Reality Therapy in Taylor County, IA

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Online Therapists

Photo of Mackenzie Trotter, MA, LMHC , Counselor
Mackenzie Trotter
Counselor, MA, LMHC
Verified Verified
Ankeny, IA 50021  (Online Only)
Waitlist for new clients
“When people don't have any curiosity about themselves, that is always a bad sign.” Irvin Yalom Hello! You reading this seems to be a good sign; it tells me you have an interest in examining your life, as something probably isn’t working the way you’d like it to. I use a humanistic therapy approach, specifically existentialism, reality therapy, and attachment theory — although these might not mean anything to you now, they will — as I enjoy sharing everything I know with the hope it will help create additional meaning in your life. We'll start by peeling back layers in pursuit of truth, as truth and taking responsibility are key.
“When people don't have any curiosity about themselves, that is always a bad sign.” Irvin Yalom Hello! You reading this seems to be a good sign; it tells me you have an interest in examining your life, as something probably isn’t working the way you’d like it to. I use a humanistic therapy approach, specifically existentialism, reality therapy, and attachment theory — although these might not mean anything to you now, they will — as I enjoy sharing everything I know with the hope it will help create additional meaning in your life. We'll start by peeling back layers in pursuit of truth, as truth and taking responsibility are key.
(515) 298-6959 View (515) 298-6959
Photo of Laney Alexis Abarr-Cissne, LMHC, Counselor
Laney Alexis Abarr-Cissne
Counselor, LMHC
Verified Verified
Urbandale, IA 50322
I work from a person-centered perspective. I am able to provide Cognitive Behavioral Therapy, Play Therapy, Mindfulness, and many other therapy techniques as they fit for the client’s needs. I am especially experienced in working with those who have intellectual disabilities due to my extensive background in providing direct care. I am also well versed in working with members of the LGBTQIA+ community as I identify as member in the community.
I work from a person-centered perspective. I am able to provide Cognitive Behavioral Therapy, Play Therapy, Mindfulness, and many other therapy techniques as they fit for the client’s needs. I am especially experienced in working with those who have intellectual disabilities due to my extensive background in providing direct care. I am also well versed in working with members of the LGBTQIA+ community as I identify as member in the community.
(515) 501-5734 View (515) 501-5734
Photo of Whitney Cue, tLMHC, CADC, Counselor
Whitney Cue
Counselor, tLMHC, CADC
Verified Verified
Carroll, IA 51401
Hey there! If you are reading this, I want to let you know that I am already proud of you for taking the first step in seeking help. My goal as a therapist is to work alongside you in achieving whatever challenges you are facing that is preventing you from living your best life. You can rest assured that working with me will be judgement-free.
Hey there! If you are reading this, I want to let you know that I am already proud of you for taking the first step in seeking help. My goal as a therapist is to work alongside you in achieving whatever challenges you are facing that is preventing you from living your best life. You can rest assured that working with me will be judgement-free.
(712) 409-7502 View (712) 409-7502
Photo of Jerome Miller, MS, (t)LMHC, IADC, Pre-Licensed Professional
Jerome Miller
Pre-Licensed Professional, MS, (t)LMHC, IADC
Verified Verified
Des Moines, IA 50310
Welcome, you have made the decision to begin moving forward in a positive direction. A direction toward growth and well-being. While we cannot change difficult situations of the past, we can move forward to ensure a better present, and a thriving future. I have over 10 years in the Mental Health industry, and I am a active listener and goal oriented; as we move forward on your goals, we will be using complementary therapeutic approaches and techniques to facilitate the desired change. Remember, "You are on a road to a better place!"
Welcome, you have made the decision to begin moving forward in a positive direction. A direction toward growth and well-being. While we cannot change difficult situations of the past, we can move forward to ensure a better present, and a thriving future. I have over 10 years in the Mental Health industry, and I am a active listener and goal oriented; as we move forward on your goals, we will be using complementary therapeutic approaches and techniques to facilitate the desired change. Remember, "You are on a road to a better place!"
(515) 498-3928 View (515) 498-3928
Photo of Lingyu Albee Detrick, MA, LMHC, Counselor
Lingyu Albee Detrick
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Des Moines, IA 50305  (Online Only)
Making the decision to reach out to a counselor for the first time is a challenging step to take. I provide a safe environment for my clients to explore their reasoning for seeking mental health counseling services by actively listening to their concerns and needs in order to assist them in the process of sorting through various life challenges. I enjoy listening to each individual's story and encourage them to use their strengths as a tool for overcoming these life challenges.
Making the decision to reach out to a counselor for the first time is a challenging step to take. I provide a safe environment for my clients to explore their reasoning for seeking mental health counseling services by actively listening to their concerns and needs in order to assist them in the process of sorting through various life challenges. I enjoy listening to each individual's story and encourage them to use their strengths as a tool for overcoming these life challenges.
(515) 373-2297 View (515) 373-2297
Photo of Lydia Buckingham, tLMHC, MS, NCC, Counselor
Lydia Buckingham
Counselor, tLMHC, MS, NCC
Verified Verified
Perry, IA 50220
Local therapist in Perry, Iowa that specializes in individual therapy for both adults and children.
Local therapist in Perry, Iowa that specializes in individual therapy for both adults and children.
(515) 599-9044 View (515) 599-9044
Photo of Ashley Ann King, MS, LMHC, Counselor
Ashley Ann King
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Mitchellville, IA 50169  (Online Only)
Do you struggle with feeling like you don't fit in, like the world wasn't designed with you in mind? Do you experience anxiety, frustration, or a sense of being overwhelmed by trying to navigate a world that doesn't seem to understand your unique experiences? Do you feel drained from masking, code-switching, or just trying to "keep up"? Do you wonder if life could be different if you could find a way to thrive? You're not alone. Many neurodivergent and LGBTQIA+ individuals feel like they're constantly swimming upstream. The world can feel isolating, confusing, and even hostile at times. But what if there was another way?
Do you struggle with feeling like you don't fit in, like the world wasn't designed with you in mind? Do you experience anxiety, frustration, or a sense of being overwhelmed by trying to navigate a world that doesn't seem to understand your unique experiences? Do you feel drained from masking, code-switching, or just trying to "keep up"? Do you wonder if life could be different if you could find a way to thrive? You're not alone. Many neurodivergent and LGBTQIA+ individuals feel like they're constantly swimming upstream. The world can feel isolating, confusing, and even hostile at times. But what if there was another way?
(515) 355-4966 View (515) 355-4966
Photo of Jill R Sudak-Allison, PhD, LMHC, LMFT, Counselor
Jill R Sudak-Allison
Counselor, PhD, LMHC, LMFT
Verified Verified
2 Endorsed
Ankeny, IA 50021
Hello, my name is Dr. Jill Sudak-Allison. I have been a licensed mental health counselor and marriage and family therapist for over 30 years. I have worked in outpatient medical clinics, private practice, and university settings. My therapeutic style is supportive, holistic and transparent. It is my goal to offer a safe, empathetic, caring, non-judgmental, and open environment for you to explore issues that cause you distress. My passion is to help you find your way back to being yourself, resolving your problems, experiencing peace of mind and joy in your life again.
Hello, my name is Dr. Jill Sudak-Allison. I have been a licensed mental health counselor and marriage and family therapist for over 30 years. I have worked in outpatient medical clinics, private practice, and university settings. My therapeutic style is supportive, holistic and transparent. It is my goal to offer a safe, empathetic, caring, non-judgmental, and open environment for you to explore issues that cause you distress. My passion is to help you find your way back to being yourself, resolving your problems, experiencing peace of mind and joy in your life again.
(515) 902-5611 View (515) 902-5611
Photo of Samantha Rives, LMHC, Counselor
Samantha Rives
Counselor, LMHC
Verified Verified
Waitlist for new clients
Are you noticing tension and discomfort in your body? I believe that this is often easier to notice than what might be contributing to your symptoms, things like anxiety, stress, or trauma. We tend to push on and avoid taking good care of ourselves, despite feeling depressed, managing grief, and experiencing life challenges. We can find ourselves feeling burned out, struggling to function in our daily lives, and needing to reconnect with ourselves and those around us. Wherever you’re at in your healing and wellness journey, I’d love to help you along the way.
Are you noticing tension and discomfort in your body? I believe that this is often easier to notice than what might be contributing to your symptoms, things like anxiety, stress, or trauma. We tend to push on and avoid taking good care of ourselves, despite feeling depressed, managing grief, and experiencing life challenges. We can find ourselves feeling burned out, struggling to function in our daily lives, and needing to reconnect with ourselves and those around us. Wherever you’re at in your healing and wellness journey, I’d love to help you along the way.
(515) 599-9060 View (515) 599-9060
Christy Fisher
Clinical Social Work/Therapist, LISW, LICSW
Verified Verified
Council Bluffs, IA 51501  (Online Only)
I've worked with adult clients for the past 20+ years on improving their ability to cope with and manage their mental health symptoms so they can live their best life possible.
I've worked with adult clients for the past 20+ years on improving their ability to cope with and manage their mental health symptoms so they can live their best life possible.
(712) 938-1741 View (712) 938-1741
Photo of Ronda L Hood, IADC, LMHC
Ronda L Hood
Licensed Mental Health Counselor, IADC, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50312
Serving Iowans, Nebraskans, Coloradans virtually - You’re a high-achiever juggling work, relationships, family, friends & personal goals but lately the pressure is building & everything feels like it’s catching up to you. Anxiety & Stress creep in racing thoughts keep you awake & irritability strains your closest relationships-including the one with yourself. You tell yourself you should handle it alone but deep down you’re exhausted and stuck. It’s okay to need space to process, reflect, and reconnect. Therapy isn’t about judgment-it’s about finding a way to make life work for you again. You don’t have to carry this alone.
Serving Iowans, Nebraskans, Coloradans virtually - You’re a high-achiever juggling work, relationships, family, friends & personal goals but lately the pressure is building & everything feels like it’s catching up to you. Anxiety & Stress creep in racing thoughts keep you awake & irritability strains your closest relationships-including the one with yourself. You tell yourself you should handle it alone but deep down you’re exhausted and stuck. It’s okay to need space to process, reflect, and reconnect. Therapy isn’t about judgment-it’s about finding a way to make life work for you again. You don’t have to carry this alone.
(515) 608-8034 View (515) 608-8034
Photo of Laurie Fein - Fein Therapy Services, MSW, LISW, Clinical Social Work/Therapist
Fein Therapy Services
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Ankeny, IA 50023
Do you need someone to talk to about your family, job, climate change, social justice or relationships? Are you struggling with loss, abuse or harassment in the recent or distant past? Do you feel misunderstood or question your identity or direction in life? Do you feel like life has handed you some lemons? If this sounds like you, I offer confidential mental health counseling for individuals, couples and families in a private 1857 farmhouse set on a nature sanctuary. I strive to provide a safe space for survivors, and people from diverse racial, gender ethnic religious and spiritual backgrounds. Diversity is celebrated here.
Do you need someone to talk to about your family, job, climate change, social justice or relationships? Are you struggling with loss, abuse or harassment in the recent or distant past? Do you feel misunderstood or question your identity or direction in life? Do you feel like life has handed you some lemons? If this sounds like you, I offer confidential mental health counseling for individuals, couples and families in a private 1857 farmhouse set on a nature sanctuary. I strive to provide a safe space for survivors, and people from diverse racial, gender ethnic religious and spiritual backgrounds. Diversity is celebrated here.
(515) 964-1733 View (515) 964-1733
Photo of Linda E. Casey, MS, NCC, tLMHC, RYT-200, Counselor
Linda E. Casey
Counselor, MS, NCC, tLMHC, RYT-200
Verified Verified
Urbandale, IA 50322
Waitlist for new clients
I can work with anyone ages 5 and older. For the last 15 years I have worked with kids of all ages and their families in the school system. I specialize in school issues, parenting, kids and teens, and life transitions. I believe in a mind-body connection and take my yoga training to incorporate a down to earth mindful approach to help clients cope with trauma, stress, and change.
I can work with anyone ages 5 and older. For the last 15 years I have worked with kids of all ages and their families in the school system. I specialize in school issues, parenting, kids and teens, and life transitions. I believe in a mind-body connection and take my yoga training to incorporate a down to earth mindful approach to help clients cope with trauma, stress, and change.
(515) 373-4220 View (515) 373-4220
Photo of Jim Hanson, PhD, LMHC, Counselor
Jim Hanson
Counselor, PhD, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50316
Hi. My name is Dr. Jim Hanson and I am a Licensed Mental Health Counselor. I work with individuals and couples. My main approach is Cognitive-Behavioral, which means that we will focus on the role thoughts and behaviors play in psychological functioning and well-being. For couples counseling, I prefer the Gottman method, pioneered by John and Julie Gottman. The counseling relationship is very important and I believe that this therapeutic relationship must include trust, mutual respect and empathy. As your therapist, this relationship will allow us to work together to foster positive growth and development.
Hi. My name is Dr. Jim Hanson and I am a Licensed Mental Health Counselor. I work with individuals and couples. My main approach is Cognitive-Behavioral, which means that we will focus on the role thoughts and behaviors play in psychological functioning and well-being. For couples counseling, I prefer the Gottman method, pioneered by John and Julie Gottman. The counseling relationship is very important and I believe that this therapeutic relationship must include trust, mutual respect and empathy. As your therapist, this relationship will allow us to work together to foster positive growth and development.
(515) 446-7273 View (515) 446-7273
Photo of Jamie Allen, MS, LMHC, CADC, Counselor
Jamie Allen
Counselor, MS, LMHC, CADC
Verified Verified
Des Moines, IA 50313
Today you are one step closer to achieving your goals and beginning a positive path toward growth and well-being. While we can't change difficult situations of the past, we can work to better understand and resolve challenges in life. Applying complementary therapy approaches and techniques, we will begin to change long-standing behavior patterns or negative perceptions holding you back from a more fulfilling and meaningful life.If you're looking for extra support and guidance through a challenging situation or ready to move in a new direction in life, I look forward to assisting you to achieve.
Today you are one step closer to achieving your goals and beginning a positive path toward growth and well-being. While we can't change difficult situations of the past, we can work to better understand and resolve challenges in life. Applying complementary therapy approaches and techniques, we will begin to change long-standing behavior patterns or negative perceptions holding you back from a more fulfilling and meaningful life.If you're looking for extra support and guidance through a challenging situation or ready to move in a new direction in life, I look forward to assisting you to achieve.
(515) 500-5880 View (515) 500-5880
Photo of Jacy Jensen, MA, LMFT, Marriage & Family Therapist
Jacy Jensen
Marriage & Family Therapist, MA, LMFT
Verified Verified
Des Moines, IA 50312
Waitlist for new clients
Everyone has a story, and each story is different and deserves to be told. Our stories at times can be filled with unexpected and sometimes overwhelming challenges that affect each of us in different ways. Through my own personal and professional story, I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, develop new skills, enrich relationships, and work through situations to lead a more authentic life.
Everyone has a story, and each story is different and deserves to be told. Our stories at times can be filled with unexpected and sometimes overwhelming challenges that affect each of us in different ways. Through my own personal and professional story, I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, develop new skills, enrich relationships, and work through situations to lead a more authentic life.
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Photo of C. Ayo Davis-Yeboah, MS, LMHC, Counselor
C. Ayo Davis-Yeboah
Counselor, MS, LMHC
Verified Verified
Des Moines, IA 50310
Waitlist for new clients
You have finally chosen to put yourself first in the interest of healing. What if I told you that you have all of the answers for "YOU in YOU?” When life becomes challenging and overwhelming, we can loose sight of what we know to do to move through life successfully. I offer an environment that is peaceful and judgement free. Where you can process in order to find your answers to navigate life in a manner that will serve you. I am an active listener with over 10 years experience working with individuals and families in the behavioral/mental health field. I provide individual counseling and I'm here to support you on your journey.
You have finally chosen to put yourself first in the interest of healing. What if I told you that you have all of the answers for "YOU in YOU?” When life becomes challenging and overwhelming, we can loose sight of what we know to do to move through life successfully. I offer an environment that is peaceful and judgement free. Where you can process in order to find your answers to navigate life in a manner that will serve you. I am an active listener with over 10 years experience working with individuals and families in the behavioral/mental health field. I provide individual counseling and I'm here to support you on your journey.
(515) 585-6763 View (515) 585-6763
Photo of Ben Lehl, MS, LMHC, Counselor
Ben Lehl
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50312
Ben is a kind and energetic Licensed Mental Health Counselor! He believes kindness, care and compassion are the foundations for successful therapy. He also feels honest, direct and authentic teamwork adds to positive outcomes. Ben is an EMDR-trained provider who specializes in trauma work, relationship issues, emotional or mood problems including anxiety and depression. He spent several years working in a public/community mental health environment and believes care belongs to every person, and there can be room for laughter and joy in it as well! Ben is a lifelong musician and loves the rock n' roll.
Ben is a kind and energetic Licensed Mental Health Counselor! He believes kindness, care and compassion are the foundations for successful therapy. He also feels honest, direct and authentic teamwork adds to positive outcomes. Ben is an EMDR-trained provider who specializes in trauma work, relationship issues, emotional or mood problems including anxiety and depression. He spent several years working in a public/community mental health environment and believes care belongs to every person, and there can be room for laughter and joy in it as well! Ben is a lifelong musician and loves the rock n' roll.
(515) 972-9484 View (515) 972-9484
Photo of Dr. Donald M. Kaesser, PC, PhD, Psychologist
Dr. Donald M. Kaesser
Psychologist, PC, PhD
Verified Verified
Des Moines, IA 50312  (Online Only)
Waitlist for new clients
I use 35+ years of DIRECT clinical experience to help in addressing issues that have become obstacles in your life and help you meet your goals in the context of an honest, caring, and direct professional relationship. Individuals, couples/relationships, addictions/substance abuse, depression, anxiety, grief, aging, sexuality, and sexual 'orientation' issues, as well as family matters are among the range of aspects of people's lives with which I effectively work. Counseling may be brief/problem-oriented, or extended/depth psychotherapy depending on your needs. I enjoy individuals, couples, and seniors. Psychotherapy is my calling!
I use 35+ years of DIRECT clinical experience to help in addressing issues that have become obstacles in your life and help you meet your goals in the context of an honest, caring, and direct professional relationship. Individuals, couples/relationships, addictions/substance abuse, depression, anxiety, grief, aging, sexuality, and sexual 'orientation' issues, as well as family matters are among the range of aspects of people's lives with which I effectively work. Counseling may be brief/problem-oriented, or extended/depth psychotherapy depending on your needs. I enjoy individuals, couples, and seniors. Psychotherapy is my calling!
(515) 981-6980 View (515) 981-6980
Photo of Laurie Fein - Women's Counseling Center, MSW, LISW, Clinical Social Work/Therapist
Women's Counseling Center
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Ankeny, IA 50023
Do you need someone to talk to about your family, job, or relationships? Are you struggling with loss, abuse or harassment in the recent or distant past? Do you feel misunderstood or question your identity or direction in life? Do you feel like life has handed you some lemons? If this sounds like you, I offer confidential mental health counseling for individuals, couples and families in a private 1857 farmhouse set on a nature sanctuary. I strive to provide a safe space for survivors, LGBTQ, and people from diverse racial, ethnic religious and spiritual backgrounds. Naturally, diversity is celebrated here.
Do you need someone to talk to about your family, job, or relationships? Are you struggling with loss, abuse or harassment in the recent or distant past? Do you feel misunderstood or question your identity or direction in life? Do you feel like life has handed you some lemons? If this sounds like you, I offer confidential mental health counseling for individuals, couples and families in a private 1857 farmhouse set on a nature sanctuary. I strive to provide a safe space for survivors, LGBTQ, and people from diverse racial, ethnic religious and spiritual backgrounds. Naturally, diversity is celebrated here.
(515) 422-4003 View (515) 422-4003
Reality Therapy

Is reality therapy evidence-based?

Reality therapy is not well-studied, and it may not be as effective in treating certain mental health conditions when compared with evidence-based treatments like cognitive behavioral or acceptance and commitment therapies. However, some research does indicate that reality therapy might be helpful for people with addiction, and may be effective in treating social anxiety in young people.

How long does reality therapy last?

Reality therapy is less structured when compared with psychoanalysis, for example. Reality therapy is more open-ended and may not be limited to a set number of sessions. It is common for clients to be in therapy for a year or longer and to see their therapist one to two times a week, though the exact schedule and timeline may vary depending on a client’s challenges and progress. Individuals can also practice the principles of reality therapy long after treatment has ended.

Does reality therapy work?

Reality therapy can help a person manage concerns such as eating disorders, addiction, substance use, anxiety, phobias, and relationship difficulties. This type of therapy encourages a person to be accountable for their behaviors. This therapy may offer benefits that are hard to measure. Reality therapy can be useful in one-on-one therapy or in group sessions. This method may be used with children, families, and adults.

What are the limitations of reality therapy?

This therapy is person-centered or client-centered, and the therapist focuses on choices made by the individual in the present day. The therapist privileges the individual’s perspective over others. This format may feel frustrating for individuals seeking a more structured approach; certainly, no one therapy type will work for every client.