Hi, I’m Miranda Puente, LSW, a licensed social worker based in Pueblo, Colorado. I offer both in-person and telehealth therapy services. I have experience working with children, adolescents, adults, and older adults, and I’ve worked extensively with individuals experiencing acute and complex mental health challenges, including schizophrenia, borderline personality disorder, major depression, anxiety, PTSD, and other mood-related concerns.
I use a client-centered and collaborative approach to therapy, drawing from evidence-based practices such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). I also incorporate trauma-informed, strengths-based, and solution-focused techniques, always tailoring my approach to fit each person’s unique needs and life experiences.
I truly love helping people on their journey toward healing and growth. My goal is to create a safe, supportive, and nonjudgmental space where you feel heard, understood, and respected. I believe therapy works best when it feels genuine and human, and I’m committed to walking alongside you as you build coping skills, reconnect with your strengths, and move toward meaningful change at your own pace.
I specialize in working with individuals recovering from relationship trauma, whether from romantic relationships or childhood experiences. A holistic approach recognizes that emotional and relational well-being is shaped by interconnected areas of your life, your physical health, relationships, work, spirituality, family dynamics, and financial stability as an integrated whole. Drawing on focused expertise in trauma, PTSD, anxiety, depression, social anxiety, insomnia and sleep issues, ADHD, OCD, and anger management, this work helps clients understand the patterns these experiences create and build practical tools for lasting healing. Trauma and unmanaged mental health symptoms often lead to substance use and addictions as individuals attempt to self-regulate and cope with overwhelming emotional pain.
If you're cycling through relationships that feel familiar but destructive, struggling with sleep, wrestling with anxiety that won't respond to medication alone, dealing with anger that feels out of control, or reaching for substances to quiet overwhelming feelings, you're not broken. Your nervous system and behavioral patterns developed as intelligent adaptations to what you've experienced.
As a clinician trained in EMDR, Eye Movement Desensitization and Reprocessing, trauma treatment becomes active rather than talk-based, helping your brain process traumatic memories so they no longer trigger the same emotional and physical reactions. As a CAMS-II Certified Anger Management Specialist, the focus is on understanding the root of angry responses and developing practical skills to interrupt reactive patterns before they damage your relationships. With ACC credentials in addiction counseling, the work addresses how addictive patterns developed as coping mechanisms and how to target root causes rather than just managing symptoms. These active methods create real shifts in how your brain and body respond to triggers.
Together, we map out exactly why your nervous system responds the way it does, how old wounds get replayed in new relationships, and what specific skills actually interrupt the cycle. We explore the whole person rather than just the symptoms, working to understand the experiences and strengths that shape your life. We address trauma, anxiety, depression, insomnia, anger, and addictions not as isolated problems, but as interconnected pieces of your story.
The goal is to help you strengthen self-awareness, rebuild trust in yourself, build resilience, improve relationships, process difficult experiences, and reconnect with your authentic self so you can move forward with greater confidence, purpose, and hope.
I am a dual-certified Family Nurse Practitioner (FNP) and Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 15 years of healthcare experience. My background spans emergency department, primary care, urgent care, and mental health, allowing me to approach each client with a comprehensive understanding of both physical and emotional well-being. I specialize in diagnosing and treating a wide range of mental health conditions, including anxiety, depression, trauma-related disorders, ADHD, and mood disorders.
My practice focuses on providing evidence-based medication management paired with supportive, collaborative care. I believe in meeting clients where they are, empowering them through education, and tailoring treatment plans to their unique needs, preferences, and goals. My approach is warm, non-judgmental, and holistic. I value building strong therapeutic relationships and creating a safe space where clients can feel heard, understood, and supported. If you’re looking for compassionate, thorough, and personalized care, I’m here to help you take the next step in your mental health journey.
Most major insurance plans are accepted here, so cost isn't what's standing between you and feeling better — and we'll handle the paperwork.
Our counselors are trained to help you work through what's hard — not just talk about it. When you're ready, we're ready.
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