Licensed Clinical Social Worker
Telehealth therapy for people who want more than a sounding board. I see a small number of clients by design — because the work I do requires my full presence.
About
"I was born sensitive and I've lived fully. Systems are crushing to me — which is why I've never practiced therapy like one. I thrive in nature and in real conversation, not in formulas or frameworks that flatten what's actually human. I believe that human beings aren't just problems to be solved — we're meaning-making creatures navigating something much larger than ourselves. I know what it costs to show up honestly for yourself and learn to trust your own inner knowing, because I've had to learn it. I bring all of that into the room — licensed since 2015, in clinical practice since 2007, a lifetime of paying attention, and a soulful perspective on what it means to be human. My caseload is small by design. The work I do requires my full presence. If you're ready for a therapist who genuinely engages — bring your real questions. I'd like to hear from you."
Services
I work with adults who are in the middle of something real — a change, a loss, a reckoning with who they are or who they want to become. Sessions are 50 minutes via secure telehealth video.
If you embrace transition as a necessary part of growth rather than something to survive — you will expand more quickly than you thought possible. I work with people who are ready to stop waiting for life to settle down and start moving with it.
The truest thing I know about grief is that the only way through it is to feel it. To allow it to exist without rushing toward resolution. Grief transmutes — but only when we stop fighting it.
The biggest part of trauma work isn't processing what happened — it's changing the narrative you built around it. Making meaning. Finding the resilience that was forged in the hardest moments. What happened to you is not the end of the story.
With me, therapy is a chance to change your reality based on the choices you make to believe something new. That shift, when it happens, changes everything.
The gap between who you are and who you were told to be is real — and exhausting to carry. Whether you're reinventing yourself, navigating a major role shift, or finally asking questions you've put off for years — identity work is some of the most important and most neglected territory in therapy. I take it seriously.
I don't define your spirituality for you — that's yours to discover. What I do is help you integrate spiritual experiences, explore meaning and purpose, and learn to listen to the quieter voice of your own intuition. The existential questions are not distractions from the work. They are the work. Life becomes more exciting when you live in connection with spirit.
Investment
I am a private pay practice. I do not contract with insurance companies — which means your care is never dictated by a billing code or a session limit.
50-minute telehealth session. Payment collected at time of service.
The consultation will tell us both what we need to know.
A superbill is a detailed receipt you submit directly to your insurance company for out-of-network reimbursement. After each session I provide one automatically — it contains everything your insurance needs including my license number, NPI, diagnosis code, and CPT billing code. Depending on your out-of-network benefits, your insurance may reimburse a significant portion of the session fee directly to you. Many clients with PPO plans receive 50–80% back. I recommend calling your insurance provider before our first session to ask about your out-of-network mental health benefits.
Telehealth
All sessions are conducted via secure, HIPAA-compliant video. You don't need special software — just a private space, a reliable connection, and the willingness to show up.
Submit a consultation request. I'll respond within one business day to schedule a 15-minute call.
The consultation tells us both what we need to know. If it's a good fit, we schedule your first session.
You'll receive secure intake forms and consent documents through the client portal before your first session.
One click to join. Sessions are 50 minutes. We'll work at the pace the work requires.
Licensing
Telehealth jurisdiction is determined by where you are physically located at the time of our session — not your home address. I am currently licensed in:
If you are located in a state not listed above at the time of a session, I am unable to provide services for that session. Please confirm your location before each appointment — this applies even if you are temporarily traveling.
Privacy
I use a HIPAA-compliant platform for all sessions, scheduling, and documentation. Sessions are conducted over encrypted video. Audio may be processed by HIPAA-compliant AI software solely to generate clinical notes — recordings are permanently deleted after processing and are never stored, shared, or used for any other purpose. You will be asked to consent to this in your intake documents.
Contact
I'm currently accepting a limited number of new clients. You can book a free 15-minute consultation or a regular session directly below — or reach out by email if you have questions first.
Licensure
California — LCSW #69269
Colorado — CSW #09932377
Arizona — LCSW #23434
NPI: 1063719557
This contact information is not monitored for emergencies. If you are in crisis, call or text 988, or go to your nearest emergency room.
Writing
The work I do as a therapist and the work I do as a writer come from the same place — a lifelong habit of paying attention to what's actually true.
If you found your way here through my writing, you already know something about how I think. The voice you read is the same one you'll meet in a session.
Essays on being human — the interior life, the stories we tell ourselves, and what it means to navigate something larger than ourselves.
Read on SubstackBooks, essays, and the full body of written work.
Visit dianelizabethgrier.comWhy it matters
Both ask you to sit with what's true, even when it's uncomfortable. Both require patience with ambiguity. Both are, at their best, acts of witness — toward yourself or toward someone else.
I've spent decades doing both. They inform each other in ways I couldn't separate even if I tried.