Find a therapist in Vero Beach, FL — covered by insurance

Making the decision to start therapy is a profound investment of your time, energy, and vulnerability. If you are looking for a blank-slate clinician who simply nods and listens, we might not be the best fit. I offer a highly engaged, malleable, and unflinching partnership.

My approach is rooted in the belief that while the work of untangling our lives is deeply structural, the room itself doesn't always have to feel heavy. I bring a grounded warmth to my practice—which means knowing how to sit quietly in the gravity of a difficult truth, but also knowing when to break the tension, exhale, and find the light in the sheer complexity of being human. I won’t just sit in silence while you do all the heavy lifting; I am an active collaborator who adapts to exactly where you are.

I am an honest and compassionate therapist with a direct approach to therapy. I believe therapy works best when communication is open, clear, and collaborative. I encourage curiosity, openness, and personal growth, and I aim to empower clients to take an active role in their healing and decision-making process.

Elizabeth Santilli is a Licensed Marriage and Family Therapist based in Florida with extensive experience supporting individuals, couples, and families through a wide range of mental health challenges. She earned her B.S. in Psychology from Florida Atlantic University and went on to complete a Graduate Certificate in Contemporary Theory in Couple and Family Systems, followed by a Master of Science in Marriage and Family Therapy from Capella University.

Elizabeth has received specialized training in Dialectical Behavior Therapy (DBT) and Positive Parenting techniques. Her therapeutic style emphasizes collaboration and connection, with the goal of establishing a strong foundation for growth and helping clients achieve their personal and relational goals.

​Elizabeth’s clinical specialties include working with family systems, anxiety, depression, self-esteem, addiction, conflict resolution, and the inclusion of Christian counseling. Her prior experience includes working with adolescents, adults, couples, and families from diverse backgrounds. She draws from a variety of evidence-based modalities, including Solution-Focused Therapy (SFT), Cognitive Behavioral Therapy (CBT), DBT, and strength-based approaches to help clients build confidence and navigate life’s challenges.

• If a time doesn't work on the calendar, please still select a time slot and reach out to me so we can work out a better time.

Before becoming a counselor, I spent many years as an educator in both elementary and special education.

That experience shaped how I connect with people, meeting them where they are, listening deeply, and believing in their potential. I aim to bring that same commitment and compassion into every therapy session.

As a child, I had my share of challenges, but I’ve worked through them and never let them define me. I believe in growth, in strength, and in choosing to create the life you want to live. As a counselor, I strive to help my clients gain the power of self-understanding and realize their unique brilliance.

I strive to support people in becoming more of who they already are, not to change them, but to help them find their path with confidence and clarity. I provide direction while respecting your autonomy, always staying grounded in the belief that you are the expert on your life.

The therapeutic methods I use are informed by evidence-based practices; a strong respect for neurodiversity; and a deep understanding of anxiety, overwhelm, and what it takes to thrive in a fast-paced world. My professional path combines the best of both worlds – mental health and education – to support clients in a practical, informed, and deeply personal way.

I earned a Bachelor’s and Master’s in Education from St. Bonaventure University and Le Moyne College, followed by a Master’s in Mental Health Counseling from St. Bonaventure. Through years of teaching, forensics, and private practice, I’ve learned that lasting change starts with understanding, and that’s precisely what I aim to offer every client I work with.

Hi, I’m Renée Rivers, a Licensed Mental Health Counselor (LMHC) based in South Florida. I specialize in working with individuals, couples, teens, and families navigating trauma, identity, and major life transitions. As a first-generation Haitian-American woman, I deeply understand the cultural and intergenerational layers that shape how we relate to ourselves and others. My clinical work is grounded in empathy, accountability, and authenticity, I create a space where you don’t have to explain “everything” because I hold space for complexity. I am especially passionate about helping clients unlearn survival patterns that no longer serve them and redefine success, connection, and rest on their own terms.

I’ve worked in school settings, community mental health agencies, and now lead my own private practice, Reflective Rivers Therapy & Consulting. I hold a master’s in Clinical Mental Health Counseling and am currently pursuing a Ph.D. in Counseling with a specialization in Couples and Family Therapy.