Private, boutique psychotherapy with direct access to your therapist and the time and attention real change deserves.
Concierge mental health therapy is a private-pay, boutique model of care. Instead of fitting into a crowded clinic schedule, you have direct, personal access to your therapist, who keeps an intentionally small caseload so every client receives genuine time and attention.
Traditional therapy often means waitlists, short sessions, and a rotating cast of providers. Concierge care is built around something steadier.
A thorough first conversation shapes a plan around your goals and circumstances, not a one-size-fits-all protocol.
Meet by secure video from anywhere in Florida, at times that work with a full calendar.
No months-long waitlist. When something is weighing on you, you can begin quickly and get timely support.
Private-pay means your care stays between you and your therapist, free from insurance reviews and record requests.
You work with the same therapist over time, so trust deepens and nothing gets lost in hand-offs.
Regular check-ins and practical stress tools help you stay steady and catch rough water before it becomes a storm.
Thoughtfully designed for people who value depth, responsiveness, and privacy.
Every session is calm and uninterrupted, with your full attention on you. Executive sessions can be extended if necessary.
A direct line to your therapist by phone, text, or encrypted messaging, so support doesn't wait until next week.
Same-day or next-day availability when possible. Secure telehealth sessions from anywhere in Florida.
A deliberately small practice. No packed waitlists, no rushed waiting rooms, just consistent, attentive care.
Because care is private-pay, there are no insurance panels and no third-party reporting. Well suited to executives, public figures, and legal and medical professionals.
Your care is built around your goals, schedule, and pace, and it adjusts as your life and needs change.
Approaches are tailored to you, drawing from proven therapeutic modalities.
Sea Change Counseling is a private-pay practice and does not participate with insurance panels. Payment is by credit or debit card only.
Pay as you go, with no commitment.
Ongoing, consistent support.
Priority, high-touch care for demanding schedules.
Insurance is not accepted, and superbills are not provided. All payments are by credit or debit card.

If you're feeling overwhelmed, stuck in patterns that no longer serve you, or simply ready for a change but unsure where to start, I see you, and you're not alone. I help adults navigate anxiety, depression, burnout, work stress, life transitions, and questions of identity with compassion and practical tools. My approach is strengths-based, drawing on CBT, DBT, IFS, and solution-focused therapy to meet you exactly where you are.
I believe healing happens in a safe, nonjudgmental space where you feel truly heard and empowered to reclaim your story. Together we'll uncover what's been weighing on you and build practical ways forward with more ease, clarity, and hope, so you can create a life that truly aligns with who you are.
Licensed Clinical Social Worker · Florida License SW22300
Send a consultation request below. You'll hear back to set up a brief, no-pressure call.
A short conversation to talk through what you're looking for and whether we're a good fit.
If it feels right, we schedule your first session and shape your personalized plan.
No. Sea Change Counseling is private-pay only, and superbills are not provided. Payment is by credit or debit card.
People who want more time, flexibility, and privacy than a traditional clinic offers, including busy professionals, executives, public figures, and anyone who values a consistent, personal relationship with their therapist.
Telehealth is available only to clients physically located in Florida at the time of the session.
Members get a direct line by phone, text, or encrypted messaging. Response expectations are agreed on together at the start. This is not an emergency service.
No. I provide psychotherapy and counseling. If medication might help, I can suggest that you talk with your physician or a prescriber you choose.
If you are in crisis, call or text 988. If you are in immediate danger, call 911.
Share a little about what you're looking for, and I'll reach out to schedule a brief consultation.
Trisha Peterson, LCSW
(386) 481-4782 · seachangecounseling22@gmail.com