

Online Psychotherapy for Adults

Welcome to OSO Wellness
There are seasons in life when something feels unsettled.
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You may be functioning well on the outside — working, leading, caring for others — yet internally feel anxious, disconnected, frustrated, or caught in patterns you can’t quite shift.
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Therapy offers space to slow down and understand what’s shaping you — not only the immediate stressors, but the deeper emotional patterns beneath them.
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I’m Keith Engel, LCSW, BCD — a retired U.S. Navy Officer and clinical social worker. OSO Wellness is my solo psychotherapy practice, grounded in steady presence, thoughtful listening, and direct, respectful dialogue.

My work is guided by the biopsychosocial model pioneered by Dr. George Engel — the understanding that healing happens at the intersection of mind, body, environment, and lived experience. We are not defined by a diagnosis alone, nor by a single chapter of our lives. We are shaped by the full context of our story.
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My approach is primarily psychodynamic. Together, we explore how early relationships, family dynamics, and formative experiences continue to influence how you think, feel, and respond today. As these patterns become clearer, you gain greater freedom to choose differently — with intention rather than repetition.
​When helpful, I integrate structured tools from evidence-based therapies such as CBT, ACT, and problem-solving therapy. Insight and action work best together.
​The Meaning Behind OSO
OSO means “bear.”
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The bear represents strength with stillness — protection with peace. That grounded steadiness is the presence I strive to bring into the room: calm enough to hold complexity, direct enough to challenge gently, and steady enough for you to speak freely.
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At the heart of this practice is a simple belief:
Our Stories, Ourselves.
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We are shaped by what we’ve lived — but we are not confined to repeating it.
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If You’re Ready
You don’t have to navigate this alone.
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If you’re ready to better understand your patterns, relationships, and internal world — and begin moving forward with clarity — I invite you to schedule a consultation.
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Appointments and insurance billing are managed securely through Headway.
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[ Schedule an Appointment ]