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


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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.

Our Process
How DBT Works With Me
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Put it into practice. We build a routine that works for you and process real situations as they come up.
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Learn the skills. We practice mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness in ways that fit your life.
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Chain analysis. My favorite starting point. We map the steps between a trigger and a reaction to find where change is possible.
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Free consultation. We talk about what you are struggling with and whether DBT is a good fit.

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


The Four Core Skills of DBT

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.

Get In Touch
Have a Question or Want To Learn ?
Email: Marisa@VistaHolistica.com
Phone / Text: 904-337-9027
Location by Appointment Only:
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