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 work
Focus on relationships
Practical coping steps
About Janet
Janet Lengsfelder is a licensed marriage and family therapist (LMFT) with 25 years of clinical experience. She combines mindfulness-based ways of noticing the present moment with practical, person-focused conversations to help people feel steadier and more able to act in line with their values.
Janet began her career as a nurse, which shaped how she thinks about healing. That background led her to study counseling and to pursue additional psychotherapy training. She uses that blend of medical and therapeutic experience when supporting people facing loss, illness, caregiving strain, and major life transitions.
Her approach centers on helping people become more aware of recurring life patterns and the beliefs that drive them. Sessions often focus on slowing down, noticing thoughts and sensations, and trying small new behaviors that change how people relate to stress, anxiety, grief, or relationship trouble. She encourages practical steps that build a stronger sense of self and calmer reactions to difficult moments.
Janet works with a wide range of concerns including depression, addiction, trauma and abuse, communication problems, intimacy issues, parenting strain, and career stress. She also supports people dealing with caregiver burdens, cancer-related challenges, hospice and end-of-life topics, and first responder stress.
Her style is warm and direct. She invites clients to take manageable risks, learn from what comes up in therapy, and practice new ways of being that open the possibility of more consistent joy.
How her approaches translate to online therapy
Janet uses mindfulness practices and attachment-focused ideas alongside a client-centered stance. Mindfulness Therapy means paying attention to sensations, thoughts, and emotions in a nonjudging way to reduce reactivity and build coping skills; it can help with anxiety, stress, and grief. Attachment-Based Therapy looks at patterns in relationships and helps people understand how early bonding shapes current reactions, which is useful for intimacy issues, communication problems, and commitment concerns. Client-Centered Therapy emphasizes listening, empathy, and following the client's pace to help people feel heard and make their own choices.
Choosing the right approach is part of the work together. She will collaborate with each person to decide which methods fit their goals, preferences, and day-to-day needs. The plan can change as the client learns and grows.
Session formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life, allow shorter check-ins when schedules are tight, and reduce travel time. It also lets people practice mindfulness and relationship skills in the settings where they live and work, then bring that experience back to therapy for reflection and adjustment.
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 help with?
She helps people facing stress, anxiety, depression, relationship and intimacy issues, grief, addictions, trauma and abuse, parenting strain, career challenges, and related concerns such as caregiver stress and family problems.
What is her therapeutic style like?
Her style blends mindfulness with person-centered conversation. Sessions emphasize noticing patterns, learning small new behaviors, and building a steadier sense of self.
How much clinical experience does she have?
She has 25 years of experience, including earlier work as a nurse and decades of clinical psychotherapy practice.
Where is she licensed and based?
She is a California licensed marriage and family therapist - LMFT - and practices in California.
Which languages are supported in sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are fees and payment handled?
Fees vary with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Choose the Start Therapy button, complete a short matching questionnaire, and schedule based on 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.