Scott Underwood, LCSW

He describes himself as an older, more conservative therapist who brings a practical, seasoned approach to care. With 23 years of clinical experience and an LCSW - Licensed Clinical Social Worker - he draws on a long history in behavioral health that began in 1984 when he served as an Army Behavioral Science Specialist. Over the years he has worked in community mental health settings, psychiatric hospitals, private practice, and most recently served primarily active duty Air Force members at Nellis and Creech Air Force bases.

He is well trained and experienced in treating trauma, depression, and anxiety, and he offers skills for problem solving, anger management, and related challenges. His caseload has included people with very serious conditions as well as highly functional individuals who have hit a rough patch, so he is comfortable working across a wide range of severity and life circumstances.

Counseling does not need to be heavy or intimidating in his view. When appropriate, he uses humor and lighter moments to relieve tension and create connection alongside more focused therapeutic work. He aims to match style and pace to each person’s needs while maintaining clear goals.

New clients are encouraged to come with an idea of what they want from therapy. He has observed that some people value the convenience and relative anonymity of online formats, while others seek assessment, diagnosis, or treatment recommendations, and still others primarily want a thoughtful listener. He asks clients to be direct about their goals so he can lock in a plan, and he remains flexible if priorities change. Whether someone wants a few short-term sessions, a defined number of meetings to address a problem, or ongoing support for long-term growth, he will work to structure care to fit those needs. Sampling therapy to see how it feels is also welcomed.