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Vista Holistica - Affordable, Accessible Therapy Based Out of Florida. 

Online DBT Therapy in Florida and Washington

Dialectical Behavior Therapy teaches practical skills to manage overwhelming emotions, improve relationships, and get through hard moments without making things worse. DBT is at the heart of my practice.

Florida & Washington-Licensed LCSW

Sessions from $75 - affordable, accessible care

Person practicing mindfulness as part of DBT skills
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Reviews

Hear from people who've been where you are

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About Me

Hi, I'm Marisa

I'm a Licensed Clinical Social Worker in Florida and Washington, and a certified Life Coach serving clients nationwide. Practicing from a full bio-psycho-social perspective, I believe therapy works best when it feels like a true partnership — built on honesty, openness, and authenticity.

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You don't need to share the same life story as your therapist; you just need to feel seen, respected, and safe. I bring curiosity, compassion, and creativity to every session, along with practical tools you can carry into daily life.

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Our Process

How DBT Works With Me

04

Put it into practice. We build a routine that works for you and process real situations as they come up.

03

Learn the skills. We practice mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness in ways that fit your life.

02

Chain analysis. My favorite starting point. We map the steps between a trigger and a reaction to find where change is possible.

01

Free consultation. We talk about what you are struggling with and whether DBT is a good fit.

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What is DBT?

Dialectical Behavior Therapy, created by Marsha Linehan, teaches skills for managing emotions, tolerating distress, and improving relationships while balancing acceptance and change.

Who can DBT help?

DBT can help people who feel overwhelmed by emotions, struggle in relationships, or want healthier ways to cope, including those with BPD, trauma, or substance use concerns.

Do you offer DBT online?

Yes. DBT therapy is available virtually to clients in Florida and Washington. DBT-informed coaching is available nationwide.

What is a chain analysis?

Yes. DBT therapy is available virtually to clients in Florida and Washington. DBT-informed coaching is available nationwide.

What is radical acceptance?

Radical acceptance means accepting reality as it is, even when we do not like it. It is not approval. It is what makes enduring and moving forward possible.

Is this the same as a full DBT program?

Traditional DBT includes a skills group, individual therapy, and phone coaching. My approach focuses on helping you study, process, and practice the skills in a way that fits your life.

Frequently Asked Questions

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Journal with notes on DBT skills and chain analysis

The Four Core Skills of DBT

DBT blends acceptance and change. Mindfulness helps you notice what is happening in your mind and body. Distress tolerance helps you get through tough moments without acting out. Emotion regulation helps you soothe yourself and respond instead of react. Interpersonal effectiveness helps you be direct and assertive without being aggressive. I spent about two years at a substance use rehabilitation center where DBT was our primary treatment, and I have seen it help people with a wide range of needs, including big emotions, BPD, trauma, and recovery.
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Services & Modalities

Support For Where You Are Right Now

Every person arrives with a different story. These are some of the ways we can work together — we'll find what fits you.

Psychotherapy

Mental Health Coaching

Internship, Field, & Peer Supervision

Internal Family Systems (IFS) Therapy

ADHD Coaching

Addiction Recovery Coaching

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Get In Touch

Have a Question or Want To Learn ?

Phone / Text: 904-337-9027

Location by Appointment Only: 

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