Online Therapy in Illinois & Missouri
Real-World Support to Get Sh*t Done.
You look like you have it together. You're just tired of pretending you do.
For high-achievers, couples, teens, college students, and LGBTQ+ folks who are handling everything and quietly running on empty. Real conversations and practical tools you can actually use this week.
Therapy and coaching in English and Spanish across Missouri and Illinois. Book a free 15-minute consultation or chat. No pressure, no prep needed.
Things our clients said to themselves
before they reached out
On burnout and anxiety“I should be able to handle this.”
“I’m exhausted, but my brain won’t shut off.”
On relationships“We keep having the same fight. Word for word.”
“I know why I do this. I just can’t stop.”
On asking for help“Everyone else seems fine. Why is this so hard for me?”
“It’s probably not bad enough for therapy.”
If any of those landed, you're not broken and you're not behind. You're overloaded, and that's something we can actually work on.
Imagine a Tuesday that doesn't feel like survival mode.
You finish the workday without replaying every conversation on the drive home.
You say "not right now" without a three-day guilt spiral.
You and your partner still disagree, but you repair in minutes instead of weeks.
You finally get why you've been doing things the way you do, and you're choosing differently, even when it's uncomfortable.
You feel like yourself again. Not the version that performs for everyone else.
Therapy here isn't forever. It starts weekly or every other week, then spaces out as the tools start working. The goal is you, handling life on your own terms.
Therapy that doesn't just nod along.
You don't need another hour of venting that ends where it started. We're warm, direct, and practical. You'll leave each session with something to try, not just something to think about.
Online, so it fits your life
Therapy from your couch, your car, or your lunch break, anywhere in Missouri or Illinois. Early morning, evening, and Sunday availability.
A real person who gets it
Collaborative, occasionally funny, never judgy. LGBTQ+ affirming and culturally responsive, in English or Spanish.
Real tools, not just talk
Research-backed approaches like CBT and ACT, turned into small, doable steps you can use between sessions.
Sound familiar? Start here.
Anxiety, Stress, Burnout & Depression
When your brain won't turn off and even rest feels like a task.
Trauma & PTSD
When the past keeps showing up in the present.
ADHD, Neurodivergence & Executive Functioning
When you're smart and capable and still can't make yourself start.
Identity, Self-Esteem & Life Transitions
When you're not sure who you are right now.
LGBTQ+ & Relationship Diversity
A space where you never have to explain or defend who you are.
Couples, Communication & Intimacy
When you love each other but keep having the same fight.
Attachment, Boundaries & Relationship Patterns
When you always end up over-giving, over-explaining, or over it.
Terapia Bilingüe
Terapia con alguien que entiende tu idioma y tu cultura.
Teens, Young Adults & College Students
When growing up feels like too much, all at once.
Motherhood, Parenting & Family Support
When you take care of everyone and no one's taking care of you.
High Achievers, Leaders & Professionals
When success looks good on paper and feels heavy in real life.
Services
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Services *
Therapy
For teens (16+), college students, and adults who are ready for more than venting. In English or Spanish, anywhere in Missouri or Illinois.
Coaching & Consulting
ADHD coaching, parent coaching, leadership and executive coaching, and support for mission-driven teams. Coaching isn't therapy, so it's available in any state.
Clinical Supervision
LPC supervision and LCSW supervision for pre-licensed clinicians in Missouri and Illinois.
Couples & Relationships
For partners stuck in the same loop, and for individuals ready to break old relationship patterns. Couples therapy is currently available to Illinois residents.
Find your person.
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![Cassandra Sissom, wearing a teal top, smiling, holding a green mug, standing in an indoor setting.]()
Cassandra Sissom, LCPC, LPC
Owner, Clinical Director & Therapist
I work with burned-out high-achievers, executives, first and oldest daughters, and formerly gifted adults who are tired of performing and ready for something real. Insightful, candid, and grounded.
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![Carolina Dolan-Dominguez, wearing a beige top with a v-neck, gold hoop earrings, and a delicate gold necklace, with blurred greenery in the background.]()
Carolina Dolan-Dominguez, LCSW
Bilingual Therapist
I work with teens, college students, young adults, and parents navigating anxiety, ADHD, burnout, and identity, with warmth and without judgment. Structured, compassionate, and practical.
Trabajo con adolescentes, estudiantes universitarios, jóvenes adultos y padres que se enfrentan a problemas de ansiedad, TDAH, agotamiento e identidad, siempre con calidez y sin juzgar. Estructurada, compasiva y práctica.
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![Nicole McSuhm, LCSW, couples and individual therapist in Illinois]()
Nicole McSuhm, LCSW
Couples & Individual Therapist (Illinois)
I work with couples and individuals navigating relationship patterns, trauma, and LGBTQ+ identity. If you've spent years figuring out the "why," I help you figure out what's next. Direct, pattern-focused, and strengths-based.
Getting started is easier than you think.
1Book a free 15-minute consult
A no-pressure vibe check. Tell us what's going on, ask anything, and see if it feels like a fit. No prep, no paperwork.
2
Get a plan that fits your life
Your first session is about the real picture: what's going on, who's involved, and what you want to change. Then we map out how we'll tackle it together.
3
Build skills that stick
Each session ends with one thing to try this week. As it starts working, we meet less often. That's the plan, not a breakup.
Wondering about cost? We're in-network with many major insurance plans, and we'll confirm your coverage on your free call.
Questions people usually ask first
Do you take insurance?
Yes. We're in-network with most major insurance plans. Coverage varies by clinician, so we'll confirm yours on your free call. Self-pay and superbills are available too.
Is online therapy as effective as in person?
For most people, yes. Research shows online therapy works as well as in-person care for anxiety, depression, and stress, and it's a lot easier to fit into a busy week. All sessions use a secure, HIPAA-compliant platform.
Where are you located?
CLS Counseling & Consulting is an online group practice based in Edwardsville, Illinois. We see clients by video anywhere in Missouri and Illinois, from St. Louis and Kansas City to Chicago, Springfield, and Columbia.
Do I need to be in crisis to start therapy?
Not at all. Most people who reach out are still functioning, just exhausted by the effort it takes. If something has felt heavy for a while and trying harder isn't working, that's reason enough. If you're in crisis right now, call or text 988 to reach the Suicide & Crisis Lifeline any time, day or night.
If You’re Waiting for It to Feel Easier, Don’t.
A free 15-minute consultation or chat. No pressure, no prep, no commitment.
