Leah Guarino, MS, LCMHCA LCAS-A




Substance use | Life Adjustments | Grief and Loss | Communication skills | Anxiety | Depression | LGTBQ+

Leah Guarino, therapist & counselor - Resilient Mind Counseling in Asheville, NC

Get in touch with Leah

Leah Guarino MS, LCMHCA LCAS-A
(828) 383-0118

Accepted Insurance Providers:  BCBS, Medcost, AETNA

Rates / Fees:
$175 Initial Intake Appointment
$150 60-Minute Session
Limited $100 – $150 Sliding Scale Sessions

“Clouds come floating into my life, no longer to carry rain or usher storm, but to add color to my sunset sky.”

~ Rabindranath Tagore.

My Approach & Philosophy

When I was working toward becoming a therapist, I struggled with my own anxiety as I adjusted to not only a new school but a new state and culture, and, additionally, I realized I was holding onto grief that I had locked away for over a year. The combination of these struggles hit me hard, but through my own work, I found ways to celebrate my own culture and identity, as well as grief, while creating a life in this new area that had become my home.

While in school, I expanded my experience with substance use and found that anxiety, depression, life adjustments, and grief were often themes woven into the client’s narrative. Whether you are battling with substance use, mood disorders, struggle around communication, grief, or adjustments, shame and guilt should not hold you back from progress and healing. I have found integrating approaches that focus not only on the presenting issue but on all aspects of the client’s life and have helped foster greater growth.

Through my personal experiences and work as a therapist, I believe that through genuine connection, the healing process can occur. Working toward your higher self and betterment in different aspects of your life does not have to be a lonely process, and it should not be.

Working with clients, I feel a person-centered approach is necessary, as no two people are the same, and you deserve treatment tailored to your needs and style. I integrate modalities such as motivational interviewing, acceptance and commitment therapy, and narrative approaches. The first step toward change is reaching out.

When I am not counseling, I can be found doing something crafty, from macrame to painting and more, dabbling in tarot cards, watching hockey, or out and about with my dog, Coby.


I provide mental health counseling and therapy to help with:

You Deserve to Feel Great.
I’m Here to Help.

Leah Guarino, therapist & counselor - Resilient Mind Counseling in Asheville, NC

Get In Touch

Contact Resilient Mind Counseling, PLLC

(828) 515-1246


41 Clayton St. #201, Asheville, NC 28801