About Ashley
Ashley Couch is a Licensed Clinical Social Worker (LCSW) based in Florida. She brings seven years of clinical therapy experience and a larger background working with youth and adults in schools, community programs, and in-home settings. Ashley focuses on helping people manage stress, anxiety, depression, grief, and many life transitions.
She also supports those facing addiction, relationship strain, and questions around identity and intimacy. Ashley combines talk therapy with body-centered work drawn from somatic ideas.
Background and approach
That means sessions can include attention to bodily sensations as a way to understand feelings and move through difficult moments. She also uses evidence-informed approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy to build practical skills. Her style is warm and collaborative.
Clients are invited to set goals and try small experiments between sessions. She leans on strengths and teaches tools for managing overwhelming emotions, improving communication, and reducing shame. Sessions can address a wide range of concerns including parenting stress, caregiver burnout, chronic pain or illness, body image, and trauma or abuse.
Ashley also works with people navigating adoption, attachment wounds, and non-normative sexual cultures like kink and BDSM. Therapy is offered in English and delivered through several online formats. Cost varies with location and therapist availability and uses a cancel-anytime subscription model.
To begin, a short matching questionnaire and scheduling step are required.
How therapeutic approaches translate to online work
Somatic-informed work helps people notice what their body is doing during stress and emotion. Online sessions can guide gentle grounding, breath awareness, and checking bodily signals to reduce overwhelm and build presence. This approach is often useful for trauma, chronic pain, and anxiety where the body holds strong responses.Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small actions that fit those values. It teaches ways to make room for difficult thoughts while still moving toward a meaningful life. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thinking patterns and replace them with practical strategies that change feelings and behavior over time.
Finding the right blend of approaches is a collaborative process. The therapist will discuss goals, try different methods, and adjust plans based on what feels helpful. Clients help shape the work by giving feedback and deciding which tools to keep using.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy schedules and to practice skills between meetings. Licensed professionals can use these formats to teach grounding, coach skills in the moment, and support progress without requiring travel.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Family conflicts
- Family problems
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Florida
- Languages
- English