Eliana Downing
Compassionate, practical support for complex family concerns
- Credentials
- LCSW
- Experience
- 3 years
- Licensed in
- Utah, Nevada
- Languages
- English, Spanish
- Format
- Online sessions
About Eliana
Eliana Downing is a licensed clinical social worker who practices in Nevada. She uses practical, evidence-based methods to help people manage stress, anxiety, depression, and relationship problems. She also supports clients facing trauma, parenting challenges, addiction, grief, and life transitions.
Eliana speaks English and Spanish and brings a multicultural outlook to her work. She aims for a straightforward and respectful style in sessions. Conversations focus on what is happening now and on small steps that can make daily life easier.
Background and approach
She listens for each person’s priorities and helps set clear, manageable goals. Sessions are described in plain language and tailored to the client’s pace. Eliana draws on therapies like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Emotionally-Focused Therapy.
She blends these approaches into short-term skill work and deeper emotion-focused work when it fits the client’s needs. Techniques include mindfulness practices, values clarification, and skills to change unhelpful patterns. Her background includes experience addressing multicultural concerns, gender dysphoria, first responder issues, immigration challenges, and prejudice or discrimination.
She also offers support around postpartum depression, hospice and end-of-life matters, and complicated grief. This range helps her adapt therapy to many life contexts. Clients can expect a collaborative process where the therapist and client decide which tools to try.
Eliana emphasizes clear steps, regular check-ins, and practical strategies that people can use between sessions. The overall goal is improved coping and clearer direction for the next steps.
Therapeutic approaches and what online sessions look like
Acceptance and Commitment Therapy (ACT) helps people notice hard thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for stress, anxiety, and life changes when someone wants clearer direction. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that get in the way and teaching concrete skills to change them; it is often used for anxiety, depression, and coping with mood shifts. Emotionally-Focused Therapy (EFT) centers on understanding and changing emotional responses in relationships, which can help with connection issues and repairing trust.Finding the right approach is part of the process. The therapist will work with each person to decide which methods fit their goals, needs, and comfort level. Sessions can shift between skill-building and deeper emotion work as progress is made, and choices are reviewed together.
Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging. These formats make it easier to schedule sessions around family, work, or other obligations and allow people to use tools learned in sessions in their daily environments. Licensed professionals can adapt ACT, CBT, and EFT techniques to these online formats to keep therapy focused and useful.
Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Addictions
- Anger management
- Bipolar disorder
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- First responder issues
- Gender dysphoria
- Grief
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Infidelity
- LGBT
- Multicultural concerns
- Parenting issues
- Personality disorders
- Postpartum depression
- Prejudice and discrimination
- Self esteem
- Trauma and abuse
Therapeutic approaches
- Experience
- 3 years
- Licensed
- Utah, Nevada
- Languages
- English, Spanish
Next step
Talk to Eliana
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point