Hello! I’m Shanna Gwilliam, LCSW, and I’ve been a therapist for more than 25 years. I work online with adults in Utah who are navigating trauma, anxiety, chronic pain or illness, grief, medical trauma, caregiver stress, and the complicated life experiences that do not always fit neatly into one category.

My style is warm, collaborative, practical, and sometimes even sprinkled with humor, because healing is hard enough without therapy feeling stiff or overly clinical. I believe therapy works best when you feel safe enough to be honest, curious enough to look at what is happening beneath the surface, and supported enough to move at a pace that feels doable.

Therapy can help you understand where your story began without living there. The past can become a springboard, not a hammock. It can help us understand what your mind, body, and nervous system learned to do to protect you, and then we can begin helping those patterns shift.

My approach is trauma-informed and nervous-system aware. That means we will pay attention not only to what happened, but also to how your mind and body learned to respond. Sometimes that includes big, obvious trauma. Sometimes it includes more subtle experiences that still shaped the way you see yourself, others, or the world. Either way, you do not have to prove that your pain “counts” in order to get support.

I use several therapy approaches, including EMDR, Accelerated Resolution Therapy, Brainspotting, Pain Reprocessing Therapy, Emotional Awareness and Expression Therapy, and other somatic and mindfulness-based tools. We will choose what fits you, rather than trying to force you into a specific method.

For clients who want it, I can also incorporate Christian counseling and faith-based support into our work together. Your beliefs, values, and spiritual life can be part of therapy when they feel important to you. They do not have to be included, and they will never be pushed.

Many of my clients are thoughtful, sensitive, high-insight people who have already done a lot of work. Some are therapists themselves. Some are dealing with chronic pain or health experiences that have taken a toll. Some are tired of overthinking everything and would very much like their brains to stop holding committee meetings at 2 a.m.

I tend to be a good fit for clients who are ready to roll up their sleeves and get curious. They are not looking to endlessly circle the same pain, but they also do not want to be pushed, shamed, or rushed. They want therapy that is compassionate, focused, and intentional.

That is the kind of work I love. We may move gently, but we will also be paying attention. We will look for the places where your mind, body, and nervous system learned to protect you, and we will begin helping those patterns shift.

I offer regular 50-minute sessions, extended 90-minute sessions, and 2 to 3 hour therapy intensives. Longer sessions can be helpful when you want more focused time for EMDR, ART, Brainspotting, chronic pain work, or deeper processing. Please note that extended sessions and therapy intensives are not covered by insurance and are private-pay services.

I also offer adjunct therapy for clients who already have a primary therapist and want targeted support around trauma, chronic pain, medical trauma, or a specific therapeutic goal. I’m happy to collaborate in a way that supports the work you are already doing.

In addition, I provide Spravato and ketamine integration sessions through my partnership with Etherios Therapy in Orem, Utah. These sessions are designed to help clients reflect on, process, and integrate insights or experiences that may come up during treatment. Medication treatment and medical monitoring are provided through Etherios Therapy; my role is to support the therapeutic integration piece.

My private practice sessions are online only for clients located in Utah at the time of service.

You do not have to have everything figured out before reaching out. Therapy can be a place to slow down, get curious, and begin taking the next right step.

Contact me to schedule a free consultation and see whether working together feels like a good fit.