I provide individual and couples therapy to adults across Colorado via telehealth, including clients in Denver and Aurora. Many of the people I work with, both individuals and couples, are used to being the ones who hold things together. They’re thoughtful, responsible, and capable. From the outside, things may look just fine. On the inside, though, things can feel very different: anxiety that won’t quiet down, emotions that feel too big or unpredictable, or relationship patterns that keep pulling you away from the connection you want. I’m drawn to helping people who live in that gap between how things appear and how things actually feel.
It can be deeply discouraging to be skilled and high-functioning in many areas of your life, yet still struggle with your internal world or your relationship patterns. Therapy is a place where you don’t have to analyze, fix, or carry all of this on your own.
As a therapist, my style is calm, grounding, and collaborative. I’m direct but gentle. I’ll be honest with you while also being deeply supportive as we work together toward meaningful change. I value curiosity, compassion, and a shared sense of purpose in the work we do together.
My individual therapy work is grounded in Acceptance and Commitment Therapy (ACT). This means we focus on building awareness of your internal experience, loosening the grip of unhelpful thought patterns, clarifying what matters most to you, and supporting change that aligns with your values rather than acting from fear or self-criticism. I also integrate additional approaches when helpful, including EMDR and Cognitive Processing Therapy (CPT) for trauma-related concerns. I work with individuals navigating anxiety, perfectionism, trauma, chronic illness, and identity-related stress.
I also work with couples and relationships who want to communicate more effectively, rebuild trust, and understand the relational patterns that keep pulling them away from the connection they want. My relationship work is informed by attachment-based and depth-oriented approaches that focus on emotional safety, mutual understanding, and meaningful repair. Whether we’re exploring your internal experience or the patterns between you and a partner, my goal is always to help you feel safe, understood, and steadily supported as you move forward.
I’m committed to creating a fully affirming, inclusive space for LGBTQ+ clients, both individuals and relationships. As a queer therapist, I understand how important it is to work with someone who understands the nuances of identity, community, and lived experience without requiring explanation or justification. Your full self, and your full relationship, are welcome here.
I also strive to center and honor the experiences of clients whose lived realities may differ from my own. This includes holding an explicit awareness of how systemic oppression—such as racism, ableism, and other forms of marginalization—shapes emotional well-being, relationships, and access to safety and care. I believe meaningful therapy must account for the intersection of identity, power, and context, and I approach this work with humility, curiosity, and an ongoing commitment to anti-oppressive practice.
On the professional side, I'm a therapist in Colorado. I’ve been a licensed clinical social worker since 2016 and earned my Master of Social Work from the University of Denver in 2013. My training as a social worker emphasizes understanding not only a person’s internal emotional world, but also the broader systems that shape their experience, including relationships and family, culture and values, identity, and societal expectations. This perspective informs how I approach therapy and helps ensure the work is grounded, contextual, and responsive to your lived experience.
In addition to my training as a therapist, I am also a Certified Diabetes Care and Education Specialist (CDCES). I have extensive experience supporting people living with type 1 diabetes and other chronic health conditions, including HIV. My background includes working within medical settings and collaborating closely with healthcare providers, which informs a therapy approach that is attuned to the emotional, relational, and systemic impact of long-term health conditions. While chronic illness is not the focus of all my work, this experience allows me to offer particularly informed, compassionate care to clients navigating the ongoing demands, identity shifts, and emotional fatigue that can come with managing a health condition.
Outside the therapy room, I enjoy reading, traveling, being active, taking long walks with my dog, and cooking with my partner. Like everyone else, I also spend time navigating the challenges of being human. Some days I do that with clarity and skill; other days, less so. It matters to me to engage in the same kind of reflective, values-based work I invite my clients into, because the tools and strategies I use in therapy are ones I believe are useful for anyone when life feels difficult.
If what you’ve read here resonates, I’d be honored to support you, whether individually or as a couple or relationship. You don’t have to navigate all of this on your own. When you’re ready, I’m here.
Jen Tilden
Licensed Clinical Social Worker
Colorado
License #9924306