Therapy Built Around Your Unique Needs

Our Specialties in West Des Moines for individuals navigating anxiety, depression, trauma, grief, ADHD, relationship concerns, and major life transitions

A client's goals, past experiences, and current mental health needs determine how therapy unfolds. Callie Brass Counseling provides Our Specialties in West Des Moines through a collaborative process that adjusts as progress develops. You choose whether sessions take place in person or through telehealth, depending on what fits your schedule and comfort level.


The service addresses anxiety, depression, trauma, grief and loss, ADHD, relationship concerns, stress management, and life transitions using evidence-based approaches including Cognitive Behavioral Therapy and mindfulness-based therapy. Each approach is selected based on what your specific situation requires rather than following a predetermined structure.


Schedule an initial consultation to discuss your goals and determine which therapeutic approach aligns with your needs.

How Client-Centered Therapy Adapts to Individual Goals

Sessions begin with an assessment of your current concerns, past treatment experiences if applicable, and what you want to accomplish. Cognitive Behavioral Therapy focuses on identifying thought patterns that contribute to emotional distress and testing alternative interpretations, while mindfulness-based approaches teach you to observe emotions without immediate reaction. The therapeutic approach shifts as your needs change throughout the process.



You develop practical strategies during sessions that apply directly to situations you face outside the therapy room. Coping skills become more automatic with practice, emotional reactions to triggers become less intense, and you gain clarity on patterns that previously felt confusing. The work builds resilience that continues after formal therapy concludes.

Callie Brass Counseling prides itself on maintaining a safe and confidential environment where you can openly discuss your concerns without fear of judgment. This supportive setting encourages an honest exploration of issues that may feel challenging or too uncomfortable to address in other contexts. We understand the importance of flexibility in today’s busy lives, which is why we offer both in-person and telehealth options throughout your treatment. This ensures that logistical barriers do not hinder your progress, even during times when your schedule may become complicated or overwhelming. Our goal is to provide consistent support no matter what your circumstances may be.

Questions Clients Ask Before Starting Therapy

Prospective clients in West Des Moines often want to understand how therapy works before committing to the process and what they can realistically expect from counseling.

  • How is therapy personalized to my specific situation?

    Your initial consultation includes a discussion of your goals, current symptoms, and past treatment experiences if any, which informs the selection of therapeutic approaches such as Cognitive Behavioral Therapy or mindfulness-based therapy. The treatment plan adapts as your needs shift throughout the process.

  • What conditions does this counseling practice address?

    Services support individuals managing anxiety, depression, trauma, grief and loss, ADHD, relationship concerns, stress management, and life transitions. Each condition requires different strategies, and the approach adjusts based on what you're working through.

  • What happens during a typical therapy session?

    Sessions involve discussion of recent challenges, exploration of thought and behavior patterns, and development of practical coping strategies. You'll practice techniques during the session and apply them between appointments, with progress reviewed at the start of each meeting.

  • How do I choose between in-person and telehealth appointments?

    In-person sessions take place at the West Des Moines office, while telehealth appointments connect you from your home or another private location. Many clients start with one format and switch to the other based on schedule changes or preference.

  • What does a collaborative, client-centered approach mean in practice?

    You set the goals for therapy, decide which topics to prioritize in each session, and provide feedback on whether specific techniques are working. The therapist guides the process but does not impose a fixed agenda, allowing the work to reflect what matters most to you.

Callie Brass Counseling works with clients who are ready to address mental health concerns through structured, evidence-based methods. Contact the practice to arrange an initial consultation and begin building strategies that support lasting progress.