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Keith Nelson, LCSW

LCSW guiding recovery, relationships, and resilience
  • Stress and anxiety support
  • Addictions and recovery focus
  • Relationship and intimacy help

About Keith Nelson

Keith Nelson is a Licensed Clinical Social Worker (LCSW) licensed in Oregon (License #7519) and California (License #21893). He brings more than 17 years of experience delivering psychotherapy, supervising other clinicians, and contributing to research on substance abuse and emotional dissonance. His work spans a broad range of concerns including depression, anxiety, substance use and codependency, relationship and parenting challenges, career-related stress, OCD, ADHD, and PTSD, as well as physical trauma and emotional abuse.

Keith approaches therapy from a strengths-based, person-in-environment perspective, recognizing how physical, psychological, social, and spiritual factors interact to shape a person’s experience. He emphasizes collaboration with clients to identify practical, individualized strategies that reflect each person’s life circumstances, values, and preferences. Grounded in evidence-based practices, he helps clients learn from past patterns to build new skills and more satisfying ways of living.

Therapy with Keith focuses on active engagement aimed at easing suffering and fostering greater self-understanding, resilience, and inner peace. He values the courage it takes to seek change and treats the therapeutic relationship as a respectful partnership committed to finding what works best for each individual.

Areas of Expertise

Primary Focus

Also Specializes In

LGBTGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional Focus Areas

AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFatherhood issuesFertility issuesForgivenessGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaWorkplace issuesYoung adult issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Emotionally-Focused Therapy (EFT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy Somatic Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Keith Nelson have?

Keith Nelson has 18 years of experience providing therapy, supervising other therapists, and conducting research related to substance abuse and emotional dissonance.

Is Keith Nelson a licensed therapist?

Yes. He holds the credential LCSW, which stands for Licensed Clinical Social Worker. License details: CA LCSW 21893.

In which languages does Keith Nelson provide therapy?

Keith Nelson provides therapy in English.

Where is Keith Nelson located?

Keith Nelson is located in California.

How can I work with Keith Nelson as my therapist?

Clients can work with Keith Nelson through video calls, phone sessions, live chat, or text-based messaging.

Does Keith Nelson work with international clients?

Keith Nelson does not currently work with international clients.

How much does therapy with Keith Nelson cost?

The cost of therapy can vary depending on factors such as the client’s location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Clients click the "Start Therapy" button and complete a short questionnaire that helps match them with a therapist. Depending on availability, clients can then schedule a first session by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Care

Keith integrates Acceptance and Commitment Therapy (ACT) and Attachment-Based Therapy into his online work. ACT helps clients clarify personal values, accept difficult emotions without avoidance, and take committed action toward a meaningful life - it is often helpful for anxiety, depression, and stress-related concerns. Attachment-Based Therapy focuses on understanding early relationship patterns and how they influence current connections, which can support healing around intimacy, abandonment, and relationship difficulties. He also draws on Client-Centered Therapy principles, offering empathy, respect, and collaboration so clients feel heard while exploring solutions that fit their lives.

Finding the right approach is part of the therapeutic process. Keith works collaboratively with each person to identify which methods best match their goals, needs, and preferences, adjusting strategies as progress unfolds. This collaborative planning helps ensure that therapy feels relevant and practical.

Online therapy offers flexible ways to engage - video calls, phone sessions, live chat, and text-based messaging make it easier to fit care into a busy life or to continue therapy when in-person visits are not feasible. These options expand accessibility, support consistent contact between sessions, and allow clients to choose the format that feels most comfortable and effective for their needs.

Ready to start therapy with Keith Nelson?

Take the first step toward a better you.