Elva ‘Julia’ Garafola
Licensed Clinical Social Worker (LCSW)
About Elva
As a licensed therapist in TX and MO, I bring over a decade of experience supporting individuals through life’s complex challenges. My practice is deeply rooted in understanding the nuanced experiences of diverse clients, with specialized expertise in addressing depression, anxiety, relationship dynamics, and personal growth.
I offer a compassionate, holistic approach that honors each individual’s unique journey. My therapeutic work spans a wide range of focus areas, including self-love, communication challenges, life transitions, trauma recovery, and personal empowerment. I am particularly committed to supporting clients navigating complex emotional landscapes, from workplace stress to interpersonal dynamics.
My approach is collaborative and person-centered, designed to help you develop meaningful insights, build resilience, and create positive change. Whether you’re experiencing relationship difficulties, struggling with personal identity, or seeking guidance through significant life transitions, I’m dedicated to providing supportive, affirming care that respects your individual experience and goals.
What Elva helps with
- Anger management
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Grief
- LGBT
- Parenting issues
- Relationship issues
- Self esteem
- Sleeping disorders
- Stress, Anxiety
- Trauma and abuse
Show 48 more areas
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual dysfunction
- Sexuality
- Women's issues
- Workplace issues
- Young adult issues
How Elva works
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
What clients say
- “Julia has been great for couples counseling. She does not take sides. She gives us activities to work on and talk about to help alleviate the issues that we are going through.”
- “Great, understanding,supportive therapist. Highly recommend her.”
- “Great therapist willing to listen and discuss options to help yourself”
Show all 15 reviews
- “She is the best and truly listens to me”
- “Me and my wife have had two sessions with Elvira. She listens extremely well and is helping us. I can tell only after two sessions that we are headed in the right direction. For me personally I enjoy people that don’t just tell me what I wanna hear. I’m very thankful for that.”
- “I feel very supported and am very happy”
- “Excellent, compassionate, non-judgemental therapist.”
- “Caring, attentive and helpful to my therapy needs.”
- “Julia is a spectacular therapist! She listens and asks inciteful questions to help me realize I can make good decisions and live a better life. I always look forward to our visits. Even on days I think I really don't have anything to talk about, I end up discovering something that happened during the week really mattered. She is my biggest cheerleader and helps me continue to work on myself.”
- “Julia is thoughtful and attentive”
- “Julia is very knowledgeable and listens”
- “Good therapist listens take the time to get to know you.”
- “Excellent and professional therapist.”
- “Julia is great! Attentive to my concerns and great guidance.”
- “I feel that she listens to me and validates my feelings”
These reviews represent a few of the most recent positive reviews from the therapist's clients on BetterHelp. Some people's experience may be different.
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