Karen L. Kehler, MA,  MSHA - Private- Professional- Affordable Counseling Services
These are the most common questions or issues that I hear when a person calls for information:
  • Do you take insurance?  
  •  Counseling is considered by most insurance companies as 'not medically necessary' so they don't cover my level of care.  It is similar thinking as 'cosmetic' surgery so I keep my rate affordable.  This does not mean you get lower quality care or attention.  It is the approach I take - based in education rather than scientific testing.  I teach clients how to manage their way through the issues they are facing.  Many find this approach very helpful as they leave the first session with real actions they can take, reflect on and change to move toward their own goals.  The client shapes the direction, I help by reframing, encouraging, empowering and holding accountability. 
  • If you have insurance - call the number for 'behavioral health' 'mental health' or 'addiction' on the back of your insurance ID card FIRST!   Insurance companies MUST provide mental health services but very often contract them out to other facilities and professionals that they 'pre-approve' and contract in advance with.  This keeps costs contained - and they will guide you to those who are either 'in their system' or 'approved' so you don't have to worry if they aren't covered.    If you are able to 'self pay' then call me . . . but many don't know how the system 'works' - and how you benefit if you know to make contact with them first.   
  • Do you prescribe Medications?
  • No, I don't and can't.  I definitely work with the physician of your choice, or can refer you to one I have confidence in, to get proper medications specific to your mental health symptoms. I also work with physicians and clients to note symptom changes, non-compliance, and relapses - so we work together to manage the chronic - long term elements of mental illness and addiction.
  • Do you have evening hours?
  • Yes I do - Monday through Friday. 
  • What can I expect when I come to your office?
  • My office is easy to find, free parking usually available in front, the atmosphere is more like visiting a friend than a sterile office.  It is rare that you will see other clients in my waiting room area and there is no staff  with distractions.  The seating is comfortable - you can bring a beverage.   I will ask you to sign the appropriate legal documents to protect your rights as a client.   I do not ask you to fill out lots of forms and papers - cutting into face to face time with me.  I prefer to ask you questions about your history, environment, family, issues that brought you in, past successes, and future goals personally.  In that process we may venture off into more details or immediate interventions.   In the first session, I probably ask the most questions, to establish a foundation of who you are and how I can encourage and support you in the future.   My style is clear, down to earth and sometimes even fun.  I promise I will get you to look at what's happening in new and fresh ways that others may not have.  I also believe that when you can get to a place where we can laugh at ourselves - we really begin to enjoy life.  That doesn't mean I don't take your hurt, sadness and anger seriously - I do and will - but I will also help you to embrace it in a way that lightens the burden of it.
  • I encourage clients to come once a week for a short period of time - one hour sessions where we focus on the goals you have set - whether specific or general - and as you find that with encouragement, specific strategies, reflection and insight as well as accountability - we start to shift to bi-weekly then monthly sessions.  
  • Clients who have worked with me often discover that having a professional counselor in their group of 'experts' helps when life hands them or blindsides them with serious and significant events.   I may work with a couple for a while to help with their marriage, help their teen children when serious issues arise, again when an important family member passes away, when someone receives a serious medical diagnosis, a traumatic event is witnessed or employment changes.  My role changes but I am comitted to helping my clients long term - even when there are years between visits.
Stop ruminating, obsessing, feeling helpless or hopeless.  The sooner you start - the sooner you will find "yourself" again!  
 Reviews from Yodle:

·       Never talked with a therapist before but Karen made it very easy and relaxing
- Adam . 12/2/2015
Absolutely wonderful and understanding! Was a great help to my whole family! PO
- P . 6/17/2015
Exactly what we needed!
Our first session with Karen was absolutely invaluable. I scheduled the meeting to help my husband and I through a rough patch brought on by his recent bouts with depression and possibly bipolar disorder. I anticipated the session would help him to just "get over it" but instead was a very educational experience for both of us to understand exactly what his brain is doing and how to manage his illness moving forward. She took extra time to explain everything in detail, and we both left her office with a sense of relief. I look forward to our future sessions and feel confident that we will tackle these issues as a team.
- Al M 5/20/2015
I look forward to my bi weekly visit!
My first visit I was so stressed out and scared. Karen made me feel so comfortable. I have come a long way since I have been seeing her. I went to her knowing what I had to do and she walked me through it. Can't wait for my next visit.
- Deborah . 5/8/2015
Don't hesitate. She is worth more than 5 Stars**********
The hardest thing is to be trusting to another person. Karen makes you feel trust, compassion, incite and options in tough situations. I would tell anyone to seek out her services, counseling and demeanor ( which is absolutely positive and bubbly). She feels like a good friend with intuition, but she is also very professional and does not judge in any way, shape, or form.
- Denise . 5/8/2015
Totally satisfied
Karen was very professional in dealing with my situation. She provided me with valuable in-sight to my issues and helped me make the necessary changes so I could move forward with my life.
- Charles F 5/7/2015
Warm, Caring, Intelligent, and Experienced.
Karen is a local counselor with strong ties to the community. She is and has been involved in may community projects and programs, serving on boards and volunteering her time. She offers her clients wonderful quality in treatment care. She stays up to date and informed on all the latest mental health and substance abuse issues and treatment. She works out payment plans for those in need. With the recent opiate overdose crisis hitting the country and our area, she started her own free family support group to offer information and support to those effected. She is sincere in her desire to help those in need. I highly recommend her.
- Kathy R 5/6/2015

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