Online Therapy in Rhode Island, Massachusetts & Vermont!
Secure Telehealth Counseling for Anxiety, Depression, Grief, ADHD, Couples, Disordered Eating, Trauma, Addiction, OCD, Life Transition & Chronic Illness - Ages 14 +
Services We Offer
We provide compassionate, evidence-based therapy designed to support you through life’s challenges. All services are delivered via secure telehealth across Rhode Island, Massachusetts, and Vermont.
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Accessible care from the comfort of your space.
All sessions are held securely online, giving you flexibility and comfort while maintaining the same level of care as in-person therapy.
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Support for personal growth, healing, and everyday challenges.
We work one-on-one with clients to explore emotions, patterns, and life stressors in a safe, supportive space. Sessions are tailored to your needs and goals.
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Couple’s Therapy is about strengthening connection, communication, and understanding.
We support couple’s in navigating conflict, rebuilding trust, and improving communication. Therapy focuses on creating healthier patterns, deepening connection, and working through challenges together in a structured, supportive environment.
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Tools to help you feel more grounded and in control.
We help you better understand anxiety and develop practical coping strategies that fit your daily life.
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A space to reconnect, rebuild, and move forward.
Therapy focused on helping you navigate depression with compassion, structure, and personalized strategies for improving mood and motivation.
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We provide compassionate, evidence-based support for individuals struggling with disordered eating, including binge eating, emotional eating, food anxiety and body image concerns. Our approach focuses on healing your relationship with food and your body without shame or judgment, helping you understand underlying emotional patterns and develop healthier coping strategies. Whether you are working through long-standing eating challenges or beginning to notice distress around food, we offer a safe, supportive space for lasting recovery and balance.
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Living with ADHD can feel exhausting, overwhelming, and misunderstood.
Especially when struggles with focus, motivation, organization, emotional regulation, or burnout begin affecting daily life and relationships. We provide compassionate, neurodiversity-affirming therapy to help you better understand how your brain works, develop practical coping strategies, and build systems that support your everyday life without shame or judgment. Whether you’re newly exploring ADHD or have managed symptoms for years, therapy offers a supportive space for growth, clarity, and self-compassion. -
Our trauma-informed approach provides a safe and supportive space to explore these experiences at your own pace while building healthier coping skills, emotional regulation, and a greater sense of safety and control. Therapy is tailored to your unique experiences with compassion, understanding, and evidence-based care.
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Guidance through change and uncertainty.
Whether it’s career shifts, relationships, loss, or identity changes, we help you navigate transitions with clarity and support.
Meet the Team
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Mandy LeComte, LICSW - Owner
Licensed to provide individual and couples counseling in Rhode Island, Massachusetts and Vermont.
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Alexandria Marois, LCSW
Licensed to provide counseling to individuals ages 14 and up in Rhode Island.
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Issecheliz Maldonado, LCSW
Licensed to provide individual (ages 14 and up) and couples counseling to those in Rhode Island and Vermont.
Yo hablo español -

Caitlyn Lampert, LCSW
Licensed to provide counseling to individuals ages 14 and up in Rhode Island.
Clinical Supervision / Employment
For LCSW’s and LMHC-A’s in Rhode Island, Massachusetts, or Vermont seeking supportive, engaged supervision grounded in curiosity, ethics, and professional growth.
You don’t have to have it all figured out.
The next step can simply be a conversation to see if we’re a good fit.
Come Alive Counseling does not provide emergency mental health treatment or triage. If you are experiencing a mental health crisis, contact 911 or go to your local emergency room. Submission of email or other inquiries are subject to screening and determination of appropriate level of care, medical need and do not constitute enrollment with or receipt of mental health services from Come Alive Counseling. All inquiries are processed during working hours, usually within 72 business hours.

