative self-talk
Excessive worry
Stress
Avoidance
Relationship difficulties
Adjustment to illness
Difficulty coping with life changes
Therapy may include recognizing recurring thinking patterns, developing alternative perspectives, improving coping strategies, strengthening problem-solving skills, and practicing healthier behavioral responses.
Learn more about Anxiety Treatment in Florida
Learn more about Depression Treatment in Florida.
Acceptance and Commitment Therapy (ACT) Approaches
Acceptance and Commitment Therapy, or ACT, focuses on increasing psychological flexibility and helping people move toward what matters to them even when uncomfortable thoughts or emotions are present.
Sometimes considerable energy is spent trying to eliminate every difficult feeling, avoid uncomfortable situations, or control thoughts that cannot easily be controlled.
ACT-based strategies can help you respond differently.
Treatment may focus on:
Clarifying your personal values
Becoming more aware of thoughts without automatically reacting to them
Reducing emotional avoidance
Developing greater acceptance of difficult experiences
Identifying what is within your control
Taking meaningful action toward important goals
ACT principles may be particularly helpful when addressing anxiety, depression, grief, chronic illness, stress, perfectionism, relationship difficulties, and major life transitions.
Behavioral Activation for Depression & Low Motivation
Depression can create a difficult cycle.
When you feel exhausted, discouraged, emotionally disconnected, or unmotivated, you may gradually stop doing activities that previously provided structure, accomplishment, connection, or enjoyment.
That withdrawal can then contribute to worsening depression.
Behavioral Activation strategies focus on gradually rebuilding meaningful activity.
Treatment may involve:
Identifying avoidance patterns
Rebuilding daily routines
Increasing meaningful activities
Creating achievable goals
Improving follow-through
Reconnecting with relationships and interests
Increasing experiences of accomplishment
This approach can be especially helpful when depression affects motivation, work, relationships, self-care, or activities of daily living.
Learn more about Online Depression Treatment in Florida
Supportive Psychotherapy
Sometimes what you need is a professional and supportive place to understand what you are experiencing and determine how to move forward.
Supportive psychotherapy may help you process difficult circumstances, strengthen coping skills, improve emotional awareness, develop confidence, and make healthier decisions.
Supportive therapy may be useful during:
Relationship problems
Divorce or separation
Family stress
Career changes
Medical illness
Grief
Caregiving
Burnout
Major life transitions
Periods of uncertainty
Emotional overwhelm
Supportive psychotherapy may also incorporate techniques drawn from CBT, ACT, Motivational Interviewing, problem-solving approaches, and other evidence-informed strategies when appropriate.
Solution-Focused Therapy Approaches
Sometimes therapy does not need to spend every session analyzing the origin of a problem.
Solution-Focused Brief Therapy approaches emphasize your goals, strengths, existing resources, and practical steps toward improvement.
Treatment may explore questions such as:
What would you like to be different?
What is already working?
When is the problem less severe?
What strengths have helped you through difficult situations before?
What small change could make life better this week?
Solution-focused techniques may be helpful for life transitions, career stress, relationship concerns, confidence, communication difficulties, decision-making, and specific short-term goals.
Problem-Solving Therapy Approaches
When several problems are happening simultaneously, even deciding where to begin can feel overwhelming.
Problem-Solving Therapy approaches can help break complicated situations into smaller, more manageable pieces.
Treatment may involve:
Defining the problem clearly
Identifying what is within your control
Generating possible solutions
Considering benefits and drawbacks
Choosing a realistic next step
Creating an action plan
Reviewing the results
Problem-solving strategies may be particularly helpful when anxiety, depression, chronic illness, caregiver responsibilities, work stress, or relationship difficulties make everyday challenges feel unmanageable.
Motivational Interviewing
Sometimes you know something needs to change, but part of you is still uncertain.
Motivational Interviewing is a collaborative approach that helps people explore their own reasons for change.
Rather than simply telling you what you “should” do, treatment can help you understand:
What matters to you
What you want to change
Why the change matters
What has made change difficult
What might help you move forward
What strengths you already possess
Motivational Interviewing techniques may be incorporated when addressing motivation, procrastination, routines, treatment adherence, health behaviors, personal goals, and difficulty following through.
Mindfulness-Based Strategies
Mindfulness involves developing greater awareness of thoughts, emotions, physical sensations, and automatic reactions.
Instead of immediately reacting to every thought or feeling, mindfulness strategies can help create space to respond more intentionally.
Mindfulness-based techniques may be incorporated to support:
Anxiety management
Stress reduction
Emotional regulation
Improved awareness
Sleep
Distress tolerance
Reduction of impulsive reactions
These strategies may be combined with CBT, ACT, supportive psychotherapy, and other approaches.
DBT-Informed Coping Skills
Live Now Psychiatry may incorporate DBT-informed skills when clinically appropriate.
These may include strategies related to:
Emotional regulation
Distress tolerance
Mindfulness
Interpersonal effectiveness
Communication
Managing emotionally intense situations
Live Now Psychiatry does not advertise or provide a comprehensive Dialectical Behavior Therapy program.
Full DBT is a specialized and structured treatment model that may involve multiple components beyond individual outpatient sessions.
When comprehensive DBT or a higher level of behavioral health treatment is clinically indicated, referral to an appropriate specialist or treatment program may be recommended.
Therapy for Anxiety & Overthinking
Anxiety can affect much more than your thoughts.
It may look like:
Constant worrying
Racing thoughts
Overthinking
Feeling unable to relax
Physical tension
Irritability
Difficulty sleeping
Fear of making mistakes
Avoidance
Reassurance seeking
Difficulty making decisions
Feeling overwhelmed
Difficulty concentrating
Therapy can help identify patterns that may be maintaining anxiety and develop healthier ways of responding to anxious thoughts, uncertainty, stress, and physical symptoms.
Treatment may incorporate CBT-based strategies, ACT principles, mindfulness, supportive psychotherapy, problem-solving techniques, and other individualized approaches.
Learn more about Online Anxiety Treatment in Florida
Therapy for Depression
Depression can affect mood, motivation, energy, sleep, concentration, relationships, work, and everyday responsibilities.
You may experience:
Persistent sadness
Emotional numbness
Loss of interest
Low motivation
Fatigue
Difficulty concentrating
Social withdrawal
Feeling discouraged
Difficulty completing everyday responsibilities
Therapy can help identify patterns contributing to depression and gradually improve functioning.
Treatment may incorporate CBT-based techniques, Behavioral Activation, ACT principles, supportive psychotherapy, problem-solving strategies, and other individualized approaches.
Learn more about Online Depression Treatment in Florida
Therapy for Low Self-Esteem & Confidence
Low self-esteem can affect relationships, careers, boundaries, decision-making, and how you interpret everyday situations.
You may find yourself:
Constantly criticizing yourself
Comparing yourself to others
Doubting your abilities
Feeling that you are never good enough
Fearing rejection or disappointing others
Having difficulty setting boundaries
Staying in unhealthy relationships
Avoiding opportunities because of self-doubt
Therapy can help identify the beliefs and patterns contributing to low self-esteem.
Treatment may focus on developing more balanced thinking, reducing negative self-talk, improving self-compassion, strengthening boundaries, developing assertiveness, and increasing confidence.
ADHD Supportive Therapy & Executive-Function Strategies
Medication may improve ADHD symptoms for some adults, but medication does not automatically create organizational systems, routines, communication skills, or effective strategies for everyday life.
Therapy and behavioral strategies may help adults with ADHD address:
Procrastination
Task initiation
Task completion
Time management
Organization
Planning
Prioritization
Motivation
Follow-through
Emotional overwhelm
Communication difficulties
Relationship problems
Low self-esteem related to years of struggling with ADHD
Treatment may incorporate CBT-informed approaches, motivational strategies, behavioral techniques, structured goal setting, problem-solving, psychoeducation, and supportive psychotherapy.
Learn more about Adult ADHD Evaluation & Treatment in Florida
PTSD & Trauma-Related Support
Trauma can continue affecting your life long after the original experience has ended.
Trauma-related symptoms may include:
Hypervigilance
Feeling constantly “on edge”
Avoidance
Emotional numbness
Sleep disturbance
Difficulty trusting others
Relationship difficulties
Intrusive thoughts or memories
Feeling disconnected
Anxiety
Irritability
Feeling stuck in survival mode
When clinically appropriate, treatment may incorporate trauma-informed supportive psychotherapy, Present-Centered Therapy principles, CBT-informed coping strategies, ACT approaches, mindfulness, emotional-regulation skills, and other interventions focused on present functioning.
Treatment does not necessarily require discussing every detail of a traumatic event.
Learn more about PTSD & Trauma Treatment in Florida
Important Trauma-Therapy Notice
Live Now Psychiatry does not provide EMDR.
The practice also does not represent itself as providing every specialized trauma-processing protocol.
When EMDR, intensive trauma treatment, or another specialized trauma therapy is desired or clinically indicated, referral to an appropriately trained clinician may be recommended.
Grief-Focused Therapy & Bereavement Support
Grief does not follow a predictable schedule.
Loss can involve more than the death of someone you love.
People may also grieve:
Divorce or separation
Loss of a relationship
Loss of health
Cancer or serious illness
Infertility
Loss of independence
Career changes
Changes within a family
Loss of an expected future
Major changes in identity
Grief-focused therapy provides a supportive environment to process loss while continuing to function and reconnect with meaning.
Treatment may incorporate supportive psychotherapy, ACT principles, CBT-informed strategies, mindfulness, and problem-solving approaches depending on individual needs.
The goal is not to erase grief or tell you when you should “move on.”
The goal is to help you adjust to the loss while continuing to build a meaningful life.
Therapy for Chronic Illness, Cancer & Medical Stress
Living with a serious or chronic medical condition can affect much more than physical health.
A medical diagnosis may affect your mood, relationships, independence, identity, work, sleep, and expectations for the future.
Emotional concerns may include:
Anxiety about health
Depression
Fear surrounding testing or treatment
Grief
Fear of recurrence
Changes in physical functioning
Relationship stress
Caregiver stress
Difficulty accepting limitations
Uncertainty about the future
Rebecca Sommer, MSN, APRN, PMHNP-BC, FNP-C brings more than 15 years of healthcare experience, including years of clinical experience caring for individuals affected by cancer and serious medical illness.
This medical background can provide additional perspective when helping patients cope with the psychological impact of illness, treatment, uncertainty, and changes in functioning.
Therapy may focus on coping with uncertainty, emotional adjustment, communication, identity changes, relationships, grief, maintaining meaning and purpose, and developing practical strategies for living with circumstances that cannot always be immediately changed.
Approaches may incorporate ACT principles, CBT-informed strategies, supportive psychotherapy, grief-focused work, mindfulness, and problem-solving techniques.
Medical Care Disclaimer
Mental health services provided by Live Now Psychiatry do not replace medical evaluation or treatment by your primary care clinician, oncologist, cardiologist, endocrinologist, or other medical specialists.
Patients should continue appropriate medical follow-up for cancer, chronic illness, medical symptoms, laboratory abnormalities, and other physical-health concerns.
Therapy for Life Transitions
Even positive changes can create stress.
Therapy may be helpful during:
Divorce
Separation
Dating changes
New relationships
Career transitions
Relocation
Retirement
Family changes
Caregiving
Changes in health
Changes in identity
Starting over after a difficult period
Feeling uncertain about what comes next
Therapy can provide a place to process what has changed, identify what matters to you now, strengthen confidence, and develop practical strategies for moving forward.
Learn more about Life Transitions Support in Florida
Relationship-Focused Therapy & Support
Relationships can significantly affect mental health.
Relationship difficulties may contribute to anxiety, depression, stress, sleep problems, low self-esteem, resentment, loneliness, and emotional exhaustion.
Relationship-focused therapy may help adults better understand patterns involving:
Communication
Conflict
Boundaries
Trust
Emotional connection
Repeated arguments
Unhealthy relationship patterns
Dating
Divorce
Separation
Relationship transitions
Treatment may help identify patterns that contribute to distress and develop healthier ways of communicating, setting boundaries, and responding to conflict.
Learn more about Relationship & Divorce Recovery Support in Florida
Couples Therapy Notice
Relationship-focused or couples work may be offered only when clinically appropriate and within the provider's training and scope of practice.
Live Now Psychiatry is not an intensive couples-treatment program.
When specialized couples therapy or another level of relationship treatment is needed, referral to an appropriate specialist may be recommended.
Personality-Related Patterns & Interpersonal Difficulties
Some adults experience longstanding emotional or interpersonal patterns that repeatedly create difficulties in relationships, work, self-esteem, boundaries, or emotional regulation.
When clinically appropriate for outpatient telehealth care, therapy may address concerns such as:
Low self-esteem
Difficulty setting boundaries
Repeated unhealthy relationship patterns
Sensitivity to rejection
Interpersonal conflict
Difficulty regulating emotions
Impulsive reactions
Difficulty trusting others
Patterns that repeatedly interfere with quality of life
Treatment may incorporate CBT-informed strategies, ACT principles, supportive psychotherapy, DBT-informed skills, mindfulness, interpersonal strategies, and problem-solving approaches.
Scope Notice
Live Now Psychiatry is not an intensive personality-disorder treatment program and does not provide comprehensive DBT, residential psychiatric treatment, partial hospitalization, intensive outpatient treatment, or crisis stabilization.
Patients requiring specialized personality-disorder treatment, comprehensive DBT, frequent crisis intervention, or a higher level of psychiatric care may be referred to an appropriate clinician or treatment program.
Therapy for Women's Mental Health
Women may experience emotional challenges connected with relationships, caregiving, careers, family responsibilities, burnout, identity, divorce, dating, health changes, and major life transitions.
Therapy can provide a supportive space to work through these concerns while improving:
Coping
Confidence
Communication
Emotional well-being
Boundaries
Self-esteem
Relationship patterns
Stress management
Learn more about Women's Mental Health Treatment in Florida
Stress & Burnout Therapy
You can appear successful and continue meeting responsibilities while still feeling emotionally exhausted.
Chronic stress and burnout may contribute to:
Irritability
Difficulty sleeping
Anxiety
Low motivation
Feeling emotionally depleted
Relationship problems
Difficulty concentrating
Feeling detached from work
Feeling as though you are constantly functioning but never recovering
Therapy can help identify what is contributing to burnout, determine what can realistically change, establish healthier boundaries, clarify priorities, strengthen coping strategies, and reconnect with activities and relationships that matter.
Therapy and Medication Management in One Practice
Some adults benefit from therapy alone.
Some benefit from psychiatric medication management.
Others may benefit from a combination of both.
Live Now Psychiatry provides:
Psychiatric evaluation
Medication management
Therapy
Combined medication management and therapy
Treatment recommendations are individualized and based on your symptoms, history, goals, clinical needs, and provider assessment.
Medication is never guaranteed and is prescribed only when clinically appropriate following an appropriate psychiatric evaluation.
Why Choose Live Now Psychiatry?
Care at Live Now Psychiatry is provided by:
Rebecca Sommer, MSN, APRN, PMHNP-BC, FNP-C
Rebecca is a dual board-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner with more than 15 years of healthcare experience.
Her background combines advanced psychiatric training with extensive medical experience, allowing treatment to consider emotional health, medical history, medications, lifestyle, relationships, and everyday functioning.
Live Now Psychiatry offers:
✓ Dual Board-Certified PMHNP-BC & FNP-C
✓ 15+ Years of Healthcare Experience
✓ Therapy and Medication Management Available
✓ Experience Caring for Individuals Affected by Cancer & Serious Medical Illness
✓ Personalized Treatment Plans
✓ Secure Telehealth Throughout Florida
✓ Adults 18+
✓ Transparent Self-Pay Pricing
✓ Free 15-Minute Screening
Online Therapy Throughout Florida
Live Now Psychiatry provides online therapy and psychiatric care to adults who are located in Florida at the time services are provided.
Secure telehealth makes care accessible without requiring travel to a physical office.
Services are available to adults throughout Florida, including:
Miami • Fort Lauderdale • Boca Raton • Delray Beach • West Palm Beach • Palm Beach Gardens • Port St. Lucie • Orlando • Tampa • St. Petersburg • Sarasota • Naples • Jacksonville • Tallahassee • Cape Coral and surrounding Florida communities.
Adults 18+ • Florida Only • Secure Telehealth • Self-Pay
Frequently Asked Questions About Online Therapy in Florida
1. What should I expect during my first online therapy session?
The first session generally focuses on understanding what brought you to therapy, current concerns, relevant history, relationships, stressors, strengths, coping patterns, and what you hope to change.
Together, these areas help guide individualized treatment goals.
2. What is CBT and how can it help?
Cognitive behavioral therapy (CBT) explores relationships among thoughts, emotions, behaviors, and patterns of responding to situations.
CBT strategies may help patients recognize unhelpful patterns, develop more adaptive responses, improve coping skills, and work toward specific behavioral or emotional goals.
3. What is acceptance-based therapy?
Acceptance-based approaches can help people develop a different relationship with difficult thoughts and emotions rather than spending excessive energy trying to eliminate every uncomfortable internal experience.
Treatment can also help clarify personal values and encourage actions that are consistent with those values.
4. Can therapy help me even if I don't have a severe mental illness?
Yes. People seek therapy for many reasons beyond severe psychiatric illness, including stress, relationships, grief, burnout, self-esteem, decision-making, emotional patterns, life changes, and personal growth.
5. How are goals established in therapy?
Therapy goals are developed collaboratively based on the problems affecting your life and the changes you would like to make.
Goals may involve improving coping skills, relationships, communication, emotional regulation, organization, boundaries, behavioral patterns, or adaptation to difficult circumstances.
6. How often should I attend therapy?
The appropriate frequency depends on symptoms, treatment goals, progress, clinical needs, and individual circumstances.
Frequency can be reassessed as treatment progresses rather than assuming every patient requires the same schedule.
7. Can online therapy help with relationship problems?
Therapy may help individuals identify patterns involving communication, trust, boundaries, attachment, conflict, expectations, and emotional responses.
Treatment can focus on developing healthier ways of understanding and responding to relationship difficulties.
8. Can therapy help with grief and loss?
Yes. Grief can involve sadness, anger, guilt, confusion, loneliness, changes in identity, or difficulty adjusting to life after a significant loss.
Therapy can provide a supportive environment for processing grief and adapting to changes associated with loss.
9. Is teletherapy private?
Patients should participate from a private environment whenever possible. Live Now Psychiatry provides care using secure telehealth technology and handles protected health information in accordance with applicable privacy requirements.
10. What if I don't know what I want to talk about in therapy?
You do not need to arrive with a perfectly defined problem or treatment goal. Therapy can begin by exploring what feels difficult, what has changed, what patterns keep recurring, and what you would like your life to look like differently.
11. How do I know whether therapy is helping?
Progress may appear as improved coping, greater insight, healthier behavioral patterns, better communication, improved emotional regulation, greater ability to tolerate difficult experiences, or progress toward personally meaningful goals.
Important Practice, Scope & Safety Information
Live Now Psychiatry provides scheduled outpatient telehealth mental health services for adults located in Florida.
The practice is not an emergency department, urgent-care facility, crisis center, inpatient psychiatric facility, partial hospitalization program, intensive outpatient program, residential treatment program, or 24-hour/on-call service.
Not every condition, symptom severity, or treatment need is appropriate for this practice.
Treatment recommendations are individualized and depend on clinical assessment, provider scope and competency, patient needs, medical and psychiatric history, safety considerations, and appropriateness for outpatient telehealth treatment.
Live Now Psychiatry does not provide every form of psychotherapy or specialized behavioral-health treatment.
Referral to another clinician or a higher level of care may be recommended when specialized trauma therapy, EMDR, comprehensive DBT, intensive personality-disorder treatment, specialized couples treatment, eating-disorder treatment, substance-use treatment, crisis intervention, or another service outside the scope of the practice is clinically indicated.
A free screening is intended to help determine potential fit and is not a psychiatric evaluation or therapy session.
Submission of an inquiry, completion of a screening form, or participation in a screening call does not guarantee acceptance into the practice, diagnosis, treatment, medication, or any particular therapy approach.
Emergency Information
Live Now Psychiatry does not provide emergency or crisis services.
If you are experiencing a medical or psychiatric emergency, suicidal thoughts with immediate safety concerns, homicidal thoughts, severe behavioral changes, hallucinations, psychosis, severe mania, or another potentially life-threatening condition, call 911 or go immediately to the nearest emergency department.
You may also call or text 988 to reach the Suicide & Crisis Lifeline.
ONLINE THERAPY FOR ADULTS IN FLORIDA
Ready to Start Therapy?
Find a supportive space to work through anxiety, stress, grief, relationship concerns, burnout, and life transitions from the privacy of home. Live Now Psychiatry provides personalized online therapy for adults throughout Florida.
Adults 18+ Throughout Florida • Secure Telehealth • Free 15-Minute Screening