Kathee Foxan , LCSW

Kathee Foxan is a Cognitive Behavioral Therapist and a Licensed Clinical Social Worker (LCSW) practicing in Iowa with fourteen years of professional experience. She has spent the majority of her career working in community mental health settings - thirteen years in that role - and has provided therapeutic support to residents in nursing home environments for four of the past six years.

Her clinical work spans the lifespan, from children as young as three to older adults in their nineties, addressing mood and anxiety concerns as well as anger-related and personality disorder symptoms. She frequently supports people facing compounded challenges, including poverty, substance use or addiction, histories of trauma, involvement with the legal system, people of color, and those coping with loss of independence. Her approach draws on cognitive behavioral principles to help clients understand patterns of thought and behavior and to develop practical skills for managing symptoms and improving daily functioning.

Therapeutic Approaches Applied to Online Care

Kathee commonly draws on Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) in her work, and these approaches translate well to online formats. Client-Centered Therapy emphasizes a supportive, nonjudgmental relationship in which the therapist follows the client's lead and helps them explore their feelings and goals - it can be useful for building self-awareness and improving relationships. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors, offering practical tools for anxiety, depression, and mood regulation. Dialectical Behavior Therapy teaches specific skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can help with intense emotions and relationship challenges. These methods are commonly used by licensed professionals and therapists and can be adapted to individual needs.

Choosing the right approach is a collaborative process. Kathee works with each person to determine which combination of techniques best fits their needs, goals, and preferences, adjusting the plan as progress is made.

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility for scheduling and for accessing care from home, work, or while caring for others. It can make attending regular sessions easier and helps maintain continuity of support when in-person visits are not feasible.