First responder issuesGender dysphoriaHoardingHospice and end-of-life counselingImmigration issuesInfidelityMulticultural concernsPersonality disordersPostpartum depressionPrejudice and discrimination
As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.
Mindfulness-based care
Bilingual English Spanish
Values-focused work
About Eliana
Eliana Downing is a licensed clinical social worker practicing in Nevada. She uses straightforward, compassionate care to help people facing anxiety, depression, stress, and other difficult life moments. Eliana speaks English and Spanish and brings three years of clinical experience to her work.
She focuses on real-life concerns such as relationship conflict, parenting strains, grief, burnout, and the effects of trauma and abuse. Her practice also addresses more specific challenges like first responder stress, gender dysphoria, immigration-related issues, and complications after infidelity. Eliana pays attention to how culture and prejudice can shape a person’s experience.
In sessions she draws from Mindfulness Therapy, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Emotionally-Focused Therapy, and client-centered approaches. That mixture helps people learn skills, notice unhelpful patterns, and make choices aligned with their values. Work is practical and aimed at changes that matter day to day.
She describes her role as a collaborator who listens carefully and helps build short- and longer-term plans. People often leave sessions with concrete coping steps and ways to manage stress between meetings. Eliana welcomes clients who want steady, attentive support through life transitions and ongoing challenges.
To begin, she asks new clients to complete a short matching questionnaire and then schedule based on therapist availability. Sessions are arranged to fit into busy schedules and to support gradual progress over time.
How therapeutic approaches translate to online work
Eliana uses Mindfulness Therapy to help people notice their thoughts and feelings without getting overwhelmed; this can reduce reactive behavior and improve focus. Acceptance and Commitment Therapy (ACT) helps people clarify their values and take small steps toward a meaningful life even when strong emotions are present. Client-Centered Therapy emphasizes listening and collaboration, giving people space to guide the pace and topics of sessions.
Finding the right approach is part of the work together. Eliana will talk through goals and preferences and adapt methods so they fit each person’s situation. That collaborative process helps identify which strategies to try first and how to adjust them over time.
Confirm current session options before booking so you know which formats are offered. Online therapy can make it easier to fit sessions into a busy day, allow for shorter check-ins when needed, and reduce travel time. Some people prefer not being on camera while others like visual connection; Eliana will discuss what works best and help shape sessions to match your routine.
These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.
Frequently asked questions
What kinds of concerns does she address?
She helps people manage stress, anxiety, depression, grief, and trauma-related difficulties. Other areas include relationship conflict, parenting strain, addictions, and career or life-change issues.
How would you describe her therapeutic style?
Her approach is practical and collaborative with a focus on mindfulness and values. Sessions include skill building, noticing patterns, and creating steps people can use between meetings.
What background and experience does she have?
She has three years of clinical experience as a licensed social worker. Her work includes supporting people affected by trauma, discrimination, and identity concerns.
Where is she licensed and based?
She holds a Licensed Clinical Social Worker credential and practices in Nevada. The listed credential is LCSW.
Which languages are offered for sessions?
Sessions are offered in English and Spanish.
Can people outside the U.S. work with her?
She accepts international clients. Confirm scheduling and any location-based details when you begin the intake process.
How are sessions paid for and what do costs look like?
Costs vary with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What steps should I take to start therapy?
Select the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.
Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.