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Esther Guak, LLMSW, works with children, teens, adults, couples, and families navigating trauma, anxiety, depression, ADHD, neurodivergent experience, family conflict, grief, and major life transitions. She is especially drawn to clients whose stories feel layered or hard to place, the ones who have carried experiences that most clinical settings have not been equipped to fully understand or hold.
At Michigan Wellbeing, Esther practices within an integrative therapeutic framework, one that attends to each client in the full context of their history, current struggles, and lived experience. Her care is shaped around the emotional, relational, and physiological roots of what a person is carrying, which in most lives are not separate problems to be treated in sequence but overlapping layers that shape and reinforce one another, and it is precisely this interconnectedness that Esther is trained to hold.
Her work draws on attachment-based therapy to tend to the relational patterns that sit underneath so much of what we feel, somatic and polyvagal-informed approaches to reach what the nervous system is holding beyond language, CBT and ACT to bring clearer thinking and values-rooted action into daily life, and family systems work to honor the reality that many of our patterns belong to more than one person in the room, all of it woven together in the service of whole-person healing. Working with Esther tends to help people understand themselves more deeply, build stronger and more honest relationships with the people closest to them, develop practical skills for managing emotion, strengthening communication, and move through life with a steadier sense of who they are and what they need.
Esther sees clients fully virtually across Michigan with flexible weekday, weekend, and evening availability. She is in-network with Blue Cross Blue Shield of Michigan, Aetna, and Priority Health. Her out-of-pocket rate is $165 per session.
Years of Experience: 5 years
Adolescent mental health - Working with adolescents, teenagers, and parents on social, academic, and/or emotional challenges throughout teenage years; addressing anxiety, family conflicts, peer relationships, school stress, transition to college, social media pressures, self-esteem, hopelessness about the future, emotional disregulation
Attachment issues - Development of effective relational and communication skills; insight into family attachment patterns;fostering healthy family relationships.
College & graduate student mental health - Specialized strategies for common issues of young adulthood, including school and career stressors, support around healthy relationships, existential concerns, drug or alcohol issues, eating disorders, and anxiety and/or depression.
Family issues - Promoting communication and supporting family members to address challenges and reduce conflict and distress
Trauma - Coping and healing after threatening or scary events, such as witnessing accidents or experiencing sexual, verbal, emotional, or physical abuse
Crisis Intervention - Immediate support to help someone stay safe, manage overwhelming emotions, and stabilize during a difficult or emergency situation.
Small steps make a big difference. Start by connecting with Esther Guak today.