Couples therapists in Saint Augustine, FL

I had many years of corporate experience prior to getting my degrees in psychology. I use this expertise to help with problem solving as I did when I managed a large employee base.

Allow me to introduce myself. My name is Melanie D’Souza, LMHC with six years of experience helping adults work through depression, anxiety, trauma and addiction. I am also trained in EMDR, an evidenced-based approach that can help process and heal from past experiences that continue to affect the present.

Hello, I'm Dr. Karen Shatz, I am committed to guiding individuals through the intricate interplay of societal influences on personal narratives. With expertise in identity exploration, relationship dynamics, and self-empowerment, my approach aims to provide a warm, collaborative space for you to challenge and reshape limiting beliefs. I'm here to empower you to navigate life's complexities authentically. Ready to embark on a transformative journey? Contact me for support in deconstructing societal influences and shaping your unique narrative.

I work primarily with children ages 3–17, offering individual therapy while strongly encouraging family involvement to support lasting change.

I got my start working in a residential setting, supporting people through serious mental health challenges, trauma, and addiction. That experience shaped how I see therapy, it’s not just clinical, it’s about feeling understood and not alone in what you’re going through. I now work with people dealing with things like trauma, emotional ups and downs, and substance use, and I’m trained in EMDR. While I have experience with more intense situations, I also work with people who feel stuck, reactive, or disconnected and want to understand why.

Generous, Dependable, Supportive, Kindhearted, Insightful, assertive, courageous, bold, compassionate

I try to keep therapy real, practical, and focused on what actually helps. You don’t need to show up with the perfect words or a clear explanation of what’s going on—that’s something we’ll figure out together.

I’m someone who listens carefully but also isn’t afraid to be direct when it’s helpful. My goal is to create a space where you can be honest, think things through, and leave sessions with a little more clarity than you came in with.

Most of all, I believe therapy works best when it feels like a genuine conversation. My role is to help you make sense of things and support you as you move toward the changes you want in your life.