Anna Mireles, QMHP
Mental Health Therapist
Helping couples and adults understand the patterns keeping them stuck, strengthen their relationships, and move toward meaningful change with greater clarity and connection.
I especially work with young adults & adults navigating:
Relationship Concerns
Communication & Recurring Conflict
Trust & Emotional Connection
Intimacy & Relationship Transitions
Pregnancy, Postpartum & New Parenthood
Anxiety, Depression & Overwhelm
Trauma & Generational Patterns
Life Transitions & Personal Growth
Maybe You Know Something Needs to Change, But You’re Not Sure How to Change It…
Sometimes the hardest part isn’t recognizing that something isn’t working. It’s knowing what to do differently.
Maybe you and your partner keep having versions of the same argument. The topic changes, but somehow the conversation always ends in the same place. One of you gets louder, one shuts down, one keeps trying to explain, and the other feels criticized, misunderstood, or like nothing they do is ever enough.
Eventually, you’re not even arguing about what started the argument anymore. You’re arguing about how you talk to each other, how disconnected you feel, or whether anything is actually going to change.
Or maybe your relationship isn’t the problem that brought you here. Maybe you feel different.
You may be overwhelmed, emotionally exhausted, anxious, depressed, or moving through a season that has made you realize the way you’ve always handled things isn’t working anymore. A new baby may have changed everything. A past experience may still affect you more than you expected. You may be noticing old family patterns showing up in your current relationships, or realizing that the person you’ve been no longer completely fits the life you’re trying to create.
Sometimes you can even understand the pattern intellectually. You know why you react the way you do, you know you need to communicate differently, you know where a boundary is probably needed, and you know something from your past may be showing up in your present.
But knowing isn’t always the same as knowing how to change it.
That’s where therapy can help. I believe there is value in understanding the deeper story behind what is happening, while also making sure we don’t spend so much time studying the problem that we never begin doing something differently.
Together, we can slow things down, understand the patterns underneath what you’re experiencing, and begin building practical ways to move forward.
How I can help
Couples, Communication & Getting Out of the Same Argument
Maybe you’ve had the same conversation more times than you can count. The topic may change, but the ending feels familiar. One person pushes harder to be heard, the other shuts down, and both of you leave the conversation feeling misunderstood. Over time, even small disagreements can begin carrying the weight of older, unresolved ones. You may find yourselves arguing less about the original issue and more about how disconnected, unheard, or frustrated you feel with each other. In couples therapy, I use approaches informed by Emotionally Focused Therapy and the Gottman Method to help you slow the cycle down, understand what is happening underneath the conflict, and begin responding to each other differently. We may work on communication, emotional connection, trust, intimacy, recurring conflict, and the patterns that keep pulling you back into the same place. The goal is not to decide who is “the problem.” The pattern is the problem. Once we understand that pattern, we can begin creating something healthier together.
Trust, Intimacy & Rebuilding Connection
Sometimes couples are not constantly fighting. They just do not feel as close as they used to. Conversations become focused on schedules, children, bills, work, and responsibilities. Affection may change, intimacy may feel more complicated, and one or both partners may stop sharing as openly. You may still love each other deeply while quietly wondering, “How did we get this far apart?” For some couples, trust has also been damaged by dishonesty, betrayal, repeated disappointment, or unresolved relationship wounds. Wanting to move forward does not automatically erase the hurt. Therapy can help you explore what created the distance, what each of you needs in order to feel safer and more connected, and what rebuilding trust can look like through consistent actions over time. Connection is not something couples either have or do not have. It is something you can learn how to strengthen together.
Parenthood, Postpartum & Adjusting to a New Version of Life
Becoming a parent can bring incredible joy while also changing nearly every part of your life. Your sleep, identity, routines, responsibilities, relationship, body, intimacy, finances, and expectations can all shift at once. Even couples who communicated well before having a baby can suddenly find themselves overwhelmed by new stressors they did not anticipate. You may find yourselves arguing about who gets up at night, who notices what needs to be done, who gets a break, who carries the mental load, or who feels appreciated. Individually, pregnancy and postpartum changes can also bring anxiety, sadness, irritability, guilt, overwhelm, identity changes, or simply feeling unlike yourself. I have a particular interest in helping individuals and couples navigate this transition with more understanding, support, and intention. Therapy can create room to talk honestly about what has changed, communicate needs more clearly, and figure out what this new season requires from you and your relationship.
Anxiety, Depression, Overwhelm & Feeling Disconnected From Yourself
Sometimes life feels heavy, even when you are still doing everything you are supposed to do. You may still be going to work, answering people, taking care of responsibilities, and showing up for others while privately feeling anxious, exhausted, unmotivated, irritable, sad, or disconnected from yourself. Maybe your mind will not slow down. Maybe getting through basic tasks feels harder than it used to. Maybe you do not feel like yourself and cannot pinpoint exactly when that changed. Or maybe you know exactly what happened, but you still do not know how to move forward from it. In therapy, we can make space for the deeper parts of what you are experiencing while also identifying practical steps that may help you begin feeling more grounded and capable. I use solution-focused strategies alongside deeper exploration, because I believe therapy should help you understand the problem while also helping you create change.
Life Transitions & Adjusting to Who You’re Becoming
Transitions can be difficult even when the change is something you wanted. Marriage, parenthood, a new career, moving, ending a relationship, changing family roles, or simply entering a new stage of life can make you question what still fits and what no longer does. Sometimes you realize that an older version of you worked for a previous season, but not for the life you are trying to build now. That can bring excitement, uncertainty, grief, and relief all at once. Therapy can give you space to slow down, make sense of what is changing, and explore what you want to carry forward into the next chapter. You do not have to know exactly who you are becoming before you begin. Sometimes the work is learning how to listen to yourself more clearly along the way.
Therapy with me looks like
I want therapy to feel safe enough for you to be honest and useful enough that something can begin to change.
My style is nurturing, direct, thoughtful, and collaborative. I care deeply about creating a space where you feel respected and understood, but I also believe growth sometimes requires looking at things we would rather avoid.
That may mean I gently challenge you, point out a pattern that keeps showing up, or ask you to consider a perspective you have not thought about before.
Sometimes support looks like helping you recognize when fear is making the decision, when you are being much harder on yourself than you would ever be on someone else, or when an old pattern is showing up again.
I do not believe therapy should feel like you are talking for an hour while I sit silently on the other side of the room.
We will talk, explore, make connections, and work toward practical change.
Depending on what brings you in, we may use mindfulness, communication strategies, goal-setting, coping skills, relationship
exercises, or other tools that help you apply what we discuss outside of sessions.
With couples, I incorporate Emotionally Focused Therapy and Gottman-informed approaches to help partners understand both the
emotional experience underneath their conflict and the concrete skills that can help them interact differently.
With individuals, I may use solution-focused strategies and trauma-informed care while exploring how your history, relationships, and family patterns may be shaping what is happening today.
Currently accepting:
Aetna PPO
Anthem PPO
BCBS PPO
BCBS Community
County Care
Medicaid
Meridian
United Healthcare PPO
United Healthcare HMO
The Loveland Foundation Vouchers
Cash paying clients