Compassionate Telehealth Counseling for Anxiety, Depression, and Couples Counseling Across Iowa
Decision-focused counseling for adults navigating relationship uncertainty, anxiety, or major life decisions.
I help adults and couples slow things down, understand what’s happening beneath the surface, and move forward with clarity and intention, without pressure to decide too quickly.
My approach is influenced by both therapy and mediation training, allowing for a structured, neutral space to think clearly through complex decisions.
In-network with BCBS & UnitedHealthcare (Optum)
Free 15-minute consultation · No commitment required
McCarville Counseling is a private practice based in Iowa City, offering thoughtful, evidence-based counseling via secure telehealth across Iowa.
If you're feeling stuck or unsure what to do next, you don’t have to figure it out alone.
You may be feeling overwhelmed, caught in patterns that no longer work, or questioning a relationship and unsure what to do next.
Therapy can be a space to slow things down, understand what’s happening beneath the surface, and make more intentional decisions.
Whether you’re navigating a relationship crossroads or working through anxiety, stress, or life transitions, our work focuses on helping you move forward with clarity—not pressure.
People seek therapy for many reasons.
This may be a good fit if you are:
Feeling stuck in a relationship and unsure what to do next
Overthinking decisions and wanting clarity before moving forward
Experiencing anxiety that feels hard to manage on your own
Navigating a life transition and feeling overwhelmed
Wanting a space to think things through without pressure or judgment
Decision-Focused Relationship Counseling
A short-term, structured approach for individuals or couples who are unsure about the future of their relationship.
This work is designed to help you:
Understand how you got here
Explore what’s keeping you stuck
Slow down reactive decision-making
Consider your options with clarity and intention
Typically 1–5 sessions.
There is no pressure to stay together or separate—only support in making a decision you feel grounded in.
Licensed Therapist in Iowa
Thoughtful, evidence-based care with a focus on clarity and intentional decision-making
Telehealth Across Iowa
Secure, confidential sessions available to adults throughout Iowa
Adults & Couples
Support for individuals and couples navigating stress, uncertainty, and relationship challenges
Insurance & Self-Pay Options
In-network with BCBS, UnitedHealthcare (Optum), UBH, and UMR, with self-pay available
Relationship Decision Support
Short-term, structured counseling for those unsure about the future of their relationship
Therapy
I provide individual therapy and decision-focused relationship counseling for adults across Iowa, helping you gain clarity and move forward with intention.
Depression can impact mood, motivation, relationships, and daily functioning. I provide a supportive, thoughtful space to help you make sense of what you’re experiencing, reconnect with yourself, and begin moving forward with greater clarity and steadiness.
Anxiety can show up in many ways—constant worry, physical tension, racing thoughts, or difficulty feeling at ease. I help adults slow things down, understand what’s driving the anxiety, and develop practical tools to feel more grounded, clear, and in control.
Support for individuals or couples who feel stuck, disconnected, or uncertain about the future of their relationship.
This is a structured, short-term process designed to help you slow things down, understand what’s happening beneath the surface, and gain clarity about your next steps—without pressure to stay or separate.