Roxanne Montano-Levizon

Roxanne Montano-Levizon is a Washington-licensed mental health counselor with 28 years of professional experience. She focuses on common struggles such as stress, anxiety, depression, addictions, grief, and low self-esteem. Her tone is encouraging and practical, aimed at people who are nervous about taking the first step toward help.

Roxanne centers sessions on each person's strengths and lived experience. She views clients as the experts on their own stories and works collaboratively to set goals. Conversations tend to be straightforward and goal-focused, with attention to skills that can be used between sessions.

Many people seek her help for body image concerns, panic attacks, social anxiety, and persistent feelings of shame or isolation. She also supports people navigating control issues, relationship communication problems, divorce and separation, and questions about life purpose and forgiveness. Sessions can address both immediate symptoms and longer-term patterns that keep problems returning.

Over nearly three decades of practice, Roxanne has developed an approach that balances empathy with practical tools. She helps people understand what keeps them stuck and tries out strategies to reduce distress and build confidence. She encourages small steps and measures progress in ways that matter to each person.

When someone is ready to begin, Roxanne asks about current priorities and tailors work to those goals. She invites people to move at their own pace and to use the counseling process as a space for honest problem solving and growth.

Practical approaches and how online work can fit

Roxanne uses evidence-based therapeutic techniques that focus on clear, teachable skills. One common approach she favors helps people learn coping skills for anxiety and panic attacks, such as breathing strategies, grounding exercises, and step-by-step exposure to feared situations. These methods aim to reduce intense symptoms and increase confidence in day-to-day situations.

Another approach emphasizes problem-solving and behavioral change for issues like depression, addictions, and low motivation. That work often involves setting small achievable goals, tracking progress, and testing new behaviors to see what helps. For body image and self-esteem concerns, she focuses on changing unhelpful self-talk and building practices that increase self-acceptance over time.

Finding the right approach is part of the therapy process. Roxanne will work with each person to choose techniques that match their needs, goals, and preferences, and she adjusts the plan as progress is observed. The collaboration helps ensure therapy feels relevant and doable.

If you prefer online therapy, confirm the session formats before booking since the biography does not specify them. Online work can make it easier to fit sessions into a busy life, allow shorter check-ins when needed, and reduce travel time. Many people find that remote sessions still allow focused, practical skill practice and steady progress when matched with a licensed professional.