Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you sign up through our links.

Tracy Grothe

Tracy Grothe

LMHC, LIMHP

Experienced counselor focused on trauma-informed care

Continue with Tracy Review online therapy options and next steps on BetterHelp.
  • Trauma-informed approach
  • Client-centered care
  • Practical skill building

About Tracy

Tracy Grothe is a licensed mental health counselor who helps people navigate relationship struggles, grief, career shifts, and major life changes. She brings 25 years of clinical experience and a steady, practical approach. Tracy encourages clients to notice their strengths and use them to face difficult moments. She acknowledges that starting therapy can feel hard and validates that first step.

Tracy centers sessions on the person in front of her and treats the client as the expert in their own life. She combines Trauma-Focused Therapy with client-centered listening to create space for difficult memories and current problems. Cognitive Behavioral Therapy and mindfulness techniques are used to identify unhelpful patterns and build workable habits.

Sessions are collaborative and goal-oriented. Tracy uses motivational interviewing and solution-focused tools to help people clarify what matters and take small steps toward change. She also addresses concerns such as compassion fatigue, caregiving stress, chronic illness, changes related to aging, and issues around intimacy and attachment.

Tracy works with emotional issues like depression, anger, loneliness, body image struggles, and the impact of serious medical conditions. She brings practical coaching when clients want help with career directions or improving communication. Her Nebraska licensure is listed as LMHC and LIMHP.

Her manner is direct but compassionate, aiming to make therapy understandable and useful. Prospective clients who want to move through grief, adjust to life transitions, or manage ongoing stress are invited to begin with a brief matching questionnaire and schedule a first session.

How Tracy blends trauma-aware methods with online work

Trauma-Focused Therapy is an approach that helps people process and reduce the impact of distressing memories and reactions. In practice this means gently naming what is troubling, building safety around strong emotions, and working toward reducing symptoms that get in the way of daily life.

Client-Centered Therapy centers on the person's own perspective. The therapist listens closely, reflects what she hears, and helps the client make sense of their experience. This approach is helpful for people who want acceptance and clearer self-understanding as a foundation for change.

Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing them with small behavioral experiments. It works well for depression, anxiety, and patterns that keep people stuck by offering concrete skills to change thinking and behavior.

Finding the right mix of approaches is part of the work. Tracy will collaborate with each client to decide which methods fit their needs, goals, and preferences. That choice may shift over time as goals change or progress is made.

Confirm current session options before booking, as formats are not listed here. Online therapy can make it easier to fit sessions into a busy life, shorten commute time, and allow for quick check-ins between appointments. People often appreciate that remote sessions can reduce the need to arrange childcare or travel, and that phone options can work when video bandwidth is limited. Licensed professionals can adapt trauma-focused and CBT techniques to an online setting when appropriate.

These summaries are based on the profile information listed on BetterHelp. Listing trauma-focused therapy does not mean a therapist holds a specific certification such as TF-CBT, EMDR or CPT.

Areas of expertise

Primary focus

Relationship issuesGriefCareer difficultiesCoping with life changesCompassion fatigue

Also works with

Family conflictsIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementDepressionCoaching

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsDivorce and separationEmptinessFirst responder issuesForgivenessGuilt and shameIsolation / lonelinessLife purposeMidlife crisisVeteran and Armed Forces IssuesMulticultural concernsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Credentials

Nebraska, Iowa

Languages

English

Licenses listed

  • LIMHP, Nebraska2246
  • LMHC, Iowa121407
  • NPI1275054553

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

Frequently asked questions

What concerns does Tracy work with?

She helps people with relationship issues, grief, career changes, coping with life transitions, compassion fatigue, and intimacy-related concerns. Additional areas include depression, anger, body image, caregiving stress, chronic illness, and feelings of isolation.

How would you describe her therapy style?

Her style is collaborative and practical. She listens in a client-centered way, then uses goal-focused tools to help clients try small, manageable changes.

What kind of experience does she bring?

Tracy has 25 years of professional work experience supporting people through loss, life changes, and ongoing stressors. That background shapes a calm and experienced way of working with difficult issues.

What credentials and location are listed?

She is licensed in Nebraska as an LMHC and as an LIMHP and practices in that state.

Which languages are sessions offered in?

Sessions are offered in English.

Are international clients accepted?

International clients are not currently accepted.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin scheduling a session?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication; a doctor can talk with you about medical options. This directory is not a crisis service. If you are in immediate danger, call 911. If you are thinking about suicide, call or text 988.

Tracy GrotheContinue with Tracy