Calm blue water flowing between smooth granite rocks under a bright sky

Grounding River Counseling, LLC

A calm place to land. A steady path forward.

Grounding River Counseling is a small, thoughtful therapy practice in Doylestown, Pennsylvania. We offer in-person and telehealth care for children, teens, adults, and families — with Saturday hours, flexible options, and clinicians who meet you where you are.

Why Grounding River

Therapy should feel human, not clinical

This practice was built around the belief that good care should feel deeply personal while still being flexible and accessible enough to meet you where you are. You are not a chart or a diagnosis here. You are a person doing your best.

Experience you can trust

Our clinicians bring years of real-world training across hospice care, crisis services, juvenile probation, schools, and outpatient therapy.

Therapy that fits your life

In-person sessions in Doylestown, telehealth across Pennsylvania and South Carolina, and Saturday availability for busy families.

Support for the whole family

We work with the people who matter most — children, parents, partners, caregivers, and even our therapy dog Lily, when invited.

Warmth without judgment

You will not find stiff, clinical talk here. Just honest conversation, practical tools, and a steady place to figure things out.

Meet our providers

A small team of therapists — plus one very good dog — here to make the work feel a little less clinical and a lot more human.

Amanda Ducsak, MSW, LCSW, therapist at Grounding River Counseling

Amanda Ducsak, MSW, LCSW

Founder & Therapist

Approachable, easy-going, and down to earth, with 11 years of experience across hospice and bereavement care, in-home therapy, crisis residential services, juvenile probation, and outpatient practice.

Read Amanda's full bio
Portrait of Maria Collins, MSSW, LSW

Maria Collins, MSSW, LSW

Therapist

Supportive and collaborative, Maria works with children, adolescents, adults, and older adults across anxiety, depression, trauma, grief, OCD, life transitions, and more.

Read Maria's full bio
Lily, a light brown Labradoodle therapy dog

Lily Mae

Therapy Dog & Lady of Mayhem

A gentle, rescued Labradoodle who joins sessions only when a client would like her there. She has a quiet way of helping kids and adults feel at ease.

Read Lily's story

Who we work with

Children

Age-appropriate play based therapy for worries, behavior, grief, ADHD, school stress, and family changes.

Teens

A non-judgmental space to sort out identity, anxiety, mood, relationships, and difficult life circumstances.

Adults

Support for anxiety, depression, grief, trauma, caregiving, divorce, career changes, and other life transitions.

Families

Family sessions, elder care planning, custody evaluations, bereavement support, and help navigating hard seasons together.

What sessions look like

Starting therapy is easier when you know what to expect. The client is the expert on themselves and the therapist is there to guide you along the way. 

  1. 01

    First, a conversation

    The first session is mostly getting to know each other — what brought you in, what you've already tried, and what you're hoping changes. No scripts, no clipboard interrogation.

  2. 02

    Finding what works for you

    There is no one-size-fits-all here. You and your therapist will figure out what feels helpful, check in as you go, and adjust the plan whenever life or your needs shift.

  3. 03

    Ongoing sessions

    Sessions are 45–50 minutes long. Weekly sessions at first help build rapport and momentum. In person in Doylestown or by telehealth — whichever fits your week.

  4. 04

    Trust, communication, and progress

    Good therapy depends on a relationship that feels safe and honest. As trust builds, so does momentum — sometimes in small ways, sometimes in bigger ones.

How we can help

Individual and group sessions, family work, evaluations, and planning services for families navigating hard seasons.

See all services
  • Individual, family, and group therapy
  • Anxiety, stress, depression, and mood disorders
  • Trauma and PTSD, plus coping skills and self-esteem work
  • Behavioral and impulse-control issues, peer relationships, and family conflict
  • Grief & bereavement, including anticipatory grief
  • Life transitions for adults — divorce, career change, caregiving
  • Counseling for children with cancer, chronic pain, and families facing a serious diagnosis
  • Diagnostic and ADHD evaluations for children and teens
  • Elder care planning, hospice coordination, and nursing home transitions
  • TBI (traumatic brain injury) therapy and support
  • Custody evaluations
  • School accommodations, IEP and 504 support, and business consultation

Free 15-minute consultation

Call or email to see if it's a good fit.

Private pay

Simple billing without insurance restrictions.

Session fees

Individual sessions range from $120–$165. Superbills provided for out-of-network reimbursement.

Sliding scale

Options available — ask when you reach out.

Saturday availability

In person or telehealth, built around busy families.

Therapy dog on staff

Lily can join a session whenever you'd like.

Ready to take the first step?

Starting therapy can feel like a lot. We make the first conversation easy — just a quick call or email to see if Grounding River Counseling is the right fit for you or your family.

Get in touch