David Perrotta, LMSW

David Perrotta is a licensed social worker in Michigan who focuses on helping people manage stress, anxiety, grief, depression, and LGBTQ+ related concerns. He has three years of professional experience and aims to meet clients where they are. He emphasizes each person's strengths and works alongside them as they make changes.

He helps people who are coping with big life changes and with challenges like panic, workplace stress, and worries about identity and sexuality. He also supports those dealing with chronic pain, illness, or the strain of caregiving. Sessions aim to identify small, practical steps clients can take between meetings.

David believes the client is the expert on their own story and that therapy should build on existing strengths. He uses evidence-based therapeutic techniques and keeps the conversation focused on real-world goals. The tone in sessions is straightforward and collaborative.

In practice he listens for patterns that keep problems active, then helps clients try different ways of responding. He prioritizes clear communication and practical strategies for emotion regulation and problem solving. Progress is tracked by the client’s own goals and daily life changes.

People who want to begin are asked to complete a short matching questionnaire and then schedule sessions according to availability. Because he practices in Michigan, arrangements reflect local licensing and regional considerations.

How evidence-based approaches work online

David uses evidence-based therapeutic techniques that focus on concrete changes and coping skills. One common approach helps people learn to notice thought patterns that increase anxiety or depression and then test different ways of responding to those thoughts. This can reduce overwhelming feelings and improve day-to-day functioning.

Another useful approach emphasizes skill building for emotion regulation and problem solving. Clients practice small, specific strategies for managing panic, pain flare-ups, or stress at work, then review what works in the next session. These practical skills are aimed at strengthening a person’s ability to handle immediate challenges.

Finding the right approach is a collaborative process. The therapist will talk with the client about goals and preferences, and then suggest techniques to try. Adjustments are made based on what the client notices is helpful or not helpful over time.

The practical benefits of online therapy include easier scheduling and fitting sessions into a busy week. If you want to start, confirm the available session formats before booking so you know how meetings will be held. Many people find that remote sessions let them maintain continuity of care while balancing work, caregiving, or health needs.