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Services Offered


Alright you guys, this section is for you. Let's face it, things get tough sometimes, right? Maybe you're reading this because you want to do counseling, or maybe it's for a friend, or your parent is showing you, and you're reluctantly looking. Whether you're ready for things to be different or someone is suggesting you get help, I can offer useful tools needed for forward movement. Be it communication with your friends or parents, difficulties with relationships, even self-harm and suicidal thoughts, I can help. Give it a chance, it might just work. 


If we know anything as adults, it's that life throws curve balls. We don't expect it, and often times feel like we're striking out. We don't have nearly as much control as we like to think we do. That's why it's so important to have a road map that helps navigate through the pain. Learn how to keep living through the struggle, rather than putting things on pause until something gets "fixed." Yes, things are temporary, including us. The less time we spend on self-evaluation, judgement, especially of self, the better. Our heads aren't always the best place to hang out. Get back into your life. 


I was born and raised here in Mount Vernon. I've seen, overall, an increase  in LGBTQ support over the years, which I much appreciate. I would like your kind consideration of including me in that system of support. In addition to one on one counseling, groups will be held Thursdays from 6 to 7 pm at the office. I offer a safe space to process through the unique and direct challenges, and victories, that come with being queer. This is a place of support, compassion, respect, dignity, and pride. Safe Space, if you would like to come and talk about it.  


Acceptance and Commitment Therapy

What is it?

Acceptance and Commitment Therapy was developed in 1982 by Steven Hayes. It is similar to other therapeutic modalities in that it functions with the understanding that thought influences emotion, which then informs behavior. What sets ACT apart is the idea that thought and emotion cannot be controlled, and therein the relationship that we have them becomes paramount, given that its the only place where we can intentionally and deliberately have influence. ACT is values based, with the premise that what we do matters, and we fare better when acting as active participants in our lives. 

What Can I expect? 

Expect non-judgment. Of thought, of emotion, and of reality. Many of the techniques that ACT employs are incredibly counter-intuitive. We're used to trusting every thought that we have. They come from us, after all. Consider the amount that we have every day though. Can they all be helpful? Not likely. To approach things from a different angle feels strange and can sometimes bring discomfort, which is often a sign of change and forward movement. ACT requires practice and a commitment to focusing on what is important to you. The more you do it, the more natural it becomes until the techniques are second nature. 

Duration of Treatment

Many factors influence the length of therapy. Often times, people find relief after the first session  knowing that they've taken the first step, and have found a safe space. Needs differ from person to person, and so does engagement. Keeping consistent appointments, implementing recommended strategies, openness to new ideas and change, and a willingness for vulnerability will expedite the process. This is your time, be intentional with how you use it. 


As a Licensed Professional Clinical Counselor in the State of Ohio, I am bound by confidentiality rules and guidelines. Everything said is confidential, with the following exceptions: 

1. Cases of child or elder abuse

2. If someone is planning, has the means, and is intending to seriously harm themselves or someone else

3. If my records are subpoenaed by a court of law

Adolescents: We will discuss during the first session rules and parameters around confidentiality. When the adolescent is my direct client, confidentiality will be maintained with parents with the exception of the above listed guidelines. 


Fee for service at this time is cash or check only, and due at time of service. Fee is 125.00 per hour for individual session, 20.00 for one hour group session, and 150.00 for one hour family session. 

How do I know if I need counseling?

This is the question that frequently arises when someone is seeking help. Are things bad enough? Can't I just handle this on my own? If I just keep pushing forward, won't things just work out? That line of thinking is natural, and also not the most helpful. One day you will decide that yes, it's time, and perhaps another will leave you feeling like you want to handle things on your own. Counseling is something that people do because they both need, and want, to do it. There's no threshold, no scale for when you implement a self-care strategy. It can be done at any time. 


Start Living



Lindsay Miller, MS, LPCC-S

Fiumera and Associates

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