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.
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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.
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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.
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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.
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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.
Therapy services
Individual therapy, ages 5+
One-on-one work with children, teens, and adults.
Anxiety & stress
Practical tools for worry, overwhelm, and the physical toll stress takes on daily life.
Depression & mood disorders
Support for depression, bipolar disorder, and mood shifts that make daily life harder to manage.
Trauma & PTSD
Trauma-focused, paced work that builds safety and coping skills before going deeper.
Behavioral & impulse control
Help for behavioral issues, impulsivity, and self-harm, with parents included in the plan.
Self-esteem & body image
Rebuilding confidence and a steadier sense of self, especially for preteens and teens.
Peer relationships & family conflict
Friendships, school social dynamics, and tension at home that keeps resurfacing.
Life transitions
Support for adults through divorce, career change, caregiving, relocation, and other seasons that reshape daily life.
Family therapy
Sessions that bring the household into the work together.
Group therapy
Group sessions available in person or by telehealth.
Grief & bereavement
Support through loss at any stage, including anticipatory grief.
Diagnostic & ADHD evaluations
Diagnostic evaluations, including for ADHD, for children and teens only — not offered for adults.
Terminal & serious illness
Counseling for children with cancer, chronic pain, and families navigating a serious diagnosis.
Teens & juvenile justice
Specialized experience supporting teens involved in the juvenile probation system.
Parenting support
Practical, honest guidance for parents alongside their child's therapy.
Family & elder care services
Elder care planning
Hospice care coordination, nursing home transitions, and bereavement support for families caring for aging loved ones.
TBI support
Therapy and support for individuals and families after a traumatic brain injury.
Custody evaluations
Evaluations for families navigating custody decisions.
Consulting
School accommodations
Working alongside teachers and school staff so a student's needs are understood and supported in the classroom day to day.
IEP & 504 support
Help preparing for meetings, understanding what each plan can include, and advocating for supports that actually fit the child.
School consulting
Counseling support delivered on-site in school settings.
Business consulting
Consultation for businesses on mental health and staff support.
Inside the office
A comfortable, unhurried space in Doylestown — with a dedicated play area for younger clients and room for the whole family when the work calls for it.
Sessions & fees
- Free 15-minute consultation before you book anything.
- Individual and group sessions, in person in Doylestown or via telehealth.
- Saturday availability for busy families.
- Grounding River Counseling is private pay.
- Individual sessions range from $120–$165.
- Superbills provided so you can seek out-of-network insurance reimbursement.
- Sliding-scale options available.
- Payment by cash, check, or card (Visa, Mastercard, Discover, American Express).