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Our mission at One Step at a Time Counseling is to provide compassionate, evidence‑based mental health and substance use treatment that supports meaningful, sustainable change. We are committed to creating a safe, trauma‑informed, and client‑centered environment where individuals can build emotional resilience, develop practical coping skills, and move forward—one step at a time.
Our team provides essential support for mental health issues such as anxiety, depression, and borderline personality disorder (BPD) for both adults and children. We offer DBT Skills Groups, individual therapy, and substance use counseling through flexible in‑person or virtual sessions. Each clinician brings a compassionate, trauma‑informe
Our team provides essential support for mental health issues such as anxiety, depression, and borderline personality disorder (BPD) for both adults and children. We offer DBT Skills Groups, individual therapy, and substance use counseling through flexible in‑person or virtual sessions. Each clinician brings a compassionate, trauma‑informed, strengths‑based approach to help clients build stability, resilience, and meaningful long‑term wellness.
Our approach is compassionate, evidence‑based, and focused on helping clients build emotional stability and practical coping skills. We provide specialized DBT Skills Groups and substance use counseling, ensuring comprehensive support tailored to each person’s needs. Our work is trauma‑informed, strengths‑based, and centered on creating a
Our approach is compassionate, evidence‑based, and focused on helping clients build emotional stability and practical coping skills. We provide specialized DBT Skills Groups and substance use counseling, ensuring comprehensive support tailored to each person’s needs. Our work is trauma‑informed, strengths‑based, and centered on creating a safe, non‑judgmental space where meaningful growth and long‑term wellness are possible.

Helena Marshall is the owner and clinical director of One Step at a Time Counseling. She provides evidence‑based therapy with specialization in DBT, emotional regulation, anxiety, depression, borderline personality disorder, and co‑occurring substance use. With over 25 years of experience, Helena offers trauma‑informed, strengths‑based treatment designed to support stabilization, recovery, and long‑term wellness. Her approach emphasizes compassion, clinical expertise, and creating a safe, non‑judgmental space for adults seeking meaningful change.

Scarlett Santangelo provides compassionate, evidence‑based therapy at One Step at a Time Counseling. She supports adults, adolescents, and children navigating anxiety, depression, emotional regulation, life transitions, and substance use recovery. Scarlett’s approach is strengths‑based, trauma‑informed, and focused on helping clients build confidence, stability, and long‑term wellness through personalized treatment.

Shirley DeJesus is a warm, trauma‑informed clinician who supports children ages 5+, families, and adults of all ages. She helps clients navigate anxiety, depression, life stress, and the impact of past experiences with a calm, collaborative, and culturally sensitive approach.
Shirley integrates evidence‑based practices with a strong person‑centered foundation, creating a safe space where clients feel understood and empowered. She is fluent in Spanish and passionate about providing accessible, inclusive care to diverse communities.

Sara Leibel Meriney provides compassionate, evidence‑based therapy at One Step at a Time Counseling. She supports adults navigating anxiety, depression, emotional regulation, and life transitions. Sara’s approach is strengths‑based, trauma‑informed, and focused on helping clients build confidence, stability, and long‑term wellness through personalized treatment.

Jolene Nunez provides supportive, strengths‑based therapy at One Step at a Time Counseling as she completes her MSW clinical internship under LICSW supervision. With a background as a Licensed Chemical Dependency Professional (LCDP), Jolene offers compassionate care for individuals navigating anxiety, depression, emotional regulation, stress, and substance use recovery. Her approach is trauma‑informed, client‑centered, and focused on helping adults build stability, confidence, and long‑term wellness through personalized treatment.

Sam Wilchcombe provides supportive, strengths‑based therapy at One Step at a Time Counseling as she completes her master’s‑level clinical internship under LICSW supervision.
Sam offers compassionate care for adults and adolescents navigating anxiety, depression, emotional regulation, stress, and life transitions. Her approach is trauma‑informed, client‑centered, and focused on helping individuals build confidence, stability, and long‑term wellness through personalized treatment.

Rebecca Russell provides supportive, strengths‑based therapy at One Step at a Time Counseling as she completes her MSW clinical internship under LICSW supervision. She offers compassionate care for adults navigating anxiety, depression, emotional regulation, stress, and life transitions. Rebecca’s approach is trauma‑informed, client‑centered, and focused on helping adults build confidence, stability, and long‑term wellness through personalized treatment.










At One Step at a Time Counseling, we firmly believe that recovery is possible. We provide a range of therapy services, including DBT skills groups, while fostering an environment free of shame for those seeking treatment. Our commitment to mental health and substance use counseling supports everyone on their path to wellness.
1200 Hartford Avenue, Suite 102, Johnston, Rhode Island 02919, United States
Mon | 09:00 am – 07:00 pm | |
Tue | 09:00 am – 07:00 pm | |
Wed | 09:00 am – 07:00 pm | |
Thu | 09:00 am – 07:00 pm | |
Fri | 09:00 am – 07:00 pm | |
Sat | 09:00 am – 05:00 pm | |
Sun | 09:00 am – 05:00 pm |