Profile image of Esther Guak

Esther Guak, LCSW(She/Her/Hers)

(She/Her/Hers)
Licensed Clinical Social Worker, LCSW
Michigan
Adolescent mental health-Attachment issues-College & graduate student mental health-Family issues- Trauma-Crisis Intervention-
AboutSpecialtiesLocationsInsurance & Fees

Professional statement

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.


Message to clients

Many of the people who find their way to me have been in therapy before and walked away feeling like something essential was missed, or they are arriving to this work for the first time carrying something they have not known how to name. I work with adults who notice that the coping strategies that once held them together are wearing thin, with parents trying to understand a child or teen whose struggles have not quite fit the frameworks offered elsewhere, and with couples who keep returning to the same conversation without finding a way through it. The thread across all of these is usually the same, there is something underneath the presenting concern, some older pattern or unspoken weight or nervous system response that has been shaping things from behind the scenes, and the work we do together is aimed there.

With younger clients I move patiently, following their pace and keeping parents close to the process so what happens in session can take root at home, where so much of the real work of childhood and adolescence actually unfolds. With adults and couples, I tend to hold space for the reflective and the practical at once, honoring that lasting change almost always lives somewhere deeper than advice, while still making sure the skills and tools you need in your actual week are being built alongside the insight. If any of this resonates with you, feel free to reach out, and we can begin from there.


Work and Education

Years of Experience: 5 years

Michigan Wellbeing Therapy Clinic, Therapist, 2026 - Present
Michigan Department of Health & Human Services, Child Protective Services Specialist , 2023 - 2026
Samaritas, Family Preservation Worker , 2022 - 2023

The University of British Columbia, Master of Social Work , 2021
McGill University, Bachelor of Arts, Major in Sociology & Minor in Education , 2017

Licensure

Michigan: 6851121540

Languages

English

Specialties

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.




Clientele

  • Adults (24+)
  • Children (<12)
  • Couples
  • Families
  • Parents
  • Seniors (65+)
  • Teenagers (13-18)
  • Young adults (18-24)

Locations & Hours


Insurance

  • Aetna
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of Arizona
  • Blue Cross Blue Shield of Connecticut
  • Blue Cross Blue Shield of Georgia
  • Blue Cross Blue Shield of Maine
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan - Federal
  • Blue Cross Blue Shield of Michigan HMO
  • Blue Cross Blue Shield of Michigan PPO
  • Blue Cross Blue Shield of Nevada
  • Blue Cross Blue Shield of New York
  • Blue Cross Blue Shield of North Carolina
  • Blue Cross Blue Shield of Ohio
  • Blue Cross Blue Shield of Virginia
  • Blue Cross Blue Shield of Wisconsin
  • Priority Health

Out-of-pocket fees

  • Individual sessions:$165 (53min)
  • Sliding scale:$70 - $165

Reach out to Connect

Small steps make a big difference. Start by connecting with Esther Guak today.