
Welcome to earthrise counseling
Throughout life’s journey, we encounter moments that challenge us—grief, anxiety, trauma, uncertainty, and experiences that expand how we see ourselves and reality. Healing is rarely linear; it flows in cycles of contraction, expansion, and transformation.
Beginning counseling can feel vulnerable, yet it is a courageous step toward integration and growth. As an Existential–Integrative counselor, I support clients as they transcend challenges, explore identity, and move toward wholeness, deeper connection, and meaningful self-actualization.
It would be my honor to walk with you on your healing journey. Together, we’ll integrate perspectives and develop a personalized plan that empowers you and enhances your well-being.
Every Healing Journey Begins with One Small Step.
Lisa Marie Persaud, LPC
LICENSED PROFESSIONAL COUNSELOR
NATIONAL CERTIFIED COUNSELOR




Welcome to Earthrise Counseling! I’m Lisa Marie Persaud (she/her/hers), a Licensed Professional Counselor in Arizona and Texas, and a National Certified Counselor with a Master of Philosophy in Professional Counseling degree, and a Master of Science in Education in Counseling and Mental Health Services degree, from the University of Pennsylvania. In addition, I hold a Bachelor of Science in Psychology and a Bachelor of Arts in Theater.
I’m an existential-integrative therapist trained in providing trauma-informed care and work with individuals experiencing anxiety, depression, adjustment-related challenges to life transitions, grief, chronic pain, and PTSD. I am also passionate about working with individuals navigating Holotropic States, non-ordinary experiences, spiritual emergence and existential concerns.
Read More HERE
Professional Endorsements
Reflections from colleagues and collaborators on the presence, philosophy, and work behind Earthrise Counseling.
“She holds a room. She listens to what a person is actually saying rather than what they are saying out loud… Attention as a form of care, and awe treated as something serious rather than something decorative.”
Nick Searra
Executive Director
Interstellar Foundation“Lisa Marie brings a rare combination of heart, depth, and insight to her work. She listens with her full attention… in a way that allows you to keep opening up and confront the parts of yourself that long to be witnessed and loved.”
Joshua White
Executive Director
Fireside Project“Lisa Marie’s passion for the human–cosmic connection is one of the qualities that makes her work so distinctive. She brings compassion, openness, and a deeply thoughtful presence to the way she engages with others—without judgment or expectation.”
Neal Taylor
Safety & Mission Assurance Aerospace Engineer
NASA’s Kennedy Space Center
Counseling Services
ARIZONA | COLORADO | FLORIDA | MINNESOTA | OHIO | TEXAS
Individual Therapy
I offer online counseling for adults navigating trauma and PTSD, grief and loss, anxiety, depression, chronic pain, life transitions, existential concerns, identity exploration, and psychedelic or Holotropic integration. Care is collaborative, compassionate, and tailored to your individual needs and goals.
In addition to serving the general population, I specialize in supporting:
- Veterans and Military Professionals
- Astronauts, Space-Industry Professionals & Families
- LGBTQIA+
- Athletes and High Performers
- Artists and Entrepreneurs
- Healthcare Professionals
- Teachers and Higher Education Students
I view each client as unique, dynamic, and worthy of support, understanding, and love. I see counseling as a collaborative process where the counselor and the client go on a journey together. At the peak of the experience, both are transformed.
Counseling can support a deepened sense of wholeness, greater connection with oneself and others, and an increased sense of meaning, purpose, gratitude, and appreciation for life.

Trauma & PTSD
Trauma can affect how we feel, think, relate, and experience safety. PTSD may involve intrusive memories, avoidance, hypervigilance, nightmares, or anxiety. Counseling can support regulation, healing, and a renewed sense of safety and connection.
Anxiety
Anxiety may appear as persistent worry, fear, tension, restlessness, or unease. It can arise in response to uncertainty, relationships, life circumstances, or environmental stressors. Counseling can support understanding, regulation, and resilience.
Depression
Depression can cause us to withdraw from our loved ones and environment. Symptoms such as low mood, low self-esteem, fatigue, sleep disturbances, and a loss of interest in activities we once enjoyed can all be indicative of depression.
Grief & Loss
Grief is a natural response to loss and may bring sadness, anger, guilt, numbness, disbelief, or longing. Whether following a death, relationship change, illness, or other meaningful loss, counseling offers space to grieve, adapt, and honor what matters.
Chronic Pain
Chronic pain can affect mood, sleep, relationships, identity, and daily life. Ongoing discomfort may also bring grief, frustration, or isolation. Counseling can support coping, self-compassion, meaning-making, and a fuller relationship with life.
Stress & Burnout
Ongoing stress can leave us feeling overwhelmed, depleted, irritable, or disconnected from ourselves and others. Counseling can help explore patterns contributing to burnout, strengthen boundaries and coping, and support greater balance and restoration.
Life Transitions
Life transitions can bring uncertainty, stress, grief, and unexpected change. Shifts in relationships, work, health, identity, or environment may challenge familiar ways of coping. Counseling can support reflection, adaptation, and movement toward what comes next.
Existential Concerns
Questions about meaning, purpose, identity, and existence can arise throughout life. Existential concerns may leave us feeling uncertain, disconnected, or ungrounded. Counseling offers space to explore life’s deeper questions and reconnect with meaning and purpose.
Identity & Self-Exploration
Questions of identity, authenticity, values, belonging, and self-understanding can emerge throughout life. Counseling offers space to explore who you are, what matters most to you, and how to live with greater clarity, self-acceptance, and alignment.
Spirituality & Meaning
Spiritual questions, shifts in worldview, or experiences of awe, connection, or transcendence can invite both wonder and uncertainty. Counseling offers a nonjudgmental space to explore spirituality, meaning, values, and your relationship to something larger than yourself.
Psychedelic & Holotropic Integration Counseling
Psychedelic, Holotropic, and other self-transcendent experiences can bring powerful emotions, insights, and shifts in perspective. Integration counseling offers space to process these experiences and explore how their meaning may support healing, growth, and self-discovery.
EMDR Therapy
EMDR Therapy is a trauma-focused approach that can help individuals process distressing memories and experiences. Through structured attention to memories, emotions, beliefs, and body sensations, EMDR may support reduced distress, greater integration, and adaptive healing.
Counseling Philosophy

Existential- Humanistic
The existential-humanistic perspective honors the subjectivity of conscious existence. As part of our subjective nature each individual struggles with self-awareness, basic freedom, social and intra-personal identity, the meaning of our life and death, and the anxiety associated with consciousness (Existential- Humanistic Institute, 2023). Together we will explore your deepest life’s predicaments along the polarities of self – society, love – transience, freedom – responsibility, meaning – absurdity, fear – transcendence, and belief – faith.

Person- Centered
The person-centered perspective supports that “a new therapy is created with each client” (Yalom, 1980, 2002). This perspective encourages client agency and collaboration within the therapeutic relationship. I have deep reverence and respect for our innate healing intelligence and embrace the archetype of the inner healer. I tend to my clients with radical empathy, non-judgment, and compassion, and strive to create a safe and nurturing environment where their process of individuation can unfold, and trust in their unique gifts is restored.

Transpersonal
The transpersonal perspective encourages an understanding of the role of spirituality in our lives, and exploration of our relationship with the cosmos. It is referred to as the “Fourth Force” in psychology and includes the exploration of the spiritual dimensions of our psyche (Grof, 2008). I am sensitive to the interrelatedness of mind, body, and spirit and approach my clients holistically; in other words, as bio-psycho-social-spiritual beings— several theoretical perspectives are integrated and adapted to meet each client’s unique needs, desires, and values.
Our Story
“Earthrise” is a portrait of Earth rising above the lunar horizon for a third time, and was captured by NASA Apollo 8 astronaut Bill Anders on December 24th, 1968.
Earthrise Counseling is a practice inspired by “Earthrise,” considered the most influential environmental photograph ever taken, as stated by Nature photographer Galen Rowell. It is guided by a perspective of compassion, emphasizing the understanding that we are all in this together.
At Earthrise Counseling, we believe that love, hope, healing, and connection are essential ingredients for personal and planetary transformation.

Earthrise, 1968 — Apollo 8
Earthrise Counseling BLOG
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Earth Day 2026: Artemis II, Earthrise, and the Healing Power of Perspective
Explore how Artemis II, Apollo 8’s Earthrise, and the Overview Effect inspire healing, love, unity, joy, and environmental stewardship this Earth Day.
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Telehealth Counseling
Telehealth counseling is an effective, convenient, and great way to receive quality mental health care. “Researchers looked at more than 60 studies and found that seeing a therapist virtually is just as effective as face-to-face sessions for most people with anxiety, depression and post-traumatic stress disorder (PSTD)” (UCLA Health, 2021).
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A Full Earthrise
“This is the world’s first successful shooting of such a Full Earth-Rise. It was also very precious because it was one of only two chances in a year for the KAGUYA to capture a Full Earth-Rise when the orbits of the Moon, the Earth, the Sun and the KAGUYA are all lined up” (JAXA, 2008,…


