- Stress and anxiety
- Family of origin issues
- Grief and loss
About Nancy
Nancy Lefler-Panela is a Licensed Clinical Social Worker (LCSW) licensed in Tennessee and brings 3 years of direct clinical experience. She works with adults on stress, anxiety, family concerns, grief, trauma and abuse, and life transition issues. Her background also includes work with addiction, parenting stress, anger, low self-esteem, and questions about career and life purpose.
Nancy views each person as the expert on their own life. She focuses on strengths people already have and helps them use those strengths to change patterns that no longer serve them. Sessions are straightforward and practical. She listens, asks clarifying questions, and suggests small steps clients can try between meetings.
Her prior roles included supervising staff who provided clinical support to children, youth, and families. That supervisory experience shaped her interest in family dynamics and family of origin issues. She uses that experience to help people see how early roles and expectations still affect current relationships and choices.
In sessions she pays attention to patterns that come from childhood, adoption or foster care experiences, and attachment concerns when these are part of someone's story. She also addresses codependency, communication problems, and the guilt and shame that often follow difficult family histories.
Nancy offers practical coaching around coping skills, relapse prevention for substance concerns, and ways to manage grief and loss. She welcomes questions about the structure of sessions and how therapy can fit into a busy life. To begin, clients complete a short matching questionnaire and then schedule a first session.
Therapeutic approaches and working online
Many evidence-based techniques focus on understanding patterns and changing behavior. One common approach looks at how early relationships shape current feelings and responses; it helps people identify repeated roles from childhood and try new ways of responding. Another approach teaches concrete coping skills such as grounding, emotion regulation, and relapse prevention strategies to manage anxiety, cravings, grief, or anger in daily life.Choosing the right mix of approaches is a collaborative process. The therapist will work with each client to name goals, try a few methods, and adjust based on what helps. That means sessions can include skills practice, reflective conversation, and planning specific next steps together.
Confirm the exact session formats before booking so you know what is offered. Many people find online sessions help fit therapy into a busy schedule, make it easier to attend during a work break, or allow a shorter check-in when needed. Licensed professionals can adapt exercises for a video or phone meeting and help clients apply what they work on in session to everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
3+ years
Listed in
Tennessee, California
Languages
English
Frequently asked questions
What concerns does she help with?
She helps with stress, anxiety, family problems, trauma and abuse, grief, addiction, parenting stress, anger, self-esteem, career questions, and related concerns.
What is her therapeutic style like?
Her approach is practical and strengths-based. She listens, asks direct questions, and suggests manageable steps clients can try between sessions.
How much clinical experience does she have?
She has 3 years of direct professional clinical experience and additional experience supervising staff who supported children, youth, and families.
What are her credentials and where is she based?
She is an LCSW licensed in Tennessee and practices from Tennessee.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are accepted; confirm any local licensing or scheduling considerations when you arrange sessions.
How are sessions charged?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.