Little Clinical Services, PLLC, operating as Little by Little Counseling, was founded on the belief that meaningful healing happens through small, supported steps over time. Founded by Danielle Little, LMSW, our practice provides trauma-informed, compassionate care for children, adolescents, and families in a calm, welcoming, and approachable environment. We specialize in evidence-based treatments including Trauma-Focused Cognitive Behavioral Therapy¹, Dialectical Behavior Therapy², Cognitive Processing Therapy³, Cognitive Behavioral Therapy (CBT) for children⁴, and Problematic Sexual Behaviors for Trauma-Focused Cognitive Behavioral Therapy with a focus on trauma, anxiety, depression, and related challenges.

Our approach centers on meeting each child where they are while actively supporting parents and caregivers as essential partners in the healing journey. We offer telehealth counseling services for children ages 3-17, professional consultation for mental health providers, and clinical supervision for LLMSWs. We also have immediate openings available for clinical supervision, allowing us to support other mental health professionals in their practice.