Alicia Lesniak,LMHC, DBT-LBC

Alicia Lesniak,LMHC, DBT-LBC

Telehealth Available
Professions: Counselor, Mental Health Counselor, Psychotherapist
License Status: I'm a licensed professional.
Primary Credential: Mental Health Counseling - MH 12418
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: I charge $290 for a 60-minute evaluation and $250 for 45-minute individual sessions. I offer sliding scale for a limited number of clients based on availability and need.
Free Initial Consultation
Evening Availability


7300 Biscayne Blvd
Suite 200
Miami, Florida 33138
1500 Pearl Tabby Rd
Mount Pleasant, South Carolina 29466

View Accessibility

My Approach to Helping

Effective treatment inspires measurable positive change. My approach to therapy is to provide empirically-based interventions in a warm, collaborative and transparent manner. I also teach mindfulness and behavior change strategies to promote psychological flexibility and therefore overall well-being. Our practice offers a fully adherent DBT program for adolescents, families and adults wanting to improve interpersonal skills as well as distress tolerance skills and emotion regulation skills.

More Info About My Practice

My specialty is working with treatment-resistant anxiety and depression, mood instability, disordered eating, substance abuse and impulsivity. I have particular interest in working with those who feel stuck and want a new approach to therapy that is collaborative, goal-oriented and psychoeducational in nature.

21 randomized clinical trials in 14 independent sites have shown that DBT reduces problem behavior, increases emotional stability, reduces self-harming, reduces suicidal urges (and hospitalizations), improves functioning and communication in relationships, reduces substance abuse, and reduces binge eating and bulimia among other compulsions. Our fully adherent DBT counseling program includes weekly individual DBT sessions, weekly consultation team meetings for therapists, phone coaching for clients and four DBT skills groups specifically tailored for adults, adolescents, families and couples.

Specific Issue(s) I'm Skilled at Helping With

I specialize in emotional dysregulation which often results in chaotic relationships, inability to control impulses, self-destructive behaviors, self-harm and suicidal ideation. I am particularly passionate about working with parents of adolescents and young adults and currently run the DBT parent skills groups as well as provides individual parent coaching sessions for families struggling with conflict and disconnection. In addition, I enjoy collaborating with adults and business professionals in building the emotional and interpersonal skills necessary to achieve desired goals.

Image Gallery

Ages I Work With

  • Teens
  • Adults
  • Elders


  • English

Groups I Work With

    My clients include adolescents and adults ranging from those with significant emotional and behavioral issues to higher functioning professionals looking to identify barriers to growth. With extensive experience providing therapy, facilitating groups, and coordinating services from outpatient to residential settings, I specialize in helping adolescents, adults and families in crisis. Other specialties include eating disorders, suicidality, self-harm, mood disorders, behavioral issuesimpulsivity, Borderline Personality Disorder, Bipolar Disorder, identity issues and LGBTQ issues. I am particularly passionate about working with parents of adolescents and young adults and am currently running the DBT parent skills groups in addition to overseeing the adherent adolescent and adult DBT programs. I am licensed in Florida, South Carolina and Massachusetts.

Industries & Communities Served

  • Entertainment Industry
  • LGBTQ+
  • Professional Sports
  • Self-Employed and Freelance Professionals

Client Concerns I Treat

  • Anger
  • Anxiety
  • Bipolar
  • Body Image
  • Depression
  • Eating and Food Issues
  • HIV / AIDS
  • Identity Issues
  • Inattention, Impulsivity, and Hyperactivity (ADHD)
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Mood Swings / Mood Disturbance
  • Obsessions and Compulsions (OCD)
  • Panic
  • Phobias
  • Posttraumatic Stress / Trauma
  • Self-Harm
  • Shame
  • Suicidal Ideation and Behavior
  • Values Clarification
  • Women's Issues
  • Young Adult Issues

Types of Therapy

See other therapists in Miami, FL.

See other therapists in Mount Pleasant, SC.

By using this site, you signify your assent and agreement to the Terms of Service.

GoodTherapy uses cookies to personalize content and ads to provide better services for our users and to analyze our traffic. By continuing to use this site you consent to our cookies.