Couples therapists in Saint Augustine, FL

Hi, I’m Dariel, a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to helping individuals find balance, clarity, and peace in their daily lives a provider. I deliver compassionate, evidence-based care that supports your healing journey and helps you regain stability in life.

As a Licensed Marriage and Family Therapist, I believe that hope and healing are possible for everyone. My counseling approach is grounded in the belief that meaningful change can occur when individuals, couples, and families partner with a compassionate, skilled therapist who provides effective support and practical mental health resources. I am committed to creating a safe, supportive environment where clients can gain insight, build resilience, and work toward their goals. I look forward to the opportunity to meet and work with you.

Are you feeling overwhelmed by anxiety, depression, stress, or relationship challenges? Many individuals find themselves stuck despite wanting meaningful change, especially when emotional distress begins to interfere with daily functioning and overall well-being. Therapy offers a structured and supportive space to better understand these challenges and develop effective coping strategies. Seeking professional support is an important first step, and meaningful change occurs through intentional work both in and outside the therapy setting.

My name is Mick Desrameaux, LMHC, and I am a Licensed Mental Health Counselor with extensive experience treating anxiety disorders, depression, trauma-related symptoms, substance use concerns, and co-occurring mental health conditions. I work collaboratively with clients to increase self-awareness, emotional regulation, and insight into patterns that affect relationships and personal growth. My therapeutic approach is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness, and motivational interviewing.

I provide a safe, confidential, and nonjudgmental therapy environment where clients feel respected and supported. My goal is to help individuals feel empowered, build healthier relationships, and develop practical skills for long-term emotional stability. I am committed to delivering client-centered, ethical, and culturally responsive mental health counseling, supporting clients as they move toward greater balance, resilience, and overall mental wellness.

I have had a private practice for over 40 years. I have worked in residential and intensive outpatient as well as day treatment programs. Working with a variety of issues, including anxiety, depresion, work and relationship issues

I believe therapy works best when you feel seen, heard, and accepted exactly as you are. My goal is to create a space where you don’t have to perform, have it all together, or carry everything on your own.

As a Licensed Clinical Social Worker, I’ve spent my career supporting children, parents, and families through some of life’s most challenging moments. My background includes working in the NICU, early childhood mental health, and supporting families navigating trauma, medical complexity, parenting stress, anxiety, depression, and major life transitions.

I am especially passionate about working with women during pregnancy and postpartum, parents, caregivers, and individuals who have spent so much time caring for others that they’ve forgotten how to care for themselves.

I bring warmth, authenticity, and a little humor into sessions when appropriate. Therapy with me is a judgment-free space where you can show up exactly as you are.

I'm a retired veteran, have been working as a social worker/therapist since 2004, and have been in private practice since 2017. I have extensive and successful experience helping people with trauma/PTSD, relationships, boundaries, emotions, domestic violence, sexual trauma, substance abuse, grief, parenting, and more.

Nice job taking the first step towards creating a life you are excited about. Seeking help can be overwhelming but it doesn't need to be. I am a Licensed Marriage and Family Therapist in the state of Florida with over 10 years of experience helping individuals, couples, and families bloom into the best version of themselves. My areas of expertise include anxiety, depression, trauma, parenting, life transitions, family conflict and stress management.