ABOUT CLS

An Online Therapy Practice for Missouri and Illinois

Built for people who want more than venting.

93% of new clients come back after their first session

You're capable. You're doing the things you're supposed to do. And somewhere along the way, you stopped feeling like yourself.

CLS Counseling & Consulting is a small online group practice of licensed therapists who help people feel steady, clear, and like themselves again. Every session is practical, and every session ends with a next step you can actually use.

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Free 15-minute consultation · In-network with most major insurance plans · 100% online · Early morning, evening, and Sunday availability

CLS at a glance

What we are: An online group practice of licensed therapists, founded in 2024.
Where we work: Anywhere in Missouri and Illinois, by secure video, from St. Louis and Kansas City to Chicago and the Metro East. Leadership coaching is available in any state.
Our therapists: Cassandra Sissom, LPC (MO), LCPC (IL); Carolina Dolan-Dominguez, LCSW (MO & IL); Nicole McSuhm, LCSW (IL).
Insurance: In-network with most major insurance plans. Self-pay and superbills are available too.
Languages: English and Spanish.
Availability: Early morning, evening, and Sunday appointments.
What we offer: Individual therapy for adults (MO & IL), couples therapy (IL), therapy for teens 16+ and young adults, parent coaching, and leadership and organizational coaching.
What we don't offer: In-person sessions, medication management, or formal psychological testing and evaluations.

Why CLS exists

A lot of people come to us after therapy that felt nice but didn't change much. They talked, their therapist nodded, and months later life looked the same.

Part of the reason is how many practices are built. When a practice runs on volume, therapists burn out, and a burned-out therapist can't give your hour their full attention.

We built CLS to work differently. Our therapists keep reasonable caseloads and take real time off, so they're present when you're in session with them. Sessions are practical and focused. And the goal isn't to keep you in therapy forever. It's to help you get to a place where you can handle things on your own.

Meet the team

Cassandra Sissom, LCPC, LPC

LPC (MO) · LCPC (IL)
Best fit for high-achieving women and LGBTQ+ professionals who are burned out, people-pleasing, or navigating late-diagnosed ADHD. Also offers leadership and organizational coaching.
Insightful, candid, and grounded.
Meet Cassandra →

Chat with Cassandra
Carolina Dolan-Dominguez, LCSW

LCSW (MO & IL) · English & Spanish
Best fit for teens 16+, young adults, and bilingual or first-generation clients working through anxiety, ADHD, identity, or family pressure. Also offers parent coaching. Evening and Sunday availability.
Structured, compassionate, and practical.
Meet Carolina →

Chat with Carolina
Nicole McSuhm, LCSW

LCSW (Illinois only)
Best fit for couples, and for individuals whose stress, trauma, or old patterns keep showing up in their relationships. Has completed Level 2 training in Gottman Method Couples Therapy. LGBTQ+ and disability affirming.
Direct, pattern-focused, and strengths-based.
Meet Nicole →

Chat with Nicole

What you can count on

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Action over insight.

Understanding why matters, but it isn't the finish line. Every session ends with a next step you can try in real life.

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Research-backed care that fits your life.

We use methods like CBT, ACT, and solution-focused therapy, adapted to your life as it really is. Ask your therapist why they're suggesting something and they'll tell you. No generic advice.

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Direct and respectful.

We say what needs to be said, with care. Cost is discussed upfront, never as a surprise.

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Therapists who aren't running on empty.

Reasonable caseloads and real time off mean your therapist has the energy to show up for you.

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Affirming by design.

We explicitly support LGBTQIA+ people, women's autonomy, racial equity, and immigrant communities. No one here will bring a religious or political agenda into your care.

Who we work with

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Our clients are usually capable, motivated people who are quietly overwhelmed. They're doing all the "right" things and still don't feel like themselves.

We're likely a good fit if:

You want practical tools, not just a place to vent.
You like knowing there's research behind what you're trying.
You're willing to try things between sessions.
You want to understand your patterns and change them.
You can meet by video from a private space.

A note on fit: CLS is an online outpatient practice. If you need more support than weekly sessions can offer right now, such as crisis or intensive care, we'll help you find the right place. If you're in crisis, call or text 988.

Start With a Free Consult

How it works

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A free 15-minute consultation

A quick vibe check. Ask questions, learn how your therapist works, and see if you click.

Intake and a plan

Your therapist gets to know the people and parts of your life that are affected, and you build a plan together.

Sessions that build on each other

You start weekly or every other week. Each session picks up your last step, works through what got in the way, and ends with a new action step.

Start With a Free Consult

Wondering about cost? We're in-network with most major insurance plans, and we'll confirm your coverage on your free call.

Common Questions

No. CLS is fully online. Sessions happen by secure video, so you can meet from home, your office, your car on a lunch break, or anywhere private in Missouri or Illinois.
Every CLS therapist is fully licensed. Cassandra is licensed in Missouri (LPC) and Illinois (LCPC). Carolina is licensed in Missouri and Illinois (LCSW). Nicole is licensed in Illinois (LCSW). You'll need to be physically located in a state where your therapist is licensed for each session.
No. Our therapists don't prescribe medication. If medication might be part of your care, you can keep working with your own doctor or psychiatric provider alongside therapy with us.

CLS is an outpatient practice and isn't set up for emergencies. 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 in immediate danger, call 911.
Yes. We're in-network with most major insurance plans. We'll confirm your coverage on your free consult, and self-pay and superbills are available too.
It depends on what you're working on, but the goal is never to keep you in therapy forever. Most people start weekly or every other week, then space sessions out to every few weeks and eventually monthly check-ins as things get easier. Your therapist will review progress with you regularly.
It's a free 15-minute consultation or chat to see if it's a good fit, for you and for us. Ask anything you want about how we work, what sessions look like, or cost. No commitment, and if it feels right, you can schedule your first full session before you hang up.
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