Counseling
Explore one-on-one, group, family, children’s, and couple’s therapy services to find personalized counseling support that fits your needs.
First Step to Establish Care: Diagnostic Assessment
The first step in receiving mental health or addiction recovery services from Signature Health is to complete a Diagnostic Assessment (DA) with a counselor.
- Schedule a DA appointment online or by calling 440-578-8200.
- Drop-In to one of our six outpatient locations or drop-in online for a DA video visit Monday-Friday, between 9am and 4pm.
Drop-in slots are available on a first-come, first-served basis. In-person drop-in DAs are often done via telehealth using video, if a therapist in a different Signature Health office is available. The option for an in-person assessment may not be available for drop-ins.
Is Counseling Right for You?
Whether you're navigating depression, anxiety, grief, relationship stress, career hurdles, anger, substance use, or just not feeling like yourself, therapy can help.
Counseling offers support, clarity, and tools to cope. You don’t need to wait for a crisis to get started—therapy is for anyone ready to heal, grow, and thrive.
What to Expect in Therapy
Starting therapy can feel uncertain, but knowing the process helps. After your Diagnostic Assessment (DA), you’ll be matched with a different counselor for ongoing sessions.
Early sessions focus on your history, current challenges, and goals. Together, you’ll explore what’s working, what’s not, and how to move forward.
Sessions typically last 45–60 minutes. Your counselor may recommend approaches like:
- CBT – to shift unhelpful thought patterns
- EMDR – often used for trauma
- Other evidence-based therapies tailored to your needs
Therapy is a collaborative process—you set the pace, and your counselor supports you every step of the way.
Explore Our Counseling Options
One-on-One Counseling
Individual counseling offers a safe, confidential space to explore your thoughts, emotions, and challenges. Whether you're navigating stress, anxiety, grief, or personal growth, these sessions are tailored to your unique needs and goals.
Children's Counseling
Through compassionate, age-appropriate therapy, we help kids and teens break down big feelings into manageable steps, build coping skills, and move toward healing and growth.
Couples Counseling
Couples counseling helps partners work through challenges as a team, with the goal of improving, rebuilding, and strengthening their relationship.
Family Counseling
Family counseling helps families navigate challenges together, work through conflict, strengthen bonds, and move forward with greater understanding and resilience.
Group Counseling
We offer a wide range of specialized groups tailored to unique life experiences, mental health conditions, and personal challenges, so patients can find support that truly resonates.
EMDR
Eye Movement Desensitization and Reprocessing (EMDR) is a powerful, evidence-based therapy designed to help individuals process and heal from trauma.
PCIT
Parent-Child Interaction Therapy (PCIT) is offered in Ashtabula and Willoughby. PCIT empowers parents and caregivers with effective tools to manage behavior while fostering a more positive and nurturing connection with their child.
Sexual Behavior Services
Our sexual behavior services include age-appropriate programs that are designed to address problematic or abusive sexual behaviors while promoting safe, respectful, and healthy sexual expression.
Frequently Asked Questions
How can I get help as a new patient?
If you have 60 minutes available now, you can speak with a counselor over video for an assessment (Mon-Fri, 9am-4pm).
To schedule an appointment, call, chat or book your spot online.
Do you offer transportation?
Yes, to qualifying patients. Each of our locations is also located near a main bus route for patient convenience. If you are regularly unable to make it to your appointments because of lack of transportation, please let us know.
How do I pay for care?
Signature Health accepts:
- Medicaid
- Traditional Medicare
- Some Medicare Advantage plans
For patients without insurance, we offer a sliding fee scale program for those who qualify. This means payment is based on your income and household size. We can also help get new patients set up with Medicaid. See a list of accepted insurances.