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CLS Counseling & Consulting
About Us
Cassandra Sissom
Nicole McSuhm
Carolina Dolan-Dominguez
Services & Fees
Anxiety, Stress & Burnout
ADHD
LGBTQ+ & Relationship Diversity
Couples & Intimacy
Attachment & Boundaries
Trauma & PTSD
Identity & Life Transitions
High Achievers & Leaders
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Stress & Burnout Cassandra Sissom 10/27/26 Stress & Burnout Cassandra Sissom 10/27/26

5 Small Resets for the In-Between Days

Not in crisis, not okay either? Five small, research-backed resets for stress and burnout, and none of them need an app or a membership.

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Moms & Parents, Stress & Burnout Cassandra Sissom 10/22/26 Moms & Parents, Stress & Burnout Cassandra Sissom 10/22/26

Mom Burnout: The Signs and What Actually Helps

You love your kids. You're also completely out of gas. Here's what parental burnout actually is, the signs to watch for, and what helps beyond "self-care."

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ADHD, Anxiety Cassandra Sissom 10/22/26 ADHD, Anxiety Cassandra Sissom 10/22/26

ADHD or Anxiety? How to Tell the Difference (and Why It Can Be Both)

Restless, distracted, and running on fumes? ADHD and anxiety can look almost identical from the outside. Here's how to tell them apart, and why it's often both.

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ADHD, Getting Started Cassandra Sissom 10/9/26 ADHD, Getting Started Cassandra Sissom 10/9/26

Getting an ADHD Diagnosis as an Adult: What to Expect

About half of U.S. adults with ADHD were diagnosed at 18 or older. If you're wondering whether it's ADHD, here's what getting assessed as an adult looks like.

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Terapia en Español, Getting Started Cassandra Sissom 10/9/26 Terapia en Español, Getting Started Cassandra Sissom 10/9/26

Cómo encontrar terapeuta que hable español en Missouri (y que acepte tu seguro)

Menos del 6% de los psicólogos en EE. UU. dicen que pueden atender en español. Así puedes encontrar terapeuta bilingüe en Missouri que acepte tu seguro.

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Terapia en Español, Getting Started Cassandra Sissom 10/9/26 Terapia en Español, Getting Started Cassandra Sissom 10/9/26

How to Find a Spanish-Speaking Therapist in Missouri Who Takes Insurance

Fewer than 6% of U.S. psychologists say they can provide services in Spanish. Here's how to find a bilingual therapist in Missouri who takes your insurance.

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Stress & Burnout, Depression Cassandra Sissom 10/9/26 Stress & Burnout, Depression Cassandra Sissom 10/9/26

Burnout or Depression? How to Tell the Difference (and Why It Matters)

Exhausted, cynical, and running on empty. Is it burnout or depression? They overlap more than most people think. Here's how to tell, and why it matters.

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Getting Started Cassandra Sissom 10/9/26 Getting Started Cassandra Sissom 10/9/26

What Your First Therapy Session Is Actually Like

Nervous about your first therapy session? You're not alone. Here's what actually happens, step by step, from the free consult to the end of your first hour.

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Couples, Relationships Cassandra Sissom 10/9/26 Couples, Relationships Cassandra Sissom 10/9/26

What Is the Gottman Method? A Plain-Language Guide to Gottman Couples Therapy

You've probably heard of the "Four Horsemen." Here's what the Gottman Method actually is, what the research shows, and what Gottman couples therapy looks like.

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Couples, Relationships Cassandra Sissom 9/24/26 Couples, Relationships Cassandra Sissom 9/24/26

Why Couples Fight About Money (and What Actually Helps)

It starts with a receipt or a bill. Ten minutes later, you're arguing about something else. Here's what the research says about money fights, and what helps.

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Relationships, Patterns Cassandra Sissom 8/4/26 Relationships, Patterns Cassandra Sissom 8/4/26

You Already Know the Pattern. Why Insight Alone Doesn't Change It

You've read the books and named the pattern. It's still happening. That's not a you problem. It's the gap between understanding a pattern and changing it.

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Couples, Relationships Cassandra Sissom 7/21/26 Couples, Relationships Cassandra Sissom 7/21/26

Same Trip, Same Argument: Why Old Fights Show Up When You Travel Together

Vacations, holiday travel, and family visits can bring the same argument right back on schedule. Here's why it happens, and what helps.

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Stress & Burnout Cassandra Sissom 6/19/26 Stress & Burnout Cassandra Sissom 6/19/26

This is a hard year. You're not imagining it.

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Stress & Burnout, For Professionals Cassandra Sissom 6/19/26 Stress & Burnout, For Professionals Cassandra Sissom 6/19/26

Looks Fine. Running on Empty.

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Stress & Burnout Cassandra Sissom 6/19/26 Stress & Burnout Cassandra Sissom 6/19/26

Finding Calm in Chaotic Times

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Identity, LGBTQ Cassandra Sissom 6/2/26 Identity, LGBTQ Cassandra Sissom 6/2/26

What LGBTQ+ Affirming Therapy Actually Means (and Why It Matters)

You shouldn't have to explain your identity before therapy can start. What the research says about LGBTQ+ mental health, and what affirming care looks like.

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Stress & Burnout Cassandra Sissom 4/7/26 Stress & Burnout Cassandra Sissom 4/7/26

Your Environment Is Doing More Than You Think: Clutter, Screens, Pace, and Nature

Not your mindset. Not your motivation. Your actual environment, and the quiet toll it takes. What the research says, and small shifts that help.

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Teens & Young Adults, For Professionals Cassandra Sissom 1/21/26 Teens & Young Adults, For Professionals Cassandra Sissom 1/21/26

Post-Break Strain in Teens and College Students: A Regulation Issue, Not a Willpower Issue

January is a predictable strain point for students. Not because they lack motivation, but because break disrupts the routines that support regulation.

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Stress & Burnout, Boundaries Cassandra Sissom 12/2/25 Stress & Burnout, Boundaries Cassandra Sissom 12/2/25

When the Holidays Feel Like a Lot: Boundaries, Rest, and Mixed Feelings

If the holidays feel equal parts cozy and "why is everyone yelling about the mashed potatoes," you're in the right place. Real tips, no forced gratitude.

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CLS Counseling & Consulting is an online group practice offering therapy for adults, teens 16+, and parents across Missouri & Illinois, plus couples therapy in Illinois. Our licensed therapists provide research-backed, LGBTQ+ affirming, culturally responsive mental health care focused on helping you take meaningful action in your life.

Online therapy anywhere in Missouri, including St. Louis, Kansas City, Springfield, Columbia, Jefferson City, St. Charles, St. Peters, O'Fallon, Wentzville, Chesterfield, Kirkwood, Webster Groves, Florissant, Lee's Summit, Independence, Blue Springs, St. Joseph, Joplin, Rolla and Cape Girardeau. And anywhere in Illinois, including Chicago, Evanston, Oak Park, Skokie, Glenview, Arlington Heights, Schaumburg, Naperville, Aurora, Elgin, Joliet, Rockford, Peoria, Champaign-Urbana, Bloomington-Normal, Springfield, Carbondale, Edwardsville, Alton, Collinsville, Belleville, O'Fallon and the Metro East.

Land acknowledgment: We provide online care across Missouri and Illinois, the traditional and ancestral lands of many Indigenous nations, including the Illiniwek Confederacy (among them the Peoria, Kaskaskia, and Cahokia), Osage, Missouria, Otoe, Ioway, Kickapoo, Miami, Sac and Fox, Shawnee, Potawatomi, and Chickasaw. We honor these nations and their ongoing relationship with this land, and we are committed to culturally safe, inclusive, and accessible mental health care for every community we serve. We invest in ongoing training for our therapists in culturally responsive care for Native clients.

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