CENTER CITY PHILADELPHIA, PA · TELEHEALTH STATEWIDE

Gretchen Echegoyen, MSW, LCSW

  • Licensed Clinical Social Worker
  • Bilingual
  • Clinical Supervisor
  • MSW · Rutgers University
  • Accepting New Clients

“Emotional healing starts with being honest about what hurts.”

Gretchen Echegoyen is a bilingual Licensed Clinical Social Worker at CPA Counseling’s Center City Philadelphia office, also seeing clients by secure telehealth across Pennsylvania. She works with adults and couples on anxiety, depression, trauma, addiction, relationship difficulty, grief, and life transitions — and honors each client’s faith or spirituality where it matters to them.

Gretchen Echegoyen
No program commitments
15 insurance plans accepted
Adults, couples, families & seniors
Telehealth available statewide
Bilingual clinician

WHO GRETCHEN WORKS WITH

Who she’s for

Gretchen works with adults, young adults, seniors, couples, and families. Women, men, LGBTQ+ clients, and college students. In person in Center City or by telehealth across Pennsylvania.

1

People seeking sobriety.

Gretchen names sobriety explicitly as something she is passionate about, alongside transitions and grief. Her background as a behavioral health consultant in primary care means she has met addiction where people first admit it — at the doctor’s office, not the clinic.

2

People for whom faith matters.

Her approach integrates each client’s faith, spirituality, or higher power where it is meaningful to them. Very few clinicians say that out loud, which means people who want it usually have to ask and hope — here you do not have to.

3

People who want the root, not the symptom.

She gently encourages clients to explore the root causes of their symptoms and develop greater awareness of emotional and relational patterns.

why work with Gretchen

Seen, heard, and emotionally safe

Her stated priority is creating a safe, supportive, nonjudgmental space in every session — where you feel seen, heard, and actively involved in your own healing rather than processed through someone else’s plan.

What brings people in

Emotional pain that has not shifted. Anxiety or depression that has settled in. A relationship with no boundaries left in it. Drinking or using that started as the solution. Feeling disconnected from people, or from yourself. Or a transition that landed harder than expected.

How she actually works

Client-centered and strengths-based, integrating insight-oriented skills-based work. Bilingual, so sessions can happen in the language you actually think in — which changes what gets said.

What gets different

Greater peace, a new perspective, stronger relationships, and rebuilt trust in yourself — the four Gretchen names from her own clients. That last one tends to be the hardest and the one people notice most.

HOW GRETCHEN WORKS

Nine approaches, and your faith if you want it

Gretchen integrates insight-oriented skills-based work, and will include your faith, spirituality, or higher power where that is meaningful to you. The approaches below get selected around the person, not applied in order.

  • CBT
  • Solution-Focused
  • Person-Centered
  • Motivational Interviewing
  • Strengths-Based

1

When the pattern is older than the problem

Internal Family Systems and insight-oriented work for the root causes rather than the surface symptom. Her own quote is IFS-inspired: emotional healing starts with being honest about what hurts. That is the starting position.

2

When it is between two people

Gottman Method for couples, with family systems work when the pattern runs wider than the two of you. Structure for conflict and repair rather than another round of the same conversation.

3

When you are weighing sobriety

Motivational interviewing and CBT, with trauma-informed care underneath. Built for the stretch where part of you wants to stop and part of you is not sure — which is most of the people who get there, and not a failure of resolve.

CONDITIONS TREATED

What Gretchen treats – who Gretchen sees

  • Anxiety
  • Depression
  • Trauma
  • Addiction
  • Marriage & Couples
  • Emotional Abuse
  • Controlling Relationships & Gaslighting (individual)
  • Codependency
  • Grief & Loss
  • Life Transitions
  • Caregiver Stress
  • LGBTQ+
  • Workplace Stress
  • Self-Esteem
  • Adults
  • Teens & Adolescents
  • Young Adults
  • Individuals
  • Women
  • Men
  • College Students

For trauma

Bilingual — and one of only two here

Gretchen is a bilingual Licensed Clinical Social Worker, one of two in the practice. Therapy in a second language is not the same conversation as therapy in your first — the words for what actually hurts usually only exist in one of them.

“Emotional healing starts with being honest about what hurts.”

CARE PHILOSOPHY

Safe and nonjudgmental. And you are involved.

Her therapeutic approach is client-centered and strengths-based, integrating insight-oriented skills-based interventions while honoring each client’s faith, spirituality, or higher power when meaningful to them. She gently encourages clients to explore the root causes of their symptoms and develop greater awareness of emotional and relational patterns.

ABOUT GRETCHEN

Peace, perspective, and trust in yourself

Gretchen Echegoyen is a bilingual Licensed Clinical Social Worker. She earned her Bachelor of Social Work from Eastern University and her Master of Social Work from Rutgers University.

She works with clients experiencing anxiety, depression, emotional pain, relationship difficulties, stress, and feelings of disconnection or unhealthy boundaries. Her therapeutic approach is client-centered and strengths-based, integrating insight-oriented skills-based interventions while honoring each client’s faith, spirituality, or higher power when that is meaningful to them — and leaving it entirely alone when it is not.

Gretchen gently encourages clients to explore the root causes of their symptoms and develop greater awareness of emotional and relational patterns. Creating a safe, supportive, and nonjudgmental space is a priority in every session; she wants clients to feel seen, heard, and actively involved in their own healing rather than processed through someone else’s plan.

She is passionate about working with clients navigating transitions, grief and loss, and those seeking sobriety, and her background includes work as a behavioral health consultant in a primary care setting. Through therapy, many of her clients have found greater peace, gained new perspectives, strengthened their relationships, and rebuilt trust in themselves. She is also a clinical supervisor, and offers sessions in English and Spanish.

CREDENTIALS & TRAINING

DEGREE

MSW · Social Work

Rutgers University, Camden

CERTIFICATIONS

LCSW · Licensed Clinical Social Worker

ALSO TRAINED

BSW · Eastern University · Bilingual · Clinical Supervisor

FOCUS

Trauma & Addiction · Couples · Grief & Transitions

IN PRACTICE

Since 2018 · 8 years

Center City Philadelphia · Telehealth

IN NETWORK

Aetna · BCBS · Carelon · Cigna/Evernorth · ComPsych · Geisinger · Highmark

Magellan · Meritain · Optum · UMR · UnitedHealthcare · UBH · UPMC · BHS

2

Languages Spoken

One of two bilingual clinicians

✦

Faith-Integrated If You Want It

And left alone if you do not

∞

Personalized Care Plans

No program commitments required

CONDITION GUIDE

Therapy guides from Gretchen Echegoyen

  • Grief & Loss

    Grief Before Goodbye: Hospice & Palliative Care Support

    When a loved one is facing a serious illness or entering hospice, families often experience anticipatory grief — mourning while the person is still here — along with caregiver exhaustion, guilt, and complicated emotions. Palliative care focuses on comfort and quality of life at any stage of serious illness; hospice focuses on comfort when curative treatment ends. Therapy supports caregivers and families through the grief, the caregiving, and the goodbye. Haley Childers, LSW helps families across Pittsburgh’s South Hills and by telehealth across Pennsylvania.

  • Anxiety

    What Is OCD, Really? It’s More Than Being Neat

    OCD (obsessive-compulsive disorder) is a treatable anxiety-related condition made up of obsessions — unwanted, intrusive thoughts, images, or urges that cause intense anxiety — and compulsions, the behaviors or mental rituals a person does to relieve that anxiety. It is not about being tidy or organized, and the intrusive thoughts do not reflect what someone wants. The leading treatment is ERP (Exposure and Response Prevention). Jessika Izzo, LPC helps adolescents and adults with OCD and anxiety at CPA Counseling in Pittsburgh’s Robinson area.

  • Overthinking

    Anxiety

    Why Do I Keep Overthinking Everything?

    Overthinking is your mind looping on the past (rumination) or rehearsing the future (worry) in an attempt to feel safe or in control — and it’s a core feature of anxiety, not a character flaw. It feels productive but rarely resolves anything, and it steals the present moment. With support, you can learn to tolerate uncertainty, interrupt the loop, and let a decision be “good enough.” Dana Werner, LMSW helps people with overthinking and anxiety at CPA Counseling’s Robinson office in Pittsburgh’s West Hills and by telehealth across Pennsylvania.

COMMON QUESTIONS

Questions about working with Gretchen Echegoyen

What new clients ask most often before their first session.

Gretchen is a bilingual Licensed Clinical Social Worker. She works with adults, young adults, seniors, couples, and families on anxiety, depression, trauma, addiction, marriage and couples concerns, emotional abuse, controlling relationships and gaslighting (individual sessions only), codependency, grief and loss, life transitions, caregiver stress, workplace stress, and self-esteem, drawing on CBT, TF-CBT, Gottman Method, IFS, family systems, solution-focused, person-centered, motivational interviewing, and strengths-based approaches.

Yes, where it is meaningful to you. Gretchen integrates each client’s faith, spirituality, or higher power into the work when that is wanted — and leaves it entirely alone when it is not. She is explicit about this rather than leaving you to raise it.

Collaborative in a specific sense: you are actively involved rather than being treated. Gretchen gently encourages you to explore the root causes of your symptoms and build awareness of your own emotional and relational patterns — and a priority in every session is that the space stays safe, supportive, and nonjudgmental while you do it.

Yes. Gretchen is accepting new clients at the Center City Philadelphia office and through telehealth across Pennsylvania. She is in network with fifteen plans including Aetna, Blue Cross Blue Shield, Cigna and Evernorth, Highmark, Optum, UnitedHealthcare, and UPMC. Request an appointment online or call 412-439-1416.