Welcome to Your Journey of Growth

I’m here to meet you wherever you are on your path to healing and growth. Through secure virtual therapy sessions, I provide empowering counseling for adults and college students across New York, Connecticut, and Massachusetts. Whether you’re seeking individual support, emotionally focused couples therapy, or guidance through life’s transitions, we’ll work together to create meaningful change in a way that feels right for you.

Your Safe Space for Authentic Living

For over two decades, I’ve had the privilege of supporting diverse communities and complex journeys. My practice warmly welcomes LGBTQ+ individuals, polyamory, artists, medical professionals, and people exploring alternative relationship styles. Here, you’ll find a judgment-free space where you can authentically discuss any aspect of your life – including topics that might feel taboo elsewhere.

My Approach to Healing

I believe in combining traditional therapeutic methods with alternative treatments for anxiety and depression, creating a holistic approach that addresses both immediate concerns and deeper patterns. If you’re struggling with low self-esteem and anxiety, we’ll work together to build your confidence and develop practical tools for managing daily challenges. My approach integrates self-esteem counseling with broader emotional work, helping you move from surviving to thriving.

Specialized Support For Your Unique Journey

My expertise centers on helping clients navigate relationship difficulties, whether that’s finding meaningful connections, healing from past hurts, or processing significant losses. If you’re someone who lives primarily in your head and wants to develop a deeper emotional awareness, we’ll collaborate to bridge that gap. Through online therapy options that fit your schedule, we’ll work on building self-worth and creating lasting change.

Areas of Focus Include:

Relationships & Intimacy

• Emotionally focused couples therapy (available remotely and in-person)
• Kink, BDSM, and Fetish Sexualities
• Monogamy, Non-monogamy and Polyamory
• Healing from breakups and relationship trauma

Personal Growth & Empowerment

• Self-esteem coaching and confidence building
• Ways to increase self-esteem through practical exercises
• Anxiety management and emotional regulation
• Depression and mood support

Specialized Support

• Substance use therapy and recovery
• Sex worker affirming counseling
• Artist and performer specific challenges
• LGBTQ+ life transitions

Additional Areas of Support

• ADHD management
• Chronic illness coping
• Cultural diversity issues
• Grief and loss
• Life transitions
• Career challenges
• Family dynamics

What to Expect from Our Work Together

My approach to remote therapy combines empathy with practical strategies. Through our virtual therapy sessions, we’ll focus on:

• Building your confidence and self-worth
• Developing effective coping strategies
• Creating deeper emotional awareness
• Strengthening relationships with yourself and others
• Working through trauma and past experiences
• Supporting your journey to empowered living

Your Investment in Growth

I offer flexible online therapy options, including evening appointments, to accommodate your schedule. All sessions take place through a secure, HIPAA-compliant platform, ensuring your privacy and comfort.

Professional Background

• Brett P. Terrien, LMHC, P.C. – Private Practice,  2011–Present
• Psychotherapist, Rasi Associates, 2004-2011
• Psychotherapist, JRI Health Sidney Borum Health Center (Fenway Health), 2002-2004
• HIV/AIDS Substance Abuse/Mental Health Residential Program Director, Vinfen, 2000-2002
• MA, Applied Psychology, New York University, 2000
• Grief and Bereavement Therapist, CenterBridge, The Lesbian, Gay, Bisexual & Transgender Center, New York, 1999-2000
• BFA, Photography, Mass College of Art and Design, 1995

Ready to Begin?

Taking the first step toward change can feel daunting, but you don’t have to do it alone. Whether you’re seeking self-esteem counseling, support for anxiety, or help with relationships, I’m here to support your journey. Let’s connect to see if we’re a good fit for working together.