Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you sign up through our links.

Dr. Kristi Hottenstein

Dr. Kristi Hottenstein

LPC, LPCC

Experienced counselor blending Trauma-Focused Therapy and practical skills

Continue with Kristi Review online therapy options and next steps on BetterHelp.
  • 20 years experience
  • Trauma-Focused Therapy
  • Collaborative approach

About Kristi

Dr. Kristi Hottenstein brings two decades of counseling experience to her work in Michigan. She earned a doctorate in higher education administration from the University of Toledo, a master’s in Counseling from the University of La Verne, and a bachelor’s in Sociology from Alma College. She holds the credentials LPC and LPCC and has maintained a counseling practice since 2009. Her style is pragmatic and person-focused. She treats each client as an individual and combines several counseling methods to match a person’s needs. Sessions often include moments of self-reflection, skill building, and practical steps people can try between visits. Kristi uses Trauma-Focused Therapy alongside approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy. Those methods are woven together based on the situation in front of her rather than following a single blueprint. She addresses a wide range of concerns including stress, anxiety, depression, relationship and intimacy issues, grief, eating and sleeping difficulties, addiction, ADHD, career questions, and coping with life changes. Additional areas she focuses on include abandonment, attachment questions, body image, chronic illness, caregiving strain, and communication problems. Outside of direct counseling, Kristi also offers college selection coaching and brings experience from membership and board work with professional counseling organizations. People can expect a collaborative tone that emphasizes increased self-awareness and practical next steps.

How evidence-based approaches work online

Trauma-Focused Therapy helps people process distressing experiences by focusing on how trauma affects thoughts, feelings, and day-to-day reactions. It can be useful for people struggling with the lasting effects of trauma and abuse.

Acceptance and Commitment Therapy, or ACT, centers on accepting difficult feelings while clarifying personal values and taking committed action. It often helps with anxiety, depression, and stress by teaching skills to stay present and move toward meaningful goals.

Kristi treats finding the right approach as a team effort. She will talk with each person about their goals, preferences, and what has or hasn’t worked in the past. Together they decide which methods to try and adjust them as therapy progresses.

Session format details are not listed in the therapist biography, so confirm the available online session options before booking. Online work can make it easier to fit sessions into a busy life, allow more flexible timing, and reduce travel time. It also lets a therapist and client use exercises, worksheets, and skill practice between meetings so therapy can feel more connected to daily routines.

These summaries are based on the profile information listed on BetterHelp. Listing trauma-focused therapy does not mean a therapist holds a specific certification such as TF-CBT, EMDR or CPT.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemDepression

Also works with

AddictionsLGBTTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGuilt and shameHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyGottman MethodMindfulness TherapyNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

20+ years

Credentials

Michigan, Texas, Arizona, California, New Jersey, Virginia

Languages

English

Licenses listed

  • LPC, Michigan6401010570
  • LPC, Texas87144
  • LPC, ArizonaLPC-20541
  • LPCC, California11514
  • LPC, New Jersey37PC00845200
  • LPC, Virginia0701015510
  • NPI1225604028

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

Frequently asked questions

What kinds of concerns are addressed here?

Kristi works with many issues including stress, anxiety, depression, relationship and intimacy concerns, grief, addictions, ADHD, and coping with life changes.

How would you describe her therapeutic style?

Her approach is person-focused and practical, combining multiple techniques to match individual needs and encouraging self-awareness and real-life steps between sessions.

What is her clinical background?

She has 20 years of experience, a doctorate in higher education administration, a master’s in Counseling, and a bachelor’s in Sociology.

Which credentials and location apply?

She holds LPC and LPCC credentials and practices in Michigan.

Are sessions offered in other languages or internationally?

Sessions are offered in English and international clients are not currently accepted.

What session formats are available?

Session formats are not specified here; please confirm current session options with the service before booking.

How are fees and billing handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working together?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication; a doctor can talk with you about medical options. This directory is not a crisis service. If you are in immediate danger, call 911. If you are thinking about suicide, call or text 988.

Dr. Kristi HottensteinContinue with Kristi