Family Estrangement Therapy in Venice, FL

Where one change creates a ripple effect.

Melissa Lou Koerner, LCSW, and David Koerner, LCSW, are a husband-and-wife team of therapists on Historic Venice Island in Venice, FL, offering counseling for adults from Venice to Sarasota, in person and by telehealth.

Ripple Effect Therapy logo

Our Practice

Welcome to Ripple Effect Therapy! We’re not just therapists. We’re a husband-and-wife team who have made Venice, Florida, our home and professional haven. After many years in private practice here, we have stepped out on our own to create a space where meaningful change happens one ripple at a time.

We understand the balancing act of life. Alongside our two wonderful sons, two dogs and a cat, we try to make the most of Florida’s beautiful outdoors and to foster a spirit of balance and warmth at home. We aim to bring that same sense of balance and warmth into our therapy practice.

At Ripple Effect Therapy, our diverse backgrounds help us connect with clients from all walks of life. We’re here to support you on your journey, offering a space where your story is heard and your goals matter.

Lou and David Koerner seated together on an outdoor swing

Support for Adult Children Estranged From Parents

Estrangement from a parent can bring grief, guilt, relief, and confusion all at once. Lou works with adult children navigating distance from family, helping you make sense of what happened, cope with the loss, and decide what you want your relationships to look like. Learn more about enmeshment and estrangement therapy, or read why adult children go no contact.

Enmeshment & Parentification Recovery

If you grew up as the caretaker, the peacemaker, or the one who held everyone together, it can be hard to know where your family ends and you begin. Therapy offers space to untangle those roles, ease burnout, and build a sense of self that isn’t organized around other people’s needs. Learn more about parentification recovery.

Therapy for Going No‑Contact or Low‑Contact

Whether you are considering limiting contact, have already stepped back, or are unsure what you want, we can help you weigh your options, set and hold boundaries, and handle the feelings and family reactions that come with the decision, at your own pace. Sessions are available at our Venice office or by telehealth.

Therapy for Adult Children of Narcissistic Parents

Growing up with a narcissistic parent can leave you doubting your own perceptions, bracing for criticism, or feeling that love had to be earned. Therapy helps you recognize those patterns, quiet the inner critic, and set boundaries without being consumed by guilt. Read more about narcissistic and emotionally immature parents.

Healing From an Emotionally Immature Parent

Some parents love their children but struggle to offer steady empathy, attunement, or repair. If you have felt lonely in your own family or responsible for a parent’s moods, therapy can help you grieve what was missing and build the connection you deserve.

Therapy for Parents Estranged From Adult Children

Estrangement affects parents too. If your adult child has pulled away or cut contact, Lou offers a compassionate, honest space to process the loss, understand what happened, and grow in ways that can make reconnection possible. Read more about how parents experience no contact.

The approaches Lou and David bring to their work.

  • Family systems and attachment theory in Lou’s work
  • Internal Family Systems, trauma-informed care, and CBT in Lou’s work
  • Trauma-informed care, EMDR, CBT, and Family Systems Theory in David’s work

Meet Lou and David.

Melissa Lou Koerner, LCSW

LCSW

Melissa Lou Koerner

You’ve spent a lifetime carrying your burdens. Her job is to help you finally exhale.

Lou is a therapist with 25+ years of experience helping people navigate the messy, meaningful, and often hilarious business of being human. She’s a generalist at heart, which means you don’t have to fit into a diagnostic box to work with her. If it’s part of your story, it’s welcome in the room.

Over the years she’s supported adults, families, caregivers, Veterans, adoptive families, and folks moving through grief, trauma, identity shifts, and major life transitions. From school hallways to hospice rooms to VA clinics to private practice, she’s learned one thing over and over: people are far more resilient than they realize.

Therapeutic orientation

Her style is warm, grounded, and practical. She blends trauma‐informed care, attachment work, and evidence‐based approaches with a light dose of humor because sometimes the only way through a hard moment is to laugh at how absurd life can be.

Her favorite work these days is helping adults untangle enmeshment, estrangement, and parentification. There’s something powerful about watching people reclaim space in their own lives after years of carrying roles that were never theirs to begin with.

If you’re looking for a therapist who can help you untangle what’s heavy, honor what’s hopeful, and laugh a little along the way, she’s got a seat saved for you.

David Koerner, LCSW

LCSW

David Koerner

David offers a grounded, thoughtful place to sort through what’s weighing on you.

David’s story is one of dedication and diverse experience. Raised in New York, he did his undergraduate work at Boston University and received his Masters in Social Work and Public Health from the University of South Carolina. He has been a Licensed Clinical Social Worker, (LCSW), for over 25 years. David draws upon a wide variety of lived experiences, from being a Peace Corps volunteer in the Dominican Republic to serving in the U.S. Marine Corps.

THERAPEUTIC ORIENTATION

David uses a strength-based approach utilizing psychodynamic and cognitive behavioral techniques. He is also certified in EMDR, (Eye Movement Desensitization and Reprocessing).

David brings warmth, curiosity, and a healthy dose of perspective to help people make sense of where they’ve been, where they are, and where they’d like to go.

Insurance & Payment

Ripple Effect Therapy accepts Medicare and secondary insurance associated with Medicare. We also accept various private insurance plans. Please contact the practice to discuss your individual insurance coverage. Private-pay sessions are $150, whether in person or by telehealth. Superbills are available upon request for clients using out-of-network benefits.

Contact

A calm, welcoming space where you can slow down, breathe, and feel heard. We look forward to meeting you.

Phone 941-777-0868
Address
333 S. Tamiami Tr.
Suite 284
Venice, FL 34285
Therapy office with a gray sofa, leather armchair, textile wall hanging, and large windows
Ripple Effect Therapy waiting room with soft blue walls, leather chairs, and nature photographs