Deborah Gromack , LMHC

Deborah Gromack is a Licensed Mental Health Counselor (LMHC) with a long career that blends expressive arts and clinical therapy. She earned a Bachelor of Science in Developmental Psychology from the University of Massachusetts Amherst in 1988 and a Master of Arts in Expressive Therapies with a concentration in Music Therapy from Lesley University in 1998. During her early career she worked on mother-infant research, taught in the public school system, and served as a civil rights and fair housing advocate, helping to launch a HUD-funded organization focused on equitable housing.

Her interest in music as a unifying force led her to train as a music therapist. She is a nationally board-certified Music Therapist and has been certified since 1998. Over the years she has practiced as a music therapist, expressive arts therapist, and mental health counselor, supporting older adults with dementia, children and adults with autism and developmental delays, refugees, and people coping with chronic illness and aging. Her clinical work also addresses depression, anxiety, addictions, trauma and abuse, grief, relationship and family issues, parenting, sleep concerns, career matters, compassion fatigue, and attention-related difficulties.

Clinically she identifies as a client-centered therapist who believes that clients are the primary directors of the therapeutic process. She views expressive and creative arts - including music, art, poetry, storytelling, and writing - as optional tools that create a container for thoughts and feelings that can be hard to name. Deborah aims to meet each person where they are and to collaborate on approaches that fit the client’s needs and goals. She practices in Massachusetts and provides services in English.

Therapeutic Approaches and Online Care

Deborah draws from client-centered therapy, cognitive behavioral therapy, and solution-focused techniques to tailor online care to each person’s needs. Client-centered therapy emphasizes listening deeply and following the client’s lead so the person feels understood and respected - this approach suits people seeking support to explore identity, relationships, and emotional processing. Cognitive behavioral therapy, or CBT, focuses on identifying thoughts and behaviors that contribute to distress and developing practical strategies to change them; it is often used for anxiety, depression, and stress-related concerns. Solution-focused therapy concentrates on strengths and small, achievable steps toward change, making it useful for clients who want clear, goal-oriented work.

Finding the right approach is part of the therapeutic process and Deborah works collaboratively with each person to determine which methods fit their goals, preferences, and life circumstances. She may integrate expressive arts as an optional tool when it supports the work.

Online therapy offers practical flexibility - sessions can be scheduled as video calls, phone conversations, live chat, or text-based messaging to accommodate different needs and routines. These formats allow licensed professionals and therapists to provide consistent care across distances, making it easier for people to access support without major disruptions to daily life.