Scott Underwood , LCSW

Scott Underwood is a Licensed Clinical Social Worker (LCSW) with 23 years of clinical experience who describes himself as an older, more conservative therapist. He began his career in 1984 serving in the Army as a Behavioral Science Specialist and has since worked across community mental health settings, psychiatric hospitals, private practice, and most recently providing services to active duty Air Force personnel at Nellis and Creech Air Force bases. His practice focuses on trauma, depression, and anxiety, and he is experienced in problem solving, anger management, and treating both severe clinical presentations and highly functional people who have encountered a difficult period.

Scott emphasizes a practical, approachable style of counseling that does not always need to be heavy or intimidating - when appropriate he uses humor to ease tension and create space for progress. He encourages new clients to clarify what they want from therapy, whether that is assessment and diagnosis, treatment recommendations, attentive listening, short-term work for a set number of sessions, or a longer-term growth plan. He values flexibility and will adapt if a client changes goals or wants to sample therapy to see how it feels. Scott offers sessions by teleconference, phone, or chat, and accepts international clients while tailoring his approach to each person's needs.

CBT, EMDR, and Trauma-Focused Care Online

Scott uses cognitive behavioral therapy (CBT) to help clients identify and shift unhelpful thoughts and behaviors - a practical approach that is often used for anxiety, depression, and stress management. Eye Movement Desensitization and Reprocessing (EMDR) is offered for processing traumatic memories and reducing the emotional intensity those memories can produce. Trauma-Focused Therapy is used to address the effects of abuse, post-traumatic stress, and other trauma-related concerns by combining stabilization, symptom management, and processing when ready.

Choosing the right approach is a collaborative process. Scott works with each person to determine which methods fit their history, goals, and preferences, and he adjusts the plan over time if needed. Whether a client seeks short-term problem solving or a longer course of care, he tailors treatment accordingly.

Online therapy offers flexibility by making sessions available through video calls, phone conversations, live chat, or text-based messaging. These options can make it easier to fit therapy into a busy schedule, maintain continuity during life changes, and connect with licensed professionals from different locations while focusing on practical, effective strategies.