About

Elva "Julia" Garafola is a Licensed Clinical Social Worker (LCSW) with over a decade of experience providing therapy to individuals navigating the realities of stress, anxiety, depression, grief, and relationship concerns. Licensed in Texas and Missouri, she supports clients as they work through difficult seasons and build a clearer sense of direction, stability, and personal growth.

Her work is grounded in a compassionate, holistic perspective that takes the whole person into account, including emotional patterns, life circumstances, and the relationships that shape daily experience. She helps clients address concerns such as communication struggles, life transitions, trauma recovery, self-esteem, identity exploration, and the ongoing effort to cultivate self-acceptance and empowerment. She also offers support for challenges that can arise in workplaces, families, and other close connections, especially when emotions feel layered or hard to untangle.

Elva "Julia" brings a collaborative, person-centered style to therapy, partnering with each client to clarify goals, develop insight, strengthen resilience, and take practical steps toward meaningful change. Whether someone is coping with interpersonal conflict, adjusting to a major transition, or seeking a more grounded sense of self, she aims to provide supportive, affirming care that respects each individual journey.
Location:
Missouri, United States
Years Experience:
12
Gender:
Female
Languages Spoken:
English
Therapist of Color:
No
Communication Options:
Phone • Video • Live Chat • Messaging

Specialties

Primary area of focus:Stress, Anxiety, Relationship issues, Grief, Depression, Coping with life changes
Other areas of experience: LGBT, Family conflicts, Trauma and abuse, Sleeping disorders, Parenting issues, Anger management, Self esteem, Career difficulties, Compassion fatigue, Abandonment, Attachment issues, Blended family issues, Body image, Codependency, Commitment issues, Communication problems, Control issues, Divorce and separation, Domestic violence, Eating and food-related issues, Family of origin issues, Forgiveness, Gender dysphoria, HIV / AIDS, Hoarding, Impulsivity, Infidelity, Isolation / loneliness, Jealousy, Life purpose, Midlife crisis, Mood disorders, Multicultural concerns, Narcissism, Postpartum depression, Post-traumatic stress, Self-love, Sexual dysfunction, Sexuality, Workplace issues, Young adult issues
Therapeutic approach:Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Mindfulness Therapy, Motivational Interviewing, Psychodynamic Therapy, Solution-Focused Therapy

Credentials & Verification

  • Credentials: TX LCSW 56813, MO LCSW 2024038145
  • NPI Number: 1790247864
  • License: LCSW (Texas), LCSW (Missouri)

Therapeutic Tools That Translate Well to Online Sessions

Elva "Julia" Garafola draws from evidence-informed approaches that can be practical and engaging in an online format. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and behaviors and practicing new strategies that better support mood, stress management, and daily functioning. Acceptance and Commitment Therapy (ACT) emphasizes building psychological flexibility - learning to make room for difficult thoughts and feelings while taking values-based steps toward the life a client wants. Attachment-Based Therapy looks at how early and current relationship experiences shape connection, trust, and emotional needs, which can be especially helpful when relationship dynamics or life transitions feel overwhelming.

Finding the right approach is part of the process. Elva "Julia" works collaboratively with clients to understand what they are facing, what they want to change, and what has or has not helped in the past. Together, they can tailor sessions to fit each person’s goals, preferences, and pace, adjusting strategies as new insights emerge.

Online therapy also offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. This variety can make it easier to stay consistent with support, fit sessions into a busy schedule, and access care from a comfortable setting.

How much experience does Elva 'Julia' Garafola have?

Elva "Julia" Garafola has 12 years of experience supporting clients through a range of concerns, including stress, anxiety, depression, grief, and relationship challenges.

Is Elva 'Julia' Garafola a licensed therapist?

Yes. Elva "Julia" Garafola is a Licensed Clinical Social Worker (LCSW). She is licensed in Texas (TX LCSW 56813) and Missouri (MO LCSW 2024038145).

In which languages does Elva 'Julia' Garafola provide therapy?

She provides therapy in English.

Where is Elva 'Julia' Garafola located?

Elva "Julia" Garafola is located in Missouri.

How can I work with Elva 'Julia' Garafola as my therapist?

You can work with Elva "Julia" Garafola through video calls, phone sessions, live chat, or text-based messaging, depending on what best fits your needs and what is available.

Does Elva 'Julia' Garafola work with international clients?

No. Elva "Julia" Garafola does not currently work with international clients.

How much does therapy with Elva 'Julia' Garafola cost?

The cost of therapy can vary based on factors such as your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For the most up-to-date pricing and details, click the “Start Therapy” button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the “Start Therapy” button to complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.