About Christine
Christine Topping is a licensed marriage and family therapist in Iowa with eight years of clinical experience. She helps people facing depression, anxiety, relationship strain, parenting challenges, grief, addiction concerns, and ADHD.
Background and approach
Her approach is straightforward and respectful, aimed at practical changes that fit each person’s life. She meets people where they are and moves at a pace that feels right.
Sessions focus on clear goals and small steps that add up. Christine blends conversational problem-solving with skills practice and reflection to make progress feel manageable.
Her background includes work with co-parenting after divorce and support for adoption and foster care concerns. She applies tools from Acceptance and Commitment Therapy and Dialectical Behavior Therapy to help people handle strong emotions and stick to values-based choices.
She also uses Narrative Therapy and Solution-Focused Therapy to reshape stories and build on strengths. Christine aims to create a respectful, nonjudgmental space.
She offers support, honest feedback, and practical strategies. Whether the issue is a sudden life change or a long-standing pattern, she helps people identify steps forward.
Sessions can include skill-building for communication, techniques to manage stress and impulsivity, and planning for healthier routines. Christine encourages collaboration on goals so sessions stay relevant to each person’s needs.
Approaches that guide online care
Acceptance and Commitment Therapy (ACT) helps people clarify what matters most and take small steps that match those values. It is useful for stress, anxiety, and life transitions where motivation and direction matter. Dialectical Behavior Therapy (DBT) focuses on emotion regulation, distress tolerance, and improved interpersonal skills to manage intense feelings and impulsive reactions. The Gottman Method provides concrete tools for improving communication and resolving recurring relationship problems.Finding the right approach is part of the work together. Christine will discuss goals and try methods that fit a person’s situation and preferences. She collaborates on which techniques to emphasize and adjusts over time based on what helps most.
Online formats include video calls, phone sessions, live chat, and text-based messaging for flexible scheduling and different needs. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging let people send notes or work between sessions when a quick question or brief support is helpful.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Grief
Also works with
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- HIV / AIDS
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Self esteem
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- Iowa
- Languages
- English