Putting yourself first doesn't have to be scary. I'm Marianna Peifer, an LPC Associate and National Certified Counselor helping adults in Austin and across Texas set boundaries and break old family patterns. I work with anxiety, depression, relationship issues, family conflict, life transitions and substance use. Sometimes we learn ways of coping so early in life that we don't notice them. At Dua Health, we'll explore where they came from, together.

Maybe saying no feels impossible, or you keep ending up in the same kind of relationship. My approach is rooted in DBT, which builds skills for handling intense emotions and speaking up for yourself. Motivational interviewing helps you find your own reasons to change. My style is warm, honest and collaborative. In our first session, we'll talk about what matters most to you and what you'd like to be different.

I believe you don't have to have everything figured out to begin. Outside sessions, I'm testing a new recipe or curled up with a book. I see clients in person at our Austin office near UT and virtually anywhere in Texas. Whenever you're ready, I'd love to meet you.