

I believe we do our best based on what we’ve learned from important relationships and situations. We feel distress when what we’ve learned no longer works and our coping skills get overwhelmed. With the right conditions, growth can occur.
With over 20+ years of experience with clients across the spectrums of age, ethnicity, sexual and gender identity, religious/spiritual orientation, income level, and ability status, I've learned to practice with cultural humility.
Dedicated mental health counselor with over five years of professional practice in the United States, complemented by six years of prior experience working with individuals, families, and couples internationally. Experienced in the assessment, diagnosis, and treatment of a wide range of mental health conditions, utilizing evidence-based interventions tailored to client needs. Demonstrates strong clinical judgment, cultural sensitivity, and ethical practice when addressing complex emotional and relational concerns. Committed to ongoing professional development and continuous training to enhance clinical effectiveness and provide high-quality mental health care
I am David Shoots, an LCSW, DDiv and a Qualified Supervisor for MHC and CSW. I have spent the past 27 years working with Trauma, anxiety, self esteem, Couples and Veterans. I have a deep commitment in working with all of my clients with fidelity and compassion. I love what I do and am very committed to providing the best and most ethical services available. You don't have to stay where you are. There has to be a different way to handle what is presently going on in your life.
I am Dr. De Jesus Rivera, medical director at Self Improvement Psychiatry. We specialize in top notch, personalized, psychiatric services through telemedicine. I do a in depth evaluation without you feeling rushed. Together, we come up with a treatment plan that you feel comfortable with. We also have a HIPAA compliant texting system for easy communication and timely responses should any problems arise in between appointments.
The decision to start therapy is a courageous one. I create an open and safe environment for you to embark on your therapeutic journey. In my practice I take a strength-based approach to help you learn and grow. I am interested in exploring who you are as an individual and helping you get where you want to be. Together I hope to build a respectful and collaborative therapeutic alliance.
As a Licensed Mental Health Counselor, I am passionate about creating a space where you can feel safe, supported, and truly understood. My work is rooted in compassion and connection, honoring your unique experiences while helping you move toward healing, balance, and greater peace within yourself. Together, we’ll explore what’s holding you back, celebrate your strengths, and cultivate the meaningful change you’re seeking in your life.


Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.