Destini Elkins, LCSW
Helping adults navigate anxiety, grief, chronic illness, and life transitions with honesty, warmth, and real-world compassion. Serving clients in Lexington and across Kentucky via telehealth.
Find Your Balance, Even When Life Feels Messy
Destini is an authentic, compassionate therapist who helps clients navigate anxiety, grief, medical trauma, chronic illness, and major life transitions with honesty, humor, and heart. With a background in oncology social work and nearly a decade in medical and mental health settings, she blends clinical expertise with down-to-earth support to help clients feel understood, grounded, and empowered.
Therapy with Destini feels real, collaborative, individualized, and shaped around who you are and what you need.
My Background
Born and raised in Central Kentucky, Destini earned her BSW from Eastern Kentucky University and her MSW from the University of Louisville. She has worked with adolescents, adults, older adults, and individuals at end of life across hospital, outpatient medical, and private practice settings. Her experience includes work with individuals, couples, and families — including members of the LGBTQ+ community and BIPOC clients — and she brings extensive training in grief, oncology, chronic illness, CBT, ACT, DBT, MBCT, motivational interviewing, solution-focused therapy, and smoking cessation.
Approach & Philosophy
Destini brings empathy, clinical expertise, evidence-based approaches, and lived experience into the therapy space. She believes deeply in honoring each person’s autonomy and inherent dignity, recognizing the many ways people learn to survive. Her work centers on partnering with clients to gently uncover and heal old wounds while building more aligned and sustainable ways of living. She shows up authentically and comfortably — often shoes off and seated criss-cross — with the hope that when she feels real, you will feel safe enough to do the same.
Fun Facts
Destini enjoys a healthy dose of sarcasm and may cuss a little when the moment calls for it. Ice cream is firmly established as her favorite food group. Outside of therapy, she is a spouse, childfree dog mama to three, devoted daughter and in-law, chosen sister, aunt to many, loyal friend, and passionate football fan — roles that keep her grounded, connected, and very human.
Specialities
Destini uses evidence-based approaches like CBT and trauma-informed therapy, tailoring each session to fit your goals and comfort level. Her sessions are relaxed, supportive, and focused on helping you build practical tools for everyday life.
- Anxiety & Stress Management
- Grief & Bereavement
- Chronic Illness & Medical Trauma
- Oncology Support
- Caregiver Burnout
- Life Transitions
- Couples Counseling
- Smoking Cessation
Same Week Availability
Insurance & Fees
*Commercial Insurance is purchased either through an agent or employer. It is not state-funded like Medicaid or Medicare*
- Anthem
- Anthem EAP
- Aetna Commercial & Aetna Betterhealth (Medicaid)
- Humana Commercial & Medicaid
- Humana EAP
- Humana Commercial & Medicaid
- Beacon/Carelon
- Kentucky Medicaid
- Cigna
- Tricare East
- Wellcare
- Caresource
- Passport
- United Healthcare/United Behavioral Health
- Ambetter
My fee is $125 per hour for individual therapy.
Start Therapy with Sanja
You don’t have to carry it all alone. Destini is now accepting new clients in Lexington and across Kentucky via telehealth.