Compassionate therapy for meaningful change.
Reaching out isn't always easy, and you don't need to have everything figured out to begin. Here With You Counseling offers a calm, supportive sanctuary to slow down, understand lasting patterns, and rebuild confidence. Individual therapy is available in-person in West Des Moines, Iowa, alongside secure telehealth statewide.
Currently accepting new clients • Hours: Monday – Thursday, 9am to 5pm
Caroline, LISW
Adults & Adolescents (12+)
Meeting you where you are, with warmth and care
Individual therapy for adolescents (12+) and adults in West Des Moines, Iowa, and virtually across Iowa. You do not have to white-knuckle through difficult moments alone.
For nervous system overwhelm, persistent worry, and the exhaustion of feeling like you always have to hold everything together. We gently explore grounding techniques and practical tools to reclaim peace.
When pushing through has left you depleted and numb. Therapy offers a patient space to challenge harsh inner criticism, reconnect with meaningful values, and restore natural vitality.
Compassionate, trauma-informed care that honors your story at your own pace. Together we unburden old protective reflexes and build internal safety without judgment or rushing.
Drawing from extensive hospital and hospice care background, providing a steady sanctuary to process sorrow, complicated loss, and the silent weight of carrying grief alone.
Navigating major life shifts, school or career adjustments, family changes, and self-discovery. A welcoming, LGBTQIA+ affirming space where your authentic identity is respected and celebrated.
Untangling lifelong people-pleasing, perfectionism, and relational friction. Learn how to set healthy boundaries and foster connections where you can show up honestly as yourself.
Ready to take the next step together?
Currently accepting new clients for in-person appointments in West Des Moines and secure telehealth throughout Iowa. Free 15-minute consultations are available.
A trauma-informed, person-centered methodology integrating CBT, ACT, and strengths-based interventions to foster practical life tools.
Therapy is not about being handed prescriptive rules or having someone tell you who to be. It is a warm, nonjudgmental partnership where we untangle the patterns keeping you exhausted, honor your lived experience, and build reliable tools tailored to your daily life in Iowa.
Free 15-minute introductory video or phone conversation. No pressure or commitment required.
Examines the close connection between automatic thoughts, emotional reactions, and behavior patterns. Together, we learn to recognize unhelpful self-talk, reduce cognitive distortions, and replace white-knuckling with grounded, realistic self-compassion.
Practical reframing tools and thought logs that clarify inner emotional triggers.
Helps you stop fighting difficult emotions and inner doubt. By cultivating psychological flexibility and mindful self-awareness, you learn to clarify personal values and commit to concrete actions that honor what truly matters to you.
Mindfulness and values-alignment practices to navigate uncertainty without shutting down.
Roots your therapy in your innate wisdom, resilience, and unique life story. We honor your nervous system's survival adaptations while creating a secure foundation where you can safely set healthy boundaries and reclaim your voice.
Gentle nervous-system pacing, self-advocacy tools, and empowering boundary frameworks.
Affirming & Compassionate
Licensed Independent Social Worker (LISW)
Hi, I'm Caroline. You do not have to have everything figured out before you begin.
Reaching out for therapy takes courage. My commitment is to provide a grounded, supportive, and nonjudgmental space where you can show up exactly as you are. Here With You Counseling is an LGBTQIA+ affirming practice where all identities and life experiences are respected, validated, and celebrated.
Many people arrive in my office after years of convincing themselves they are “fine” simply because they have mastered pushing through. If you are carrying chronic worry, grief, perfectionism, or the weight of others' expectations, feeling exhausted makes complete sense. We will slow down together, untangle the patterns keeping you stuck, and build steady tools that honor who you truly are.
Clinical Foundations & Practice Settings
Healthcare & Hospitals
Inpatient and outpatient medical social work, supporting acute crises and life-altering health diagnoses.
Veterans Affairs & Public Service
Guiding service members, veterans, and families through systemic trauma, moral injury, and profound loss.
Schools & Community Care
Youth and adolescent development, child safety advocacy, and proactive emotional regulation tools.
A transparent, gentle guide to how therapy works.
You do not have to have everything figured out before reaching out. Here is what to expect as we begin working together, from our first call to ongoing, collaborative sessions.
Reaching out can feel vulnerable. Our brief phone consultation is an easy, no-pressure opportunity to share what brings you to therapy, ask any questions about my approach or logistics, and see how it feels to speak together. If we both feel confident it is a supportive fit, we will arrange your initial intake session.
- Ask any questions about therapy and scheduling
- Discuss your current goals and concerns
- No commitment or clinical paperwork required
LGBTQIA+ Affirming Practice
Therapy works best when you feel safe to show up exactly as you are. Sessions are paced collaboratively, trauma-informed, and anchored in genuine warmth without judgment.
You don't have to carry it all alone.
Reaching out is an act of care for yourself. Whether you are ready to start intake or prefer a complimentary 15-minute phone consultation to see if we are a good fit, you are welcome here just as you are.
Request an Intake Appointment
Offering in-person sessions in West Des Moines, Iowa and secure telehealth statewide.
Start with a gentle conversation.
Taking this step takes courage. I offer a supportive, nonjudgmental space in West Des Moines and statewide via secure telehealth so you can begin whenever you feel ready.
In-Person Therapy
West Des Moines, Iowa
Welcoming mid-century sanctuary space designed to support physical ease and nervous system regulation.
Virtual Telehealth
Available statewide across Iowa
HIPAA-compliant, encrypted video sessions accessible from the comfort of your home.
Office Hours
Monday – Thursday, 9am to 5pm
Dedicated focus sessions for adults and adolescents ages 12+.