- Collaborative approach
- Individualized plans
- Practical skills
About Kristi
She views counseling as a collaborative process. Sessions focus on building self-awareness and helping clients take responsibility for the choices that matter to them. She draws on a range of techniques so each plan fits the individual rather than fitting the person to a single method.
Dr. Hottenstein uses tools from Acceptance and Commitment Therapy, cognitive behavior approaches, and client-centered work to address anxiety, depression, trauma, and addiction-related concerns. She also incorporates ideas from dialectical behavior therapy and existential therapy when they match a person’s needs. That variety helps her tailor strategies for things like coping with life changes, grief, or career stress.
She works with relationship and intimacy issues, self-esteem, LGBT concerns, parenting stress, and challenges such as ADHD, bipolar mood concerns, and chronic illness. Her practice also includes coaching around college selection and life transitions, reflecting her background in higher education.
People who prefer practical conversation and a personalized plan tend to do well with her style. She combines listening with clear next steps, aiming to make progress you can notice between sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Credentials
Michigan, Texas, Arizona, California, New Jersey, Virginia
Languages
English
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values despite painful thoughts or feelings. It can be useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors, which often helps with anxiety, sleeping and eating concerns, and managing mood. Client-Centered Therapy emphasizes an empathic, nonjudgmental relationship where the therapist listens and follows the client’s lead to build insight and confidence.Choosing an approach is a team effort. The therapist will discuss goals and preferences and then try methods that fit each person. If something doesn’t work, she adjusts the plan and tries another technique rather than sticking to one path.
Please confirm current session options before booking, as formats are not listed here. Online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when time is limited, and remove travel time so people can use a break between obligations. Licensed professionals can adapt ACT, CBT, and client-centered exercises to a remote format so clients can practice skills and track progress between meetings.
Frequently asked questions
What concerns does she help people with?
She addresses stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy issues, grief, self-esteem, eating and sleeping problems, bipolar mood concerns, and ADHD among other issues.
What is her therapeutic style like?
Her style is collaborative and practical. She listens closely, encourages self-awareness, and uses a mix of techniques to create actions clients can try between sessions.
How much experience does she have?
She has about 20 years of experience in counseling, with a practice in Michigan since 2009 and additional experience in coaching around higher education choices.
What credentials and location are on file?
She holds the LPC and LPCC credentials and practices in Michigan.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions paid for and what is the cost structure?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, fill out the short matching questionnaire, and schedule according to the therapist's availability.
