Twila Quaid, LMHC

Twila Quaid is a licensed mental health counselor who focuses on helping people who feel stuck, overwhelmed, or disconnected from what matters to them. She speaks plainly and works with clients to uncover what is getting in the way of daily functioning and joy. Her approach is active and practical, with an emphasis on goal setting and real-world steps that can shift day-to-day life.

She brings ten years of experience to sessions and uses homework and structured tasks to reinforce progress between meetings. Twila draws on Cognitive Behavioral Therapy to identify patterns of thinking that keep problems going. She also uses Narrative Therapy to help people rewrite the stories they tell about themselves and their lives.

In practice she treats stress, anxiety, grief, low self-esteem, depression, ADHD, addictions, relationship strain, trauma and abuse, sleep problems, parenting strain, bipolar-related concerns, and coping with major life changes. Additional focus areas include impulsivity, life purpose, seasonal affective disorder, compassion fatigue, and women’s issues.

Twila describes her work as holistic, looking at personal, physical, emotional, psychological, and spiritual influences on wellbeing. Sessions include collaborative goal setting and practical exercises to try between meetings. She aims to help people notice what is unprocessed and to build tools that restore meaning and daily functioning.

Twila holds the Licensed Mental Health Counselor credential, LMHC, and practices in New York. Conversations are in English and she does not take international clients.

How Twila applies CBT and Narrative Therapy online

Twila uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors. CBT focuses on small experiments and practical skills that reduce anxiety, lift mood, and improve sleep. Narrative Therapy helps people separate themselves from painful stories and update how they describe their life, which can shift identity and choices.

Choosing the right approach is a collaborative process. Twila works together with each person to match methods to their needs, goals, and preferences. She may combine techniques over time and adjust homework and session focus based on what is helping most.

If you are considering online therapy, confirm the current session formats before booking so you know what this therapist offers. Online work can make it easier to fit sessions into a busy life, reduce travel time, and allow focused check-ins between obligations. It also supports using in-the-moment homework, like tracking sleep or practicing brief grounding exercises during the day.