If you've spent years being the person who holds everything together, you're probably very good at looking fine. Underneath, it can feel like running a marathon every day just to keep up with things other people seem to do without thinking. Maybe you've been treated for anxiety for a long time and still sense that something is missing from the picture.
I work with adults who are starting to wonder whether ADHD is part of their story, and with those who already know and are tired of advice that boils down to "be more organized." I'm ADHD-certified, I have ADHD myself, and I've spent years working in healthcare, so I know both the clinical side and what it's like to live it. My goal is to help you make sense of your patterns without shame, and to find ways of working with your brain that last longer than one good week.
Client Focus
Session Format: Individual sessions.
Age Specialty: Adult, Senior, Young Adult
Demographic Expertise: LGBTQ+, Women clients.
Languages: English
Treatment Approach
- Acceptance & Commitment Therapy (ACT) Helps people accept difficult thoughts and feelings instead of fighting them, while committing to actions that reflect their values. It blends mindfulness with practical behavior strategies.
- Cognitive Behavioral Therapy (CBT) One of the most widely used approaches, CBT helps people identify unhelpful thoughts and replace them with healthier patterns. It is effective for anxiety, depression, and many other concerns.
- Gestalt Therapy Encourages awareness of thoughts, feelings, and actions in the present moment. It helps people integrate different parts of themselves for wholeness.
- Mindfulness-Based Cognitive Therapy (MBCT) Combines mindfulness practices with CBT to prevent depression relapse. It helps people notice thoughts without judgment and respond more calmly.
- Person-Centered Therapy (Rogerian) Emphasizes empathy, unconditional positive regard, and authenticity. It provides a safe space for self-discovery and growth.
Approach Description: We start by getting curious about what is actually happening, not what "should" be happening. We look at when things work, when they fall apart, and what your energy, attention, and stress are doing in between. From there, we build supports that fit your life: ways to pace yourself, recover, and plan for the days when your capacity is low.
I draw on Acceptance and Commitment Therapy, CBT, mindfulness-based approaches, Gestalt, and person-centered therapy, along with DBT-informed skills and somatic awareness. I'm direct and practical, and I bring a sense of humor. You'll leave sessions with something to try, not only something to think about.
Fees & Insurance
Fees
- Average Session Fee $150
- Affordable sliding scale therapy: apply if you may be eligible.
- I am a member of the Open Path Collective whose mission is to make therapy accessible to the uninsured. Please visit Open Path Collective to obtain a sliding scale fee at https://openpathcollective.org/clinicians/melixa-carbonell/
- Accepts Insurance
- I accept most major insurance including Medicare Advantage plans.
Education & Credentials
A Different Lens Counseling LMHC, LPC, ADHD-CCSP, NCC
- Female
- License # MH16186 and LPC.0023078
- Licensed in FL and CO
- Practicing Since 2015
Education: Rollins College – Master’s degree in Clinical Mental Health Counseling
Rollins College – Bachelor’s degree in Organizational Communication
A Different Lens Counseling Practice Details
Therapy Sessions
A Different Lens Counseling Practice Description
A Different Lens Counseling is a telehealth practice serving adults in Florida and Colorado. I specialize in adult ADHD and anxiety, with a particular focus on women whose ADHD went unrecognized and on nurses, techs, and other healthcare professionals dealing with burnout. The practice is LGBTQIA+ affirming and welcomes people of all genders. Sessions are 45 minutes and $150, and I offer a free 15-minute consultation so you can decide whether we're a good match. A limited number of reduced-fee spots are available through Open Path Collective when openings arise.