CBT Therapist Directory

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Orion Block, LICSW, LCSW

LICSW specializing in gender and relationships
  • Gender and sexuality expertise
  • Trauma and relationship work
  • Flexible remote sessions

About Orion Block

Orion Block is a licensed clinical social worker with eight years of direct therapy experience and more than 15 years of community organizing and education rooted in an intersectional approach to race, women’s, and LGBTQIA+ issues. Orion holds both LICSW and LCSW credentials, which are clinical social work licenses authorizing practice as a therapist in Rhode Island and Nevada. Their practice centers on the belief that the person in therapy is the expert on their own life, and the therapist’s role is to support increased independence and well-being using the client’s existing strengths, beliefs, and capacities.

Warmth, respect, sensitivity, and honest feedback inform Orion’s work, which blends trauma-informed and strengths-based perspectives to address a wide range of concerns. Orion works with people experiencing stress, anxiety, depression, bipolar challenges, trauma and abuse, grief, self-esteem struggles, eating and body-image issues, chronic pain or illness, caregiver stress, and complicated family dynamics. Additional focuses include gender dysphoria, LGBT-related concerns, intimacy and relationship difficulties, attachment and abandonment issues, adoption and foster care, hoarding, and alternative sexual cultures such as BDSM and kink.

Orion also provides coaching-oriented support for life transitions and decision-making, and frequently assists those navigating identity, relationship configuration, and communication challenges. They approach each person with compassion and practical tools to help move toward clearer values and more effective coping.

Areas of Expertise

Primary Focus

Stress, AnxietyLGBTIntimacy-related issuesBipolar disorderCoping with life changes

Also Specializes In

Relationship issuesFamily conflictsTrauma and abuseGriefEating disordersSelf esteemDepressionCoaching

Additional Focus Areas

AbandonmentAdoption and foster careAttachment issuesBDSM, kink, and alternative sex cultureBody imageCaregiver issues and stressChronic pain, illness, and disabilityCommitment issuesCommunication problemsDependent personalityEating and food-related issuesFamily of origin issuesGender dysphoriaGuilt and shameHoardingIsolation / lonelinessLife purposeMulticultural concernsPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSelf-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Orion Block have?

Orion Block has 8 years of experience as a practicing therapist.

Is Orion Block a licensed therapist?

Yes. Orion Block holds the credentials LICSW and LCSW. License details are RI LICSW ISW03712 and NV LCSW 8977-C.

In which languages does Orion Block provide therapy?

Orion Block provides therapy in English.

Where is Orion Block located?

Orion Block is located in Rhode Island.

How can I work with Orion Block as my therapist?

You can work with Orion Block through video calls, phone sessions, live chat, or text-based messaging.

Does Orion Block work with international clients?

No. Orion Block does not currently work with international clients.

How much does therapy with Orion Block cost?

The cost of therapy can vary depending on factors such as your 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. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Remote Care with Orion Block



Orion Block integrates client-centered therapy, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT) into online work. Client-centered therapy focuses on listening without judgment and helping people discover their own goals and solutions - it is especially helpful for building self-trust, exploring identity, and strengthening relationships. ACT encourages acceptance of difficult thoughts and feelings while clarifying personal values and committing to meaningful action; it can support coping with anxiety, life changes, and chronic emotional pain. CBT offers practical strategies to identify and change unhelpful thinking and behavior patterns, making it useful for anxiety, depression, and stress-related problems.

Choosing the right approach is part of the collaborative process. Orion works with each person to assess needs, goals, and preferences and will adapt methods over time so the work fits what the client finds most helpful.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to access licensed professionals from home or on the go, support consistent care during life transitions, and allow people to use the communication style that best suits their needs.

Ready to start therapy with Orion Block?

Take the first step toward a better you.