About Prisca
Prisca Okeahialam-swaray is a licensed independent clinical social worker (LICSW) practicing in Minnesota with 13 years of experience. She focuses on helping people manage stress, anxiety, depression, grief, and the effects of trauma and abuse. Prisca values each person's own knowledge of their life and works alongside them to build on existing strengths.
Her style is warm and straightforward. Sessions aim to be practical and respectful, with clear steps you can try between meetings.
Background and approach
She encourages small, achievable changes that add up over time rather than sudden overhauls. Prisca draws on several approaches depending on what the person needs. She uses client-centered methods to listen and reflect; cognitive behavioral techniques to address unhelpful thoughts and behaviors; and dialectical behavior tools to teach emotional regulation and coping skills.
Motivational interviewing and narrative therapy also inform her work when exploring values and life stories. People bring a wide range of concerns to sessions, including relationship strain, parenting stress, anger, low self-esteem, mood instability, and ADHD-related challenges. Prisca also addresses practical issues such as immigration stress, communication problems, and isolation.
Her aim is to help people find clearer direction and more manageable ways to handle day-to-day demands. Her approach begins with curiosity and respect. She helps clients set realistic goals, practices new skills together, and checks in on what is working.
Sessions are designed to feel collaborative and focused on what matters most to the individual.
Online approaches that meet you where you are
Client-centered therapy focuses on the person first. The therapist listens deeply and reflects back what matters to you, helping you clarify goals and build on your strengths. This approach is useful when someone needs a safe space to sort through feelings and make decisions.Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect. It offers simple tools to test unhelpful thoughts and try new behaviors, which can help with anxiety, depression, and ADHD-related struggles. Dialectical Behavior Therapy, DBT, teaches concrete skills for managing intense emotions and improving interpersonal effectiveness, which can be helpful for strong mood swings and impulse control.
Finding the right mix of approaches is part of the work. The therapist will collaborate with the client to choose methods that match needs, goals, and personal style. That plan can change as progress is made, and the client’s feedback guides adjustments.
Online therapy here can use video calls, phone sessions, live chat, or text-based messaging. Video calls are close to an in-person feel. Phone sessions can fit a break at work or be easier when bandwidth is low. Live chat and text let people check in between sessions or use shorter, focused conversations. These options make it easier to keep momentum and fit care into a busy life.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Communication problems
- Coping with life changes
- Depression
- Domestic violence
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
Therapeutic approaches
- Experience
- 13 years
- Licensed
- Minnesota
- Languages
- English
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