ONLINE THERAPY · MISSOURI & ILLINOIS

Anxiety, Burnout & Depression Therapy in Missouri and Illinois

For when you can’t just “snap out of it.”

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

93% of new clients come back after their first session.

Your to-do list is done and your body still hasn't gotten the memo. You're snapping at people you love, dreading things that used to feel easy, or just going flat, going through the motions of a life that used to feel like something.

Therapy at CLS is built for exactly this: not a breakdown, just a slow leak that's finally caught up with you.

CLS Counseling & Consulting offers online therapy for anxiety, stress, burnout, and depression for adults and teens 16 and up, anywhere in Missouri and Illinois, from St. Louis and Kansas City to Chicago, Springfield, and the Metro East. Sessions are 53 minutes, available in English or Spanish, and we're in-network with most major insurance plans.

What it can feel like when your brain finally lets you rest

A woman with curly brown hair and glasses smiling while holding a beige and white mug.

Therapy isn't about talking forever. It's about getting your life back. A few months from now, here's what we're aiming for:

You finish the day without replaying every conversation on the drive home.
Sunday nights stop feeling like dread.
You can rest without earning it first.
The people you love get the patient version of you back.
When the spiral starts, you know what to do, and it doesn't last as long.

Book Your Free Consult

Is this you?

You don't have to be in crisis to belong here. Most people who reach out to us are still functioning, still showing up, still getting things done.

You feel wired and tired at the same time.
Your mind won't shut off at night, even when your body is exhausted.
You've started dreading things you used to enjoy, or you can't remember the last time something felt good.
You're irritable in a way that surprises you, snapping at people who don't deserve it.
You've tried to fix this yourself (apps, journaling, more sleep, less caffeine), and it helped a little, but not enough.
Slowing down doesn't feel like an option because everyone depends on you.

What keeps people from reaching out

Most people wait months, sometimes years, before reaching out. Usually it's one of these:

“Everyone's stressed right now. This is probably just normal.”
“I don't have time to add one more thing to my schedule.”
“I've tried therapy before and it was just an hour of talking with nothing to show for it.”
“I don't want to be medicated or labeled. I just want to feel like myself.”

None of those are wrong. They're also not reasons to keep white-knuckling it.

Sound familiar? You don't have to wait until it gets worse. Book your free consult →

What Anxiety, Stress, Burnout, and Depression Therapy Looks Like at CLS

Therapy here is built around action, not just insight. Yes, you can vent. Sometimes you need to. But you'll also leave every session with something specific to try, because understanding your anxiety in exquisite detail hasn't made it any quieter. Want a few small changes to start with? Read how your environment affects stress or how to handle holiday stress.

Anxiety affects an estimated 19.1% of U.S. adults in any given year, and depression affects about 8.3% (National Institute of Mental Health). Burnout is common enough that the World Health Organization recognizes it as a work-related condition. If this is you, you're not the outlier. You're the norm, and it's treatable. It also doesn't happen in a vacuum. Money stress, job insecurity, caregiving, discrimination, and the news cycle all add to the load, and we'll take that seriously instead of treating it as all in your head.

We use evidence-based approaches, including cognitive behavioral therapy (CBT), which helps you notice and shift the thought patterns that keep anxiety and low mood going, acceptance and commitment therapy (ACT), which helps you make room for hard feelings while still doing what matters to you, and mindfulness-based methods, adapted to your actual life and schedule, not a generic script. Sessions are 53 minutes, online, and typically start weekly or every other week, then space out as things start to shift

Why this works

CBT is one of the most-studied therapies there is. A review of 106 meta-analyses found its strongest support in anxiety and everyday stress (Hofmann et al., 2012). ACT holds up too: across 39 randomized trials, people who got ACT did better than those in comparison groups (A-Tjak et al., 2015).

Clinically reviewed by Cassandra Sissom, LCPC, LPC, clinical director · Last reviewed October 2026

Getting started

Book a free consultation

15 minutes to share what's going on and find your fit.

Get a plan

Your first session sorts out what's anxiety, what's burnout, and what to tackle first.

Build skills that stick

Leave each session with something to try. As things improve, sessions space out.

Book Your Free Consult

Wondering about cost? We're in-network with most major insurance plans, and we'll verify your benefits before your first session.

Meet your therapists

Cassandra Sissom, LCPC, LPC

LPC (MO) · LCPC (IL)
Best fit if you're the reliable one: a high achiever, leader, or first or oldest daughter running on empty while holding it all together.
Insightful, candid, and grounded.

Book with Cassandra
Carolina Dolan-Dominguez, LCSW

LCSW (MO & IL) · English & Spanish
Best fit for teens 16+, college students, young adults, and anyone who wants therapy in Spanish, especially during big life transitions. Evening and Sunday times available.
Structured, compassionate, and practical.
Ansiedad, agotamiento o depresión: terapia en español con alguien que entiende tu cultura.

Book with Carolina
Nicole McSuhm, LCSW

LCSW (Illinois only)
Best fit if anxiety or depression shows up most in your relationships, or you keep landing in the same patterns. LGBTQ+ and disability affirming.
Direct, pattern-focused, and strengths-based.

Book with Nicole

Common Questions

How do I know if this is anxiety, burnout, or depression?

You don't need to diagnose yourself before reaching out. A lot of people show up with some mix of all three. Your first session is where we sort out what's actually going on and what to do about it. Wondering about the difference between two of them? Here's how to tell burnout from depression.

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.

What kind of therapy do you use for anxiety, stress, burnout, and depression?

We draw from evidence-based approaches like cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based methods, adapted to your life. Sessions are collaborative and action-oriented. You'll leave with something to try, not just something to think about.

Do you offer virtual therapy in Missouri and Illinois?

Yes. All sessions are online, and we see clients anywhere in Missouri or Illinois, from St. Louis and Kansas City to Chicago, Springfield, and the Metro East. Early morning, evening, and Sunday appointments are available.

Do you accept insurance?

Yes. We're in-network with most major insurance plans, and we'll verify your benefits before your first session. Self-pay and superbills are available too.

See rates and insurance details →

How long does therapy for anxiety, stress, burnout, or depression usually take?

It depends on what you're working through, but most clients start weekly or every other week and space sessions out as things improve. The goal isn't therapy forever. It's giving you tools you can eventually use on your own.

What happens on the free consult?

It's a free 15-minute consultation or chat to see if it's a good fit, for you and for us. No commitment, no prep, just a chance to ask questions and get a feel for how we work.