- Stress and anxiety
- Cognitive Behavioral Therapy
- Solution-Focused Therapy
About Becky
Becky Presthus is a Nebraska-licensed LMHP with 25 years of clinical experience. She works with adults facing stress, anxiety, trauma and abuse, anger, low self-esteem, and depression. Becky also addresses related concerns such as attachment and abandonment, adoption and foster care issues, caregiver stress, body image, and the effects of divorce or domestic violence.
In sessions she uses practical methods drawn from Cognitive Behavioral Therapy and Solution-Focused Therapy. That means talking through current difficulties, identifying unhelpful thinking and behavior patterns, and testing small changes that can make daily life feel more manageable. Conversations tend to focus on concrete goals and steps rather than long, abstract reflection.
Becky often helps people who are rethinking work, relationships, or their sense of purpose after a major life change. She spends time clarifying what matters right now and finding actions that fit the client’s everyday routines. Sessions balance problem-solving with attention to emotional responses that interfere with progress.
Her approach is direct and collaborative. She encourages clear feedback so therapy stays focused on what the client wants to accomplish. Practical exercises, short-term goal setting, and behavioral experiments are common tools used between sessions.
Becky practices in Nebraska and provides services in English. People who want to learn more are asked to check the listed online therapy options and complete the matching questionnaire before scheduling a first session.
How Becky uses CBT and Solution-Focused methods online
Becky draws on Cognitive Behavioral Therapy to help people identify and change thought and behavior patterns that increase stress or deepen low mood. CBT work often includes tracking thoughts and trying small behavior experiments to see what shifts in daily life. Solution-Focused Therapy is more goal-directed and brief, focusing on what is already working and building concrete next steps to increase what a person wants more of.Finding the right approach is part of the process. Becky works collaboratively with each person to choose whether to emphasize CBT, Solution-Focused techniques, or a mix of both based on symptoms, goals, and personal preferences. She checks in regularly to adjust methods and pace so sessions stay practical and relevant.
Confirm the current online session options before booking, since formats are listed with the practice. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when useful, and reduce travel time. They can also accommodate situations where camera-free or lower-bandwidth options are preferable. The goal is to match an approach and format to everyday life so therapeutic work can be sustained between sessions.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Nebraska
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with adults on stress, anxiety, trauma and abuse, anger, low self-esteem, and depression, plus related concerns like attachment and caregiver stress.
How does she approach feeling stuck or directionless?
She uses Cognitive Behavioral Therapy and Solution-Focused Therapy to identify unhelpful thoughts and try small, practical changes focused on short-term goals.
How much clinical experience does she have?
Becky has 25 years of experience working with adults on a range of emotional and life transition issues.
What are her credentials and where does she practice?
She is an LMHP licensed in Nebraska and practices in that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for and what does cost look like?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to begin working together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.