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.

At Grounding River, we believe therapy should feel personal, welcoming and rooted in genuine connection. Care should be compassionate and thoughtful, while remaining flexible and accessible to meet you where you are in life. You don’t have to have everything figured out to begin, and you’ll never be reduced to a chart, a diagnosis or a list of symptoms. You are a whole person, navigating life in your own way, doing the best you can. You deserve to feel seen, heard and supported every step of the way.

Warmth Without Judgment

Therapy should feel like a place where you can show up where you are, without fear of judgment or pressure to have all the answers. Here you’ll find genuine conversation, thoughtful guidance and practical tools to help you navigate life’s challenges at your own pace. A steady, supportive space where you can feel heard, understood and free to be yourself.

Support for the Whole Family

Sometimes, support means bringing everyone to the table. We work with children, parents, partners and caregivers to help families feel more connected and supported through life’s challenges. Paw-sonal assistant Lily available for a little extra comfort.

Experience You Can Feel Confident In

Our clinicians bring years of hands-on experience supporting people through life’s many challenges. With backgrounds in hospice and palliative care, crisis services, juvenile probation, educational environments, community mental health and outpatient therapy, we bring a well-rounded understanding of the struggles people face and a compassionate approach to helping you find your path forward.

Therapy That Works for You

Life is busy and getting support should feel manageable. We offer in-person sessions in Doylestown, convenient telehealth throughout Pennsylvania and South Carolina, and Saturday appointments to help make therapy fit more comfortably into your family's schedule. New Jersey licensure is pending; telehealth for clients located in New Jersey will be available once licensure is approved.

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 12 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 can feel like a big step, and knowing what to expect can make it a little easier. At Grounding River, you are the expert on your own life. Your therapist is here to listen, offer guidance, and help you explore what matters most to you. Together, you'll work at a pace that feels comfortable, finding understanding, building on your strengths and discovering a path forward that feels right for you.

  1. 01

    First, a Conversation

    Your first session is simply a chance to get to know each other. We'll talk about what's bringing you to therapy, what you've tried along the way and what you would like to feel or see change. There's no pressure to have all the answers or know exactly what to say. Just an honest conversation where you are and begin wherever it feels right.

  2. 02

    Finding What Works for You

    Everyone's journey is different and therapy should reflect that. You and your therapist will work together to find what feels right and helpful for you, checking in along the way and making adjustments as life changes. There's room to grow, try new things and find your own way forward at a pace that feels comfortable.

  3. 03

    Ongoing Support, at Your Pace

    Sessions typically last 45–50 minutes, with weekly visits to start so you can build a connection with your therapist and begin making progress. As you move forward, we'll continue to find what works best for you and your needs. Meet with us in person in Doylestown or through telehealth from the comfort of home, whatever fits best for you.

  4. 04

    Building Trust, One Step at a Time

    Therapy works best when you feel safe, heard and comfortable being yourself. We believe in honest conversations, open communication and building a connection where you can feel supported without judgment. As that trust grows, so can your confidence and trust in yourself. Progress may come in small steps or meaningful breakthroughs, and we'll be here to support you along the way.

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

Reach out by phone or email to see if we're the right fit for you.

Private pay

Simple billing without insurance restrictions. Superbills provided upon request.

Session fees

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

Sliding scale

Sliding scale fees are offered for eligible clients. Apply to see if you qualify.

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?

Reaching out for therapy can feel overwhelming but getting started doesn't have to be. A simple call or email is all it takes to connect and explore whether Grounding River Counseling is the right fit for you or your family.

Get in touch