Therapist in Las Vegas, Nevada Ms. Tommie Guesman, Therapist

Ms. Tommie Guesman helps teens, adults, and older adults throughout Nevada navigate complex mental health and substance use challenges with compassion, structure, and evidence-based care. As a Therapist and Addiction Counselor at LifeStance Health, she provides individual therapy for people experiencing anxiety, depression, trauma, alcohol and drug use concerns, and major life transitions. Tommie creates a therapeutic environment grounded in respect and collaboration, helping clients feel supported while building practical tools for long-term emotional wellness. Tommie is especially passionate about working with individuals who have recently been discharged from a psychiatric hospital or are participating in court-ordered treatment. She understands that these transitions can feel overwhelming, uncertain, and isolating. Her approach focuses on helping clients regain stability, strengthen coping skills, and rebuild confidence while reducing the risk of relapse or rehospitalization. She believes meaningful recovery happens when individuals are met with empathy, accountability, and personalized support that honors their experiences and goals. With more than two decades of clinical experience, Tommie integrates Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), mindfulness practices, and exposure-based interventions to help clients better manage emotional distress and behavioral patterns. She works with individuals facing PTSD and trauma, bipolar disorder, obsessive-compulsive disorder, and substance use disorders, while also offering support for additional mental health concerns. Tommie has experience serving members of the LGBTQ+ community, military veterans, and first responders, recognizing the unique stressors and emotional demands these populations may face. Her therapeutic style is thoughtful, direct, and approachable, balancing clinical expertise with genuine human connection. She values helping clients identify their strengths while developing healthier ways to respond to stress, relationships, and life changes. Whether someone is seeking support for recovery, emotional regulation, or rebuilding daily functioning, Tommie tailors treatment to meet each individual where they are in the healing process. Outside of her clinical work, Tommie enjoys attending concerts, exploring the arts, nature photography, hiking, traveling, and following sports including the NBA, WNBA, NFL, and Ohio State Buckeyes athletics. Her curiosity, creativity, and appreciation for connection outside the therapy office help shape her grounded and relatable approach with clients.