James Tresh is a psychotherapist who works with individuals, couples, and families, drawing on 40 years of experience to help people navigate both long-standing concerns and the pressures of everyday life. As a Licensed Mental Health Counselor (LMHC), he supports clients who are dealing with anxiety and depression, as well as those facing major life stressors such as grief after the death of a loved one, separation, or divorce.
He also helps individuals who want to reduce or end dependence on alcohol or other drugs, and he understands how anxiety can interfere with daily functioning, relationships, and overall quality of life. Alongside these concerns, James works with clients on rebuilding damaged self-esteem, strengthening self-confidence, and improving motivation, especially when discouragement or stress has made it hard to move forward.
James focuses on creating an open and supportive space where thoughts and feelings can be shared without fear of judgment. He recognizes that starting therapy takes courage, and he aims to help clients feel grounded and supported as they take practical steps toward the changes they want to make.
James Tresh uses evidence-based therapeutic techniques, which means the work is grounded in methods that are widely used and studied in professional counseling. In online therapy, these techniques can help bring structure to sessions while staying focused on practical goals, such as reducing anxiety symptoms, improving mood, or strengthening coping skills during stressful life transitions.
For concerns like addiction and relationship strain, evidence-based work often includes identifying patterns that keep problems going, practicing new responses, and building strategies that can be used in real situations between sessions. When self-esteem is a major focus, therapy can also involve learning to notice self-critical thinking, develop more balanced self-talk, and take small, consistent steps that support confidence and motivation.
Finding the right approach is part of the process. James collaborates with clients to clarify what they want from therapy, what has or has not helped in the past, and what style of support feels most useful, then adjusts the work to fit those needs and preferences over time.
Online therapy also offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. This range of options can make it easier to stay consistent with therapy, even with a busy schedule, travel, or limited access to in-person care.
How much experience does James Tresh have?
James Tresh has 40 years of experience providing psychotherapy services.
Is James Tresh a licensed therapist?
Yes. James Tresh is a Licensed Mental Health Counselor (LMHC) in Florida. License: FL LMHC MH1787.
In which languages does James Tresh provide therapy?
James Tresh provides therapy in English and American Sign Language.
Where is James Tresh located?
James Tresh is located in Florida.
How can I work with James Tresh as my therapist?
You can work with James Tresh through video calls, phone sessions, live chat, or text-based messaging, depending on what works best for your needs and scheduling.
Does James Tresh work with international clients?
Yes. James Tresh works with international clients.
How much does therapy with James Tresh cost?
The cost of therapy can vary depending 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 current details, just click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and 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.