Online Anxiety Treatment in Missouri

Let's talk about the investment, because we know it's on your mind.

Our session rates range from $100 to $175 per 45-50 minute session, depending on the therapist. We are an out-of-network practice, which means we don't bill insurance companies directly.

There's a reason for this. Being out-of-network allows us to focus entirely on providing the highest quality care without insurance companies dictating how many sessions you're "allowed" or what kind of treatment you can receive. You get the treatment that actually works for anxiety, for as long as you need it—not whatever fits into arbitrary insurance limits.

But here's the good news: many of our clients get significant reimbursement through their out-of-network benefits. We work with a service called Thrizer that makes this process easy. Most of our clients with out-of-network coverage get 50-70% of their session costs reimbursed after meeting their deductible. Some clients get as much as 90% back; others get somewhat less depending on their specific plan. We can help you figure out what your benefits might cover before you start.

When considering the cost, also consider what anxiety is already costing you. The promotions you haven't gone for, the relationships that have suffered, the experiences you've avoided, the hours lost to worry. Eight to twelve weeks of treatment that actually works—treatment from specialists using proven methods—versus years of continuing to struggle on your own. Many of our clients tell us it's the best investment they've ever made in themselves.

Yes. Multiple research studies show equivalent outcomes for anxiety treatment delivered via telehealth versus face-to-face. For anxiety specifically, online therapy has some advantages—most notably, the ability to practice exposures in your actual environment rather than a therapist's office. Our outcome data from clients across Missouri reflects the effectiveness of this approach.

You meet with your therapist via secure video (Zoom for Healthcare) for 45-50 minute sessions. In sessions, you'll learn about how anxiety works, practice skills for managing anxious thoughts and physical symptoms, and gradually work through exposures to situations you've been avoiding. Between sessions, you'll have homework to practice what you're learning in real life.

Most clients begin to see meaningful improvement within 8-12 sessions of consistent weekly attendance and completing homework between sessions. For some clients, 8-12 sessions is all they need. Others continue longer depending on the complexity of their situation, their goals, and how deeply anxiety has been affecting their life. We track your progress throughout so we know when you're ready to reduce frequency or wrap up.

For most of our therapists, yes—they're licensed in Missouri and can see clients anywhere in the state via telehealth. However, we also have clinicians licensed in Illinois, Kansas, and North Carolina. Contact us to find out if we can work with you based on your location.

This is actually pretty common, and it doesn't mean therapy can't help you—it often means you weren't matched with the right approach or therapist. Many people have experienced therapy that was mostly talking about their problems without learning concrete skills or making real changes. Our therapists use specific, evidence-based techniques for anxiety that are quite different from general talk therapy. We focus on giving you practical tools and helping you gradually face your fears rather than just discussing them. If you've had disappointing experiences with therapy before, we'd love to talk about what didn't work and how our approach might be different.

Also, once you are assigned a therapist make sure to talk to them about your previous experience. We know not everyone is a fit for every therapist. Share with your new therapist at Aspire Counseling what you didn’t like about your previous therapist or perhaps what they did that wasn’t very helpful. If there WAS anything in your previous experience that was even a little bit useful, share that too. This will help your new therapist really hone in on what is most likely to help your anxiety in your unique situation.

That's exactly why we offer a free 30-minute consultation before you commit to anything. You can get a feel for the therapist and ask questions before deciding to move forward. If you start treatment and realize it's not the right fit, we can discuss transferring you to another therapist on our team. The therapeutic relationship matters, and we want you working with someone who feels right.

We're an out-of-network practice, meaning we don't bill insurance companies directly. However, many clients get 50-70% of their session costs reimbursed through out-of-network benefits. Some get even more. We use Thrizer to make the reimbursement process easy, and we can help you understand what your specific plan might cover before you start treatment.

Our therapists don't prescribe medication—we're licensed mental health counselors, not psychiatrists. However, we can work collaboratively with your doctor or psychiatrist if you're considering or already taking medication for anxiety. We’re always happy to hop on a call with your prescriber if they’re available. Many people find therapy alone is effective for anxiety, while others benefit from a combination of therapy and medication. We can help you think through these decisions and coordinate care with your medical providers. If you're interested in exploring medication options, we can also provide referrals to trusted psychiatrists in the Columbia, Jefferson City, Lee's Summit and//or Kansas City area.

A generalist therapist sees many different issues—depression, relationship problems, life transitions, anxiety, grief, and more—and may use a variety of approaches. We specialize exclusively in anxiety and trauma, using evidence-based treatments that are specifically designed and proven to work for these conditions. Our therapists have extensive specialized training, and our outcome data reflects this focused expertise.

Yes. You just need a private space for your session. This could be a bedroom with the door closed, a home office, a parked car, or even a closet with headphones. Some clients schedule sessions during times when others are out of the house. We can problem-solve this together if privacy is a concern.

A device with a camera (smartphone, tablet, laptop, or desktop computer), a reliable internet connection, and a private space. That's it. We use Zoom for Healthcare, which is HIPAA-compliant and secure. If you can do a video call, you can do online therapy.