Licensed Mental Health Counselor, LMHC
Accepting new clients for evening and weekend appointments
Young adults / college students (18 - 24)
Adults (25 - 64)
Specialties & expertise
Loss and grief
Palma Terranova is a Licensed Mental Health Counselor in Providence, RI specializing in anxiety, depression, relationships, trauma, stress management, mindfulness, and loss and grief. She empowers each client with the self-care skills to successfully navigate times of uncertainty and change throughout school, work, and relationships. As a highly knowledgeable therapist with years of experience in the field of behavioral health, Palma is passionate about helping clients emotionally grow and find fulfillment.
Palma’s empirical approach is tailored to each client’s needs, with an emphasis on finding balance and overall wellness. She draws primarily from skill-based approaches, including Cognitive Behavioral Therapy (CBT), while also helping clients explore bigger questions about their past, family relationships, and life purpose.
Palma’s practice welcomes adults of all ages, including couples. She especially enjoys working with college students and young adults to help them gain insight into their thoughts and promote self-development.
Relationships – Understanding one’s wants and needs in relationships; exploring patterns of interaction, addressing concerns, and strengthening satisfaction in relationships and dating
Anxiety – Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)
Stress management – Strengthening effective ways of coping with the stress of life and change; managing expectations of self and others
Mindfulness – Using techniques like breathing and meditation to increase self-awareness and manage day-to-day stress
Depression – Providing support and promoting healing through hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life
Loss and grief – Emotionally preparing for the anticipated passing of a loved one; managing feelings and reactions to a death or loss of significance; support during the process of healing and acceptance
Trauma – Coping and healing after threatening or scary events, such as witnessing accidents or experiencing sexual, verbal, emotional, or physical abuse
Academic issues –Addressing underperformance in coursework, school avoidance, and procrastination
Anger management – Addressing sudden outbursts of anger or sustained resentment; developing healthy anger expression and outlets
Couples counseling – Addressing relationship challenges and life transitions; strengthening communication and feelings of security, desire, connection, and love
LGBTQIA and sexuality topics – Exploring topics of sexuality, gender, and identity; coping with discrimination and oppression; navigating relationship, family, and cultural challenges
Blue Cross Blue Shield
Note: Palma is not in-network with university student health insurances.
Initial/ongoing sessions: $150/session (60min) or $100/session (50min)
Sliding scale: A sliding scale is offered to clients who need a reduced fee to receive therapy.
Message to clients
"We all face challenging times in our lives that are difficult. The first brave step a person can make is that first phone call seeking out a little support. We all have waves to ride in our lives and it's quite normal to seek out help when times get tough. It's truly important to develop a rapport with the therapist that will enhance the healing process. A person needs to feel comfortable and have a non-judgement safe place to just talk and process through their feelings."
Treatment approachesAcceptance and Commitment Therapy (ACT) Acceptance and Commitment Therapy (ACT) is a form of cognitive behavioral therapy that uses mindfulness and behavioral activation to help people learn strategies to live life more in the present, more focused on important values and goals, and less focused on painful thoughts, feelings and experiences. (learn more)
Cognitive Behavioral Therapy (CBT)In cognitive behavioral therapy, you work with a therapist in a structured way, attending a limited number of sessions. Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way. (learn more)
Dialectical Behavioral Therapy (DBT) Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that often used to treat disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), eating disorders, and particularly chronic borderline personality disorder. It teaches skills such as mindfulness, pain tolerance, interpersonal effectiveness, and emotional regulation. (learn more)
Existential Therapy Existential therapy is a therapy approach that both embraces human potential and recognizes human limitation. The breadth of existential theory falls into four major themes, which it sees as the root of most psychological problems: 1) Death, 2) Freedom (& Responsibility), 3) Isolation, and 4) Meaninglessness. (learn more)
Family SystemsFamily systems theory views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit. Family system therapy may be used to address conflict stemming from the family unit by working on a client's ability to maintain individuality while maintaining emotional contact with the group. (learn more)
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy. (learn more)
Psychoanalytic TherapyPsychoanalytic therapy tends to look at experiences from early childhood to see if these events have affected the individual’s life, or potentially contributed to current concerns. This form of therapy is considered a long-term choice and can continue for weeks, months or even years depending on the depth of the concern being explored. Psychoanalytic therapy aims to make deep-seated changes in personality and emotional development. (learn more)
Supportive TherapySupportive psychotherapy is used primarily to reinforce a patient’s ability to cope with stressors by giving clients the opportunity to express their feelings and thoughts about the issues. Clinicians help patients learn how to move forward and make decisions or changes that may be necessary to adapt, either to an acute change, such as the loss of a loved one or severe disappointment, or to a chronic situation, such as an ongoing illness. (learn more)
Education and work experience
Private Practice, 2014 - Present
United Health Care, 2017 - Present
The Providence Center, 2011 - 2017
The Kent Center, 2009 - 2011
Rhode Island College, CAGS in Mental Health, 2013
Nova Southeastern University, MA in School Guidance & Counseling, 2006
University of Rhode Island, BA in Psychology, 2001