Orion Block, LICSW, LCSW
Affirming therapist focused on narrative and values
Details
| Name | Orion Block |
|---|---|
| Credentials | LICSW, LCSW |
| Based in | Rhode Island |
| Licensed in | Nevada, Rhode Island |
| Session format | Online |
| Languages | English |
| Years in practice | 8 |
About Orion
Orion Block is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Clinical Social Worker (LCSW) practicing in Rhode Island. They bring eight years of direct therapy experience and over 15 years of community organizing and education focused on race, women’s, and LGBTQIA+ issues. Orion works from a respectful, straightforward stance and centers each person’s lived experience in sessions.
They use Narrative Therapy alongside acceptance-based and cognitive approaches to help people tell and reframe their stories.
Background and approach
Sessions tend to focus on strengths, values, and practical steps. Orion helps people handle anxiety, depression, grief, and the stress of life changes by naming patterns and choosing small, workable shifts. Gender and sexuality are central areas of focus.
Orion supports people navigating gender identity, sexual identity, kink and alternative sexual cultures, and related relationship or intimacy concerns. They also address eating and body image issues, attachment and abandonment wounds, and family of origin struggles. Orion works with mood challenges such as bipolar disorder and depression, and with trauma, chronic illness, and caregiver stress.
They combine Client-Centered Therapy, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT) tools to match practical skills to each person’s goals. Sessions aim to build agency and clearer communication. Orion offers online sessions from Rhode Island in English.
Sessions are available by video call, phone, live chat, or text messaging, and use a subscription model that can be canceled at any time. To begin, a prospective client completes a short matching questionnaire and schedules according to therapist availability.
What this therapist works with
Their listing names Stress, Anxiety, LGBT, Intimacy-related issues among the things Orion works with, alongside the areas below.
- Stress, Anxiety
- LGBT
- Intimacy-related issues
- Bipolar disorder
- Coping with life changes
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Eating disorders
- Self esteem
- Depression
- Coaching
- Abandonment
- Adoption and foster care
- Attachment issues
- BDSM, kink, and alternative sex culture
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Commitment issues
- Communication problems
- Dependent personality
- Eating and food-related issues
- Family of origin issues
- Gender dysphoria
- Guilt and shame
- Hoarding
- Isolation / loneliness
- Life purpose
- Multicultural concerns
- Panic disorder and panic attacks
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Women's issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in their listing among their approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Orion among the ways they work.
- Client-Centered Therapy: Listed by Orion among the ways they work.
- Cognitive Behavioral Therapy (CBT): Listed by Orion among the ways they work.
- Mindfulness Therapy: Listed by Orion among the ways they work.
- Motivational Interviewing: Listed by Orion among the ways they work.
- Solution-Focused Therapy: Listed by Orion among the ways they work.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Orion directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how they work. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Orion directly how they use it and what a session usually looks like.
Online session options
Approaches that guide online therapy and how they help
Orion uses Narrative Therapy to help people reframe the stories they tell about themselves and their relationships. This approach looks at how life events and labels shape identity, and helps people notice alternative storylines that open up new choices.Acceptance and Commitment Therapy (ACT) is used to clarify values and build small actions that matter. ACT helps people accept difficult thoughts and feelings while moving toward what they care about, which can be useful for anxiety, depression, and life changes.
Client-Centered Therapy underpins the work by keeping sessions respectful and grounded in each person’s perspective. This means sessions begin where the person is and focus on strengths and goals rather than labels.
Orion treats finding the right approach as a collaborative process. They will work with each person to try different techniques and tailor interventions to fit goals, comfort, and real-life demands. The plan can shift as needs change, and progress is reviewed together.
Online formats make therapy more flexible. Video calls allow fuller conversation and visual cues, phone sessions can be easier on low bandwidth days, and live chat or text messaging work well for quick check-ins, brief coaching, or when typing helps organize thoughts. These options help fit therapy into work, caregiving, or health routines while keeping focus on practical next steps.
Common questions about this listing
What concerns does Orion commonly address
Orion helps people with stress, anxiety, depression, grief, trauma, and relationship or intimacy issues. They also work with gender and sexuality concerns, eating and body image issues, and caregiver or chronic illness stress.
How would you describe Orion's therapeutic style
Sessions are client-centered and narrative-informed, with an emphasis on personal strengths. Orion combines acceptance-based and cognitive tools to support practical change.
What is Orion's professional background
Orion has eight years of therapy experience plus over 15 years in community organizing and education around race, women’s, and LGBTQIA+ issues.
What credentials and location should I know about
Orion holds LICSW and LCSW credentials and practices from Rhode Island. The listed licenses are RI LICSW and NV LCSW.
Which languages and international options are available
Sessions are offered in English. Orion is not accepting international clients at this time.
What session formats does Orion offer
Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How does payment and cost work
Costs vary with location and the subscription model used for sessions. The subscription can be canceled at any time.
What are the steps to begin working with Orion
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling sessions according to therapist availability.
Contacting this therapist
Sessions with Orion are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Orion where they have space. Ask about fees, and whether they hold a licence or registration where you live.
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