Eliana DowningLCSW

Eliana Downing is a licensed clinical social worker who offers short-term and ongoing therapy to people facing major life changes. She is based in Nevada and works in English and Spanish. Eliana focuses on practical steps clients can use to reduce stress and manage strong emotions.

Eliana draws on several evidence-informed approaches to shape sessions. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice unhelpful patterns and try new behaviors. She blends these with Client-Centered and Emotionally-Focused ideas to keep sessions grounded in the person's experience.

Clients can expect a calm, respectful space where their identity and background matter. Eliana names multicultural concerns, discrimination, and gender identity as topics she pays close attention to. She also supports people dealing with postpartum depression, grief, addiction, and compassion fatigue.

Her work often centers on concrete goals. That can mean learning skills to lower anxiety, repairing relationship interactions, or finding ways to handle work and parenting stress. Sessions aim to leave people with tools they can use between meetings.

With three years of clinical experience, Eliana combines practical techniques with a collaborative style. She accepts international clients and works with people affected by immigration issues, first responder stress, and end-of-life concerns. To begin, clients complete a short matching questionnaire and schedule according to availability.

How therapy styles and online sessions work together

Eliana uses Acceptance and Commitment Therapy to help people clarify what matters most to them and take steps toward those values despite difficult thoughts or feelings. ACT is often useful for coping with anxiety, life transitions, and parenting stress.

She also draws from Cognitive Behavioral Therapy to help people spot patterns of thinking and behavior that maintain distress and then practice small changes. CBT can be helpful for depression, anxiety, and managing mood swings.

Finding the right approach is part of the work. Eliana will talk with each person about goals and preferences, then recommend strategies to try. That collaborative process helps tailor sessions so they feel useful and realistic for everyday life.

Confirm the available session formats before booking so you know what options are currently offered. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It can also make it simpler to connect across time zones for international clients. Licensed professionals will help determine what style and rhythm of sessions best match a person’s needs.